Evidence map›Paper›PMID 40744902›Full record

Observational studyAnnals of medicine2025

Trends and levels of the global, regional, and national burden of injuries from 1990 to 2021: findings from the global burden of disease study 2021.

Jiaqi Lou, Ziyi Xiang, Xiaoyu Zhu, Youfen Fan, Jingyao Song, Shengyong Cui, Jiliang Li, Guoying Jin, Neng Huang, Xin Le

Abstract readObservational Study
In one paragraph

Observational study in Annals of medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  7. Review
  8. Association between sustained moderate hyperglycemia within first 48 hours and poor functional outcome after polytrauma: A retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Observational
  9. Article
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jiaqi LouBurn Department, Ningbo No. 2 Hospital, Ningbo, China.
Ziyi XiangInstitute of Pathology, Faculty of Medicine, University of Bonn, Bonn, Germany.
Xiaoyu ZhuHealth Science Center, Ningbo University, Ningbo, China.
Youfen FanBurn Department, Ningbo No. 2 Hospital, Ningbo, China.
Jingyao SongSchool of Mental Health, Wenzhou Medical University, Whenzhou, China.
Shengyong CuiBurn Department, Ningbo No. 2 Hospital, Ningbo, China.
Jiliang LiBurn Department, Ningbo No. 2 Hospital, Ningbo, China.
Guoying JinBurn Department, Ningbo No. 2 Hospital, Ningbo, China.
Neng HuangBurn Department, Ningbo No. 2 Hospital, Ningbo, China.
Xin LeBurn Department, Ningbo No. 2 Hospital, Ningbo, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesInjuries remain a major global public health challenge. This study aimed to analyze the global, regional, and national burden of injuries from 1990 to 2021 and project future trends to 2046, addressing a gap in long-term trend analyses and projections accounting for demographic shifts. PATIENTS/MATERIALS AND

methodsWe conducted an observational analysis using data from the Global Burden of Disease (GBD) Study 2021, covering 204 countries and territories. We extracted data on injury incidence, prevalence, mortality, and disability-adjusted life years (DALYs). Age-standardized rates (ASRs) were calculated. Temporal trends (1990-2021) were assessed using estimated annual percentage change (EAPC). Future burden (2022-2046) was projected using statistical modeling.

resultsGlobally, while absolute numbers of injury incidence, prevalence, deaths, and DALYs increased from 1990 to 2021, all corresponding ASRs declined significantly (EAPC: incidence - 0.96%, prevalence - 0.73%, mortality - 1.55%, and DALYs - 1.75%). Males consistently bore a greater burden than females (mortality ratio male:female = 2.41). Marked disparities existed: mortality rates in low Socio-demographic Index (SDI) regions were 2.5 times higher than in high SDI regions. Afghanistan, the Central African Republic, and Lesotho had the highest national mortality rates; Singapore, Spain, and Italy the lowest. Projections indicate rising absolute cases but declining ASRs through 2046.

conclusionDespite declining ASRs, the increasing absolute injury burden necessitates intensified prevention efforts. Targeted interventions are crucial to address persistent geographic, demographic (especially males), and socioeconomic (low SDI regions) disparities.

Indexed as

Global Burden of DiseaseWounds and InjuriesAdolescentAdultAgedDisability-Adjusted Life YearsFemaleGlobal HealthHumansIncidenceInfantMaleMiddle AgedPrevalenceYoung AdultAge-Period-Cohort (APC)Age-Standardized rates (ASRs)autoregressive Integrated moving average (ARIMA)Disability-Adjusted life years (DALYs)Disease burdenGlobal burden of disease (GBD)injuriestrend

Identifiers

PMID40744902
PMCPMC12315186

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.