The Global Macroeconomic Burden of Burn Injuries.

Autor:	Gerstl JVE; From the Departments of Neurosurgery.; University College London Medical School., Ehsan AN; Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School., Lassarén P; From the Departments of Neurosurgery.; Karolinska Institute., Yearley A; From the Departments of Neurosurgery., Raykar NP; Surgery, Brigham and Women's Hospital, Harvard Medical School.; Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School., Anderson GA; Surgery, Brigham and Women's Hospital, Harvard Medical School.; Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School., Smith TR; From the Departments of Neurosurgery., Sabapathy SR; Department of Plastic Surgery, Hand, Reconstructive, and Burn Surgery, Ganga Hospital., Ranganathan K; Surgery, Brigham and Women's Hospital, Harvard Medical School.; Program in Global Surgery and Social Change, Department of Global Health and Social Medicine, Harvard Medical School.
Jazyk:	angličtina
Zdroj:	Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Mar 01; Vol. 153 (3), pp. 743-752. Date of Electronic Publication: 2023 Apr 25.
DOI:	10.1097/PRS.0000000000010595
Abstrakt:	Background: Standardized estimates of global economic losses from burn injuries are lacking. The primary objective of this study was to determine the global macroeconomic consequences of burn injuries and their geographic distribution. Methods: Using the Institute of Health Metrics and Evaluation database (2009 and 2019), mean and 95% uncertainty interval (UI) data on incidence, mortality, and disability-adjusted life-years (DALYs) from injuries caused by fire, heat, and hot substances were collected. Gross domestic product (GDP) data were analyzed together with DALYs to estimate macroeconomic losses globally using a value of lost welfare approach. Results: There were 9 million global burn cases (95% UI, 6.8 to 11.2 million) and 111,000 deaths from burns (95% UI, 88,000 to 132,000 deaths) in 2019, representing a total of 7.5 million DALYs (95% UI, 5.8 to 9.5 million DALYs). This represented welfare losses of $112 billion (95% UI, $78 to $161 billion), or 0.09% of GDP (95% UI, 0.06% to 0.13%). Welfare losses as a share of GDP were highest in low- and middle-income countries (LMICs) of Oceania (0.24%; 95% UI, 0.09% to 0.42%) and Eastern Europe (0.24%; 95% UI, 0.19% to 0.30%) compared with high-income country regions such as Western Europe (0.06%; 95% UI, 0.04% to 0.09%). Mortality-incidence ratios were highest in LMIC regions, highlighting a lack of treatment access, with southern sub-Saharan Africa reporting a mortality-incidence ratio of 40.1 per 1000 people compared with 1.9 for Australasia. Conclusions: Burden of disease and resulting economic losses because of burn injuries are substantial worldwide and are disproportionately higher in LMICs. Possible effective solutions include targeted education, advocacy, and legislation to decrease incidence and investing in existing burn centers to improve treatment access. (Copyright © 2023 by the American Society of Plastic Surgeons.)
Databáze:	MEDLINE
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