全球、地区和国家的烧伤负担:2019年全球疾病负担研究中对火灾、高温和热物质伤害的分析。

Xi Yin, Shengyu Huang, Zhihao Zhu, Qimin Ma, Yusong Wang, Xiaobin Liu, Tuo Shen, Feng Zhu
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引用次数: 0

摘要

背景:接触高温物质导致的烧伤是一种常见病,但有关流行趋势和疾病负担的数据却很少。本研究报告了 1990 年至 2019 年全球、地区和国家的烧伤负担,确定了热点地区,并利用《2019 年全球疾病负担》调查数据分析了影响疾病负担的因素:2019 年全球疾病负担调查估计了 1990 年至 2019 年期间因暴露于火、热和高温物质而受伤的发病率、死亡率和疾病调整生命年(DALY)。为便于比较,所有发病率都进行了年龄标准化。并使用估计年度百分比变化(EAPC)来反映年度比率的变化程度:全球范围内,2019 年估计有 8,378,122 人(95 % 不确定区间 [UI]:6,531,887-10,363,109)烧伤,年龄标准化发病率、死亡率和残疾调整寿命年率分别为每 10 万人 118 例(95 % UI:89-147)、1.44 例(95 % UI:1.14-1.72)和 96.6 例(95 % UI:75.03-123.05),分别比 1990 年低 22%、43% 和 43%。从地区来看,1990 年至 2019 年,年龄标准化发病率与社会人口指数(SDI)呈正相关,而年龄标准化死亡率和残疾调整寿命年率与社会人口指数呈负相关。年龄标准化发病率的变化是内在的,而年龄标准化死亡率的变化与国家的人类发展指数有关。全球烧伤发病人群呈偏态分布,高峰主要出现在 5 至 19 岁年龄组,但 5 岁以下和更大年龄组的特定年龄死亡率和疾病负担更高:这项研究的结果表明,在分配卫生资源时需要考虑烧伤的地区差异。尽管全球烧伤负担有所减轻,但发病率和死亡率仍然居高不下。此外,各地区之间存在着明显的差异,这与 SDI 和人类发展指数有关。此外,受影响人群的年龄和性别也存在差异。虽然确切的原因还需要进一步研究,但毫无疑问,预防烧伤需要引起高度重视。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The global, regional, and national burden of burns: An analysis of injury by fire, heat, and hot substances in the global burden of disease study 2019.

Background: Burn caused by exposure to hot substances is a common occurrence but there is little data on prevalence trends and disease burden. This research report the burden of burn injuries globally, regionally, and nationally from 1990 to 2019, identify hotspots, and analyze factors affecting disease burden with data from Global Burden of Disease 2019 survey.

Methods: The Global Burden of Disease 2019 estimated the incidence, death rate, and disease-adjusted life years (DALY) for injuries due to exposure to fire, heat, and hot substances from 1990 to 2019. For comparison, all rates were age standardized. And the estimated annual percentage change (EAPC) was used to reflect the degree of change of the annual rate.

Results: Globally, there were an estimated 8,378,122 (95 % uncertainty interval [UI]: 6,531,887-10,363,109) burn injuries in 2019, with age-standardized incidence, death, and DALY rates of 118 (95 % UI: 89-147), 1.44 (95 % UI: 1.14-1.72), and 96.6 (95 % UI: 75.03-123.05) per 100,000 people, which were 22 %, 43 %, and 43 % lower than those in 1990, respectively. Regionally, age-standardized incidence rate showed a positive association with Socio-demographic Index (SDI) from 1990 to 2019, whereas age-standardized death and DALY rates were negatively associated with SDI. The variation in the age-standardized incidence rate was intrinsic, and the variation in the age-standardized death rate was related to the human development index in the country. The global burn incidence population was skewed, with peaks mainly in the 5 to 19 years age group, but age-specific death rates and disease burden were higher in the under-5 and older age groups.

Conclusions: The results of this study indicate the need to consider regional differences in burns when allocating health resources. Despite the reduced global burden of burns, incidence and deaths remain high. Moreover, there are significant differences between regions which are associated with the SDI and the human development index. Additionally, differences exist in the age and sex of the affected populations. Although the exact causes require further study, there is no doubt that the prevention of burns requires serious attention.

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