1990—2019年全球烧伤疾病负担变化趋势及地区差异  

Trends and regional differences in the global burn disease burden from 1990 to 2019

作　　者：郭绍彬 唐世杰[1] 张万聪[1] GUO Shaobin;TANG Shijie;ZHANG Wancong(Department of Burns and Plastic Surgery,the Second Affiliated Hospital of Shantou University Medical College,Shantou 515041,China;Department of Burns and Plastic Surgery,Shantou Second Peoples Hospital,Shantou 515011,China)

机构地区：[1]汕头大学医学院第二附属医院烧伤整形外科,广东汕头515041 [2]汕头市第二人民医院烧伤整形外科,广东汕头515011

出　　处：《汕头大学医学院学报》2023年第3期181-184,共4页Journal of Shantou University Medical College

基　　金：李嘉诚基金会交叉研究项目(2020LKSFG18B,2020LKSFG02E);汕头市医疗卫生科技计划项目(220506156491348)。

摘　　要：目的:分析1990—2019年全球烧伤疾病负担变化趋势及地区差异,为烧伤防治提供理论依据。方法:使用2019年全球疾病负担研究的数据,采用伤残调整生命年(disability-adjusted life years,DALYs)评价全球不同地区的烧伤负担变化。采用Joinpoint回归模型计算1990—2019年烧伤年龄的标化DALYs率的平均年度变化百分比(average annual percentage change,AAPC)。采用Spearman相关分析判断烧伤标化DALYs率与社会人口指数(sociodemographic index,SDI)的关系。分析人口规模、人口结构及流行病学对DALYs变化的影响。结果:1990—2019年全球烧伤DALYs下降19.26%,标化DALYs率的AAPC为-1.92%(95%CI:-2.00%~-1.84%),标化DALYs率与SDI呈负相关(r=-0.553,P<0.001)。非洲的烧伤DALYs上升12.95%,人口年龄结构、人口规模及流行病学的贡献率分别为-57.4%、674.72%、-517.33%。结论:1990—2019年全球烧伤的负担呈下降趋势,低SDI地区和非洲等经济落后地区的烧伤负担较高。Objective:To investigate the trends and regional differences in the global burn disease burden from 1990 to 2019,to provide a theoretical basis for burn prevention and treatment.Methods:Data from the Global Burden of Disease 2019 were used to evaluate changes in the burden of burns in different regions of the world using disability-adjusted life years(DALYs).Joinpoint regression model was used to calculate the average annual percentage change(AAPC)in the rate of standardized DALYs for burn injuries from 1990 to 2019.Spearman correlation analysis was used to determine the relationship between the rate of standardized DALYs of burns and sociodemographic index(SDI).The effects of population size,demographic structure,and epidemiology on changes in DALYs were analyzed.Results:Global burn DALYs decreased by 19.26%from 1990 to 2019,with an AAPC of-1.92%(95%CI:-2.00%--1.84%)for the rate of standardized DALYs,and the rate of standardized DALYs was negatively correlated with the SDI was negatively correlated(r=-0.553,P<0.001).Burn DALYs increased by 12.95%in Africa,with contributions from population age structure,population size and epidemiology of-57.4%,674.72%and-517.33%,respectively.Conclusion:There is a decreasing trend in the burden of burns globally from 1990 to 2019,with a higher burden of burns in low SDI regions and economically underdeveloped regions such as Africa.

关 键 词：烧伤 疾病负担 伤残调整生命年 

分 类 号：R644[医药卫生—外科学]