关键词: Global burden Temporal trends Thermal burns Unbalanced distributions

Mesh : Burns / epidemiology Child Global Burden of Disease Global Health Humans Quality of Life Quality-Adjusted Life Years

来  源:   DOI:10.1016/j.burns.2021.08.002   PDF(Sci-hub)

Abstract:
Many studies demonstrate that being burned has both physical and psychological sequelae that affect quality of life. Further, these effects may be more prevalent in some regions and populations. We sought to access the unbalanced distributions and temporal trends concerning the health burden of thermal burns.
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.
摘要:
许多研究表明,烧伤有影响生活质量的生理和心理后遗症。Further,这些影响在某些地区和人群中可能更为普遍。我们试图获得有关热烧伤健康负担的不平衡分布和时间趋势。
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。
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