背景:胸骨和肋骨骨折是一个重要的全球健康问题,在全球范围内导致发病率和残疾。然而,目前明显缺乏详细说明这些骨折的全球和地区负担的最新流行病学数据.
方法:我们对全球胸骨和肋骨骨折的患病率进行了系统分析,区域,和2019年的国家水平,同时还研究了1990年至2019年的时间趋势。为了实现这一点,我们从2019年全球疾病负担研究中提取了数据,使我们能够确定发病率,患病率,残疾生活年(YLDs),以及相应的年龄标准化率。
结果:2019年,全球有410万例胸骨和肋骨骨折事件和200万例。这些数字分别增加了43.7%和64.1%,分别,自1990年。YLD也表现出显著的增长,上升62.4%,达到190,834例。然而,自1990年以来,他们的同等年龄标准化率,从5.5%到7.1%不等,减少了。值得注意的是,中国的发病率最高(120万例),患病率(573,000例),和YLDs的数量(55,400例),全部在2019年。同年,格陵兰的年龄标准化发病率最高(143/100,000)和年龄标准化患病率最高(65/100,000)。重要的是要强调男性经历这些骨折的比率比女性高得多。大约70%的事件包括全球和所有地区的意外伤害。高社会经济地区的发病率最高,患病率,和YLDs,尽管自1990年以来,这些比率下降了6.4%至7.1%,而中低收入地区则有所上升。
结论:这项研究,涵盖1990年至2019年,对归因于胸骨和肋骨骨折的全球负担进行了全面和最新的评估。就国家而言,regions,社会人口统计学指数(SDI)水平,年龄组,性别,和原因,它揭示了显著的差异和趋势。从这项研究中获得的知识对于制定卫生政策非常有用,分配资源,并开发防止这些伤害的方法。
BACKGROUND: Sternum and rib fractures represent a significant global health concern, contributing to morbidity and disability on a worldwide scale. However, there is a notable lack of recent epidemiological data detailing the global and regional burden of these fractures.
METHODS: We undertook a systematic analysis of the prevalence of sternum and rib fractures at the global, regional, and national levels in 2019, while also examining time trends spanning from 1990 to 2019. To achieve this, we extracted data from the Global Burden of Disease Study 2019, enabling us to determine incidence, prevalence, years lived with disability (YLDs), and their corresponding age-standardized rates.
RESULTS: In 2019, there were 4.1 million incident cases and 2 million prevalent cases of sternum and rib fractures worldwide. These figures represent increases of 43.7 % and 64.1 %, respectively, since 1990. YLDs also exhibited a notable increase, rising by 62.4 % to reach 190,834 cases. However, since 1990, their equivalent age-standardized rates, which ranged from 5.5 % to 7.1 %, have decreased. Notably, China had the greatest incidence (1.2 million cases), prevalence (573,000 cases), and number of YLDs (55,400 cases), all in 2019. The greatest age-standardized incidence rate (143/100,000) and age-standardized prevalence rate (65/100,000) were both recorded in Greenland in the same year. It\'s critical to emphasize that men experience these fractures at considerably higher rates than women. Around 70 % of incident instances included unintentional injuries worldwide and across all regions. High-socioeconomic regions had the highest rates of incidence, prevalence, and YLDs, albeit these rates have declined by 6.4 % to 7.1 % since 1990, whereas low-middle and low-income areas have had rises.
CONCLUSIONS: This study, which spans the years 1990 to 2019, provides a thorough and current assessment of the global burden attributed to sternum and rib fractures. In terms of nations, regions, sociodemographic index (SDI) levels, age groups, genders, and reasons, it reveals significant variances and trends. The knowledge obtained from this study can be extremely useful in formulating health policy, allocating resources, and developing methods to prevent these injuries.