Global, regional, and national drowning trends from 1990 to 2021: Results from the 2021 Global Burden of Disease Study

被引:3
作者
Zhu, Weimin [1 ,2 ]
He, Xiaxia [3 ]
San, Renfei [1 ,2 ]
Chen, Nanjin [4 ]
Han, Tingfen [5 ]
Zhang, Sheng [1 ]
Xu, Yubin [6 ]
Jin, Shengwei [7 ,8 ]
Xu, Yinghe [1 ]
Jiang, Yongpo [1 ,2 ]
机构
[1] Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Dept Crit Care Med, 150 Ximen St, Taizhou 317000, Peoples R China
[2] Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Dept Emergency Med, Taizhou, Peoples R China
[3] Taizhou Univ, Taizhou Univ Hosp, Taizhou Cent Hosp, Dept Radiol, Taizhou, Peoples R China
[4] Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Dept Anesthesiol, Taizhou, Peoples R China
[5] Wenzhou Med Univ, Taizhou Hosp Zhejiang Prov, Dept Tradit Chinese Med, Taizhou, Peoples R China
[6] Taizhou Univ, Taizhou Univ Hosp, Taizhou Cent Hosp, Dept Pharm, Taizhou, Peoples R China
[7] Wenzhou Med Univ, Affiliated Hosp 2, Dept Anaesthesia & Crit Care, Wenzhou, Peoples R China
[8] Wenzhou Med Univ, Yuying Childrens Hosp, Dept Crit Care Med, Wenzhou, Peoples R China
关键词
drowning; epidemiology; global burden of disease; prehospital emergency medicine; prevention; PREVENTION; CHILDREN;
D O I
10.1111/acem.15003
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
BackgroundDrowning is a preventable public health concern that burdens emergency care systems globally. This study comprehensively evaluated fatal drowning patterns across population, time, and geography from 1990 to 2021 to inform effective prevention strategies.MethodsUsing the 2021 Global Burden of Disease Study framework and standardized estimation methods, the study analyzed global and regional drowning burden in terms of mortality, incidence, and disability-adjusted life-years (DALYs), based on population registry data and drowning-related epidemiological covariates.ResultsGlobal drowning incidents decreased by 33.67% from 1990 to 2021. The drowning incidence rate and mortality rate declined from 24.20 and 9.68 per 100,000 in 1990 to 10.85 and 3.48 per 100,000 in 2021, respectively. Years of life lost and DALYs rates due to drowning also decreased significantly, from 715.80 and 718.69 per 100,000 in 1990 to 197.64 and 198.92 per 100,000 in 2021. Regionally, East Asia had the highest drowning mortality (27.15% of global deaths), while the high-income Asia Pacific region experienced the highest incidence rate (21.38 per 100,000). South Asia had the greatest number of drowning deaths (75,639). Tropical Latin America showed the largest incidence decline, while high-income Asia Pacific exhibited increasing trends. Drowning disproportionately affected children under 5 and the elderly in most regions.ConclusionsWhile global drowning rates have declined, progress varies across regions. To improve prevention, focus should target low-income/middle-income countries and vulnerable populations like children and the elderly. Increased investment in safety education and rescue resources is vital to address their disproportionate risks.
引用
收藏
页码:1212 / 1222
页数:11
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