Data were collected from the Global Burden of Disease Study 2017, and the disability-adjusted life year (DALY)1 was used as a measure of health burden. Linear regression was used to evaluate the relationship between the age-standardized DALY rate and socio-demographic index.2 Joinpoint regression analysis and comparison line charts were all applied to assess the temporal trends of burns.
The age-standardized DALY rate of global thermal burns decreased by 43.7%, from 197 (95% CI: 152-228) per 100,000 in 1990 to 111 (95% CI: 93-129) per 100,000 in 2017. The burden was borne mainly by children 1-4 years of age and people over 80 years. Socio-demographic index was negatively correlated with the age-standardized DALY rate. In low-middle and low socio-demographic index regions, the decreasing trends were slower than other regions with an average annual percentage change of -2.1% (95% CI: -2.2 to -2.0) and -2.1% (95% CI: -2.1 to -2.0), respectively. Among six geographical regions, Africa presented the highest age-standardized DALY rates of 352 (95% CI: 275-410) per 100,000 in 1990 and 208 (95% CI: 175-236) per 100,000 in 2017, and also the slowest average decreasing trend, with an average annual percentage change of -1.9% (95% CI: -2 to -1.8).
The global burden of thermal burns shows a downward trend from 1990 to 2017, and regions with lower socio-demographic index and Africa show greater burdens and smaller downward trends.
数据来自2017年全球疾病负担研究,残疾调整寿命年(DALY)1被用作健康负担的衡量标准。线性回归用于评估年龄标准化的DALY率与社会人口统计学指标之间的关系。2联合回归分析和比较线图均用于评估烧伤的时间趋势。
全球热烧伤的年龄标准化DALY率下降了43.7%,从1990年的197(95%CI:152-228)/100,000到2017年的111(95%CI:93-129)/100,000。负担主要由1-4岁的儿童和80岁以上的人承担。社会人口统计学指数与年龄标准化的DALY率呈负相关。在中低和低社会人口指数地区,下降趋势比其他地区慢,年均百分比变化为-2.1%(95%CI:-2.2至-2.0)和-2.1%(95%CI:-2.1至-2.0),分别。在六个地理区域中,非洲的年龄标准化DALY率最高,1990年为每100,000人352(95%CI:275-410),2017年为每100,000人208(95%CI:175-236),并且平均下降趋势最慢。年平均百分比变化为-1.9%(95%CI:-2至-1.8)。
从1990年到2017年,全球热烧伤负担呈下降趋势,社会人口指数较低的地区和非洲的负担更大,下降趋势更小。