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Epidemiology of injuries from fire, heat and hot substances: global, regional and national morbidity and mortality estimates from the Global Burden of Disease 2017 study

2019; BMJ; Volume: 26; Issue: Suppl 2 Linguagem: Inglês

10.1136/injuryprev-2019-043299

1475-5785

Spencer L James, Lydia R Lucchesi, Catherine Bisignano, Chris D Castle, Zachary V Dingels, Jack T Fox, Erin B Hamilton, Nathaniel J Henry, Darrah McCracken, Nicholas L S Roberts, Dillon O Sylte, Alireza Ahmadi, Muktar Beshir Ahmed, Fares Alahdab, Vahid Alipour, Zewudu Andualem, Carl Abelardo T. Antonio, Jalal Arabloo, Ashish Badiye, Mojtaba Bagherzadeh, Amrit Banstola, Till Bärnighausen, Akbar Barzegar, Mohsen Bayati, Soumyadeep Bhaumik, Ali Bijani, Gene Bukhman, Félix Carvalho, Christopher S. Crowe, Koustuv Dalal, Ahmad Daryani, Mostafa Dianati Nasab, Hoa Do, Huyen Phuc, Aman Yesuf Endries, Eduarda Fernandes, Irina Filip, Florian Fischer, Takeshi Fukumoto, Ketema Bizuwork Gebremedhin, Gebreamlak Gebremedhn Gebremeskel, Syed Amir Gilani, Juanita A. Haagsma, Samer Hamidi, Sorin Hostiuc, Mowafa Househ, Ehimario Igumbor, Olayinka Stephen Ilesanmi, Seyed Sina Naghibi Irvani, Achala Upendra Jayatilleke, Amaha Kahsay, Neeti Kapoor, Amir Kasaeian, Yousef Khader, Fakher Rahim, Ejaz Ahmad Khan, Maryam Khazaee-Pool, Yoshihiro Kokubo, Alan D Lopez, Mohammed Madadin, Marek Majdán, Venkatesh Maled, Reza Malekzadeh, Navid Manafi, Ali Manafi, Srikanth Mangalam, Benjamin B. Massenburg, Hagazi Gebre Meles, Ritesh G. Menezes, Tuomo J Meretoja, Bartosz Miazgowski, Ted R. Miller, Abdollah Mohammadian-Hafshejani, Reza Mohammadpourhodki, Shane D. Morrison, Ionuţ Negoi, Trang Huyen Nguyen, Son Hoang Nguyen, Cuong Tat Nguyen, Molly R Nixon, Andrew T Olagunju, Tinuke O Olagunju, Jagadish Rao Padubidri, Suzanne Polinder, Navid Rabiee, Mohammad Rabiee, Amir Radfar, Vafa Rahimi‐Movaghar, Salman Rawaf, David Laith Rawaf, Aziz Rezapour, Jennifer Rickard, Elias Merdassa Roro, Nobhojit Roy, Roya Safari‐Faramani, Nasir Salam, Abdallah M Samy, Maheswar Satpathy, Monika Sawhney, David C. Schwebel, Subramanian Senthilkumaran, Sadaf G Sepanlou, Mika Shigematsu, Amin Soheili, Mark A. Stokes, Hamid Reza Tohidinik, Bach Xuan Tran, Pascual Valdéz, Tissa Wijeratne, Engida Yisma, Zoubida Zaidi, Mohammad Zamani, Zhi-Jiang Zhang, Simon I Hay, Ali H. Mokdad,

Burn Injury Management and Outcomes

Background Past research has shown how fires, heat and hot substances are important causes of health loss globally. Detailed estimates of the morbidity and mortality from these injuries could help drive preventative measures and improved access to care. Methods We used the Global Burden of Disease 2017 framework to produce three main results. First, we produced results on incidence, prevalence, years lived with disability, deaths, years of life lost and disability-adjusted life years from 1990 to 2017 for 195 countries and territories. Second, we analysed these results to measure mortality-to-incidence ratios by location. Third, we reported the measures above in terms of the cause of fire, heat and hot substances and the types of bodily injuries that result. Results Globally, there were 8 991 468 (7 481 218 to 10 740 897) new fire, heat and hot substance injuries in 2017 with 120 632 (101 630 to 129 383) deaths. At the global level, the age-standardised mortality caused by fire, heat and hot substances significantly declined from 1990 to 2017, but regionally there was variability in age-standardised incidence with some regions experiencing an increase (eg, Southern Latin America) and others experiencing a significant decrease (eg, High-income North America). Conclusions The incidence and mortality of injuries that result from fire, heat and hot substances affect every region of the world but are most concentrated in middle and lower income areas. More resources should be invested in measuring these injuries as well as in improving infrastructure, advancing safety measures and ensuring access to care.