Insights into Epidemiological Trends of Severe Chest Injuries: an Analysis of Age, Period, and Cohort from 1990 to 2019 Using the Global Burden of Disease Study 2019

Overview

Journal Scand J Trauma Resusc Emerg Med

Publisher Biomed Central

Specialty Emergency Medicine

Date 2024 Sep 16

PMID 39285499

Authors

Qingsong Chen

Guangbin Huang

Tao Li

Qi Zhang

Ping He

Jun Yang

Yongming Li

Dingyuan Du

Affiliations

Soon will be listed here.

Abstract

Background: This study assessed the global trends and burden of severe chest injury, including rib fractures, lung contusions, and heart injuries from 1990 to 2019. Herein, we predicted the burden patterns and temporal trends of severe chest injuries to provide epidemiological evidence globally and in China.

Methods: In our analysis, the age-standardized incidence rate (ASIR), prevalence rate (ASPR), and years lived with disability rate (ASYR) of severe chest injury were analyzed by gender, age, sociodemographic index, and geographical region between 1990 and 2019 using data from the Global Burden of Disease study 2019. Trends were depicted by calculating the estimated annual percentage changes (EAPCs). The impact of age, period, and cohort factors was assessed using an Age-Period-Cohort model. Autoregressive integrated moving average (ARIMA) model was employed to predict severe chest injury trends from 2020 to 2050.

Results: In 2019, the global number of severe chest injury cases reached 7.95 million, with the highest incidence rate observed in Central Europe (209.61). Afghanistan had the highest ASIRs at 277.52, while North Korea had the lowest ASIRs at 41.02. From 1990 to 2019, the Syrian Arab Republic saw significant increases in ASIR, ASPR, and ASYR, with EAPCs of 10.4%, 9.31%, and 10.3%, respectively. Burundi experienced a decrease in ASIR with an EAPC of - 6.85% (95% confidence interval [CI] - 11.11, - 2.37), while Liberia's ASPR and ASYR declined with EAPCs of - 3.22% (95% CI - 4.73, - 1.69) and - 5.67% (95% CI - 8.00, - 3.28), respectively. Falls and road injuries remained the most common causes. The relative risk of severe chest injury by age, period, and cohort demonstrated a complex effect globally and in China. The ARIMA model forecasted a steady increase in global numbers from 2020 to 2050, while in China, it forecasted an increase in incidence, a decrease in ASIR and ASYR, and an increase in ASPR.

Conclusions: This study provides a groundbreaking analysis of global severe chest injury, shedding light on its measures and impact. These findings highlight the need for timely, specialized care and addressing regional disparities to mitigate the severe chest injury burden.

References

Kasperkiewicz M, Lai O, Recke A, Betlachin A, Ji L, Groshen S . Clinical outcomes of patients with pemphigus treated by the same physicians in a public safety net healthcare system vs. a private healthcare system. Br J Dermatol. 2019; 181(4):850-852. DOI: 10.1111/bjd.17983. View

Liu X, Yu C, Bi Y, Zhang Z . Trends and age-period-cohort effect on incidence and mortality of prostate cancer from 1990 to 2017 in China. Public Health. 2019; 172:70-80. DOI: 10.1016/j.puhe.2019.04.016. View

Keyes K, Miech R . Age, period, and cohort effects in heavy episodic drinking in the US from 1985 to 2009. Drug Alcohol Depend. 2013; 132(1-2):140-8. PMC: 4827021. DOI: 10.1016/j.drugalcdep.2013.01.019. View

Hu S, Guo J, Zhu B, Dong Y, Li F . Epidemiology and burden of pelvic fractures: Results from the Global Burden of Disease Study 2019. Injury. 2022; 54(2):589-597. DOI: 10.1016/j.injury.2022.12.007. View

. Global, regional, and national burden of traumatic brain injury and spinal cord injury, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Neurol. 2018; 18(1):56-87. PMC: 6291456. DOI: 10.1016/S1474-4422(18)30415-0. View

Narsule C, Mosenthal A . Is There a Role for Rib Plating in Thoracic Trauma?. Adv Surg. 2022; 56(1):321-335. DOI: 10.1016/j.yasu.2022.02.009. View

Khan M, Hashim M, Mustafa H, Baniyas M, Al Suwaidi S, AlKatheeri R . Global Epidemiology of Ischemic Heart Disease: Results from the Global Burden of Disease Study. Cureus. 2020; 12(7):e9349. PMC: 7384703. DOI: 10.7759/cureus.9349. View

Ou Z, Wu K, Ruan Y, Zhang Y, Zhu S, Cui J . Global burden and trends of three common road injuries from 1990 to 2019 and the implications for prevention and intervention. Accid Anal Prev. 2023; 193:107266. DOI: 10.1016/j.aap.2023.107266. View

James S, Castle C, Dingels Z, Fox J, Hamilton E, Liu Z . Global injury morbidity and mortality from 1990 to 2017: results from the Global Burden of Disease Study 2017. Inj Prev. 2020; 26(Supp 1):i96-i114. PMC: 7571366. DOI: 10.1136/injuryprev-2019-043494. View

10.

Belkhiria J, Lo M, Sow F, Martinez-Lopez B, Chevalier V . Application of exponential random graph models to determine nomadic herders' movements in Senegal. Transbound Emerg Dis. 2019; 66(4):1642-1652. DOI: 10.1111/tbed.13198. View

11.

Yang G, Wang Y, Zeng Y, Gao G, Liang X, Zhou M . Rapid health transition in China, 1990-2010: findings from the Global Burden of Disease Study 2010. Lancet. 2013; 381(9882):1987-2015. PMC: 7159289. DOI: 10.1016/S0140-6736(13)61097-1. View

12.

Rosen H, Bari I, Paichadze N, Peden M, Khayesi M, Monclus J . Global road safety 2010-18: An analysis of Global Status Reports. Injury. 2022; . DOI: 10.1016/j.injury.2022.07.030. View

13.

. Five insights from the Global Burden of Disease Study 2019. Lancet. 2020; 396(10258):1135-1159. PMC: 7116361. DOI: 10.1016/S0140-6736(20)31404-5. View

14.

Michelitsch C, Acklin Y, Hassig G, Sommer C, Furrer M . Operative Stabilization of Chest Wall Trauma: Single-Center Report of Initial Management and Long-Term Outcome. World J Surg. 2018; 42(12):3918-3926. DOI: 10.1007/s00268-018-4721-8. View

15.

Veysi V, Nikolaou V, Paliobeis C, Efstathopoulos N, Giannoudis P . Prevalence of chest trauma, associated injuries and mortality: a level I trauma centre experience. Int Orthop. 2009; 33(5):1425-33. PMC: 2899104. DOI: 10.1007/s00264-009-0746-9. View

16.

Chrysou K, Halat G, Hoksch B, Schmid R, Kocher G . Lessons from a large trauma center: impact of blunt chest trauma in polytrauma patients-still a relevant problem?. Scand J Trauma Resusc Emerg Med. 2017; 25(1):42. PMC: 5399315. DOI: 10.1186/s13049-017-0384-y. View

17.

Kim H, Fay M, Feuer E, Midthune D . Permutation tests for joinpoint regression with applications to cancer rates. Stat Med. 2000; 19(3):335-51. DOI: 10.1002/(sici)1097-0258(20000215)19:3<335::aid-sim336>3.0.co;2-z. View

18.

Li C, Yu C, Wang P . An age-period-cohort analysis of female breast cancer mortality from 1990-2009 in China. Int J Equity Health. 2015; 14:76. PMC: 4568582. DOI: 10.1186/s12939-015-0211-x. View

19.

Dong Y, Peng R, Kang H, Song K, Guo Q, Zhao H . Global incidence, prevalence, and disability of vertebral fractures: a systematic analysis of the global burden of disease study 2019. Spine J. 2021; 22(5):857-868. DOI: 10.1016/j.spinee.2021.12.007. View

20.

Dhar S, Breite M, Barnes S, Quick J . Pulmonary Contusion in Mechanically Ventilated Subjects After Severe Trauma. Respir Care. 2018; 63(8):950-954. DOI: 10.4187/respcare.05952. View