Disability Adjusted Life Year (DALY) estimates for injury utilising the European Injury Data Base (IDB). (Book)
- Public Health Expertise
Injuries are a leading cause of morbidity and mortality in Europe, and not only place a huge burden on individuals and health care services but on society as a whole.
The European Injury Data Base (IDB) project was commissioned as part of BRIDGE-Health to generate comparable burden of injury estimates across Europe and to support injury prevention research and policy development.
Traditionally, the impact of injuries have been measured using singular outcomes such as emergency department attendances, hospital admissions and deaths. In recent years, however, the combination of these outcomes in composite measures such as Disability Adjusted Life Years (DALYs) have become increasingly important at providing comparable estimates of the impact of injury.
DALY estimates were generated for IDB countries and years where both fatal and non-fatal injury data were available. Non-fatal injury data were acquired from Emergency Department data recorded in the IDB Minimum Data Set (MDS), fatal data were obtained from the European Detailed Mortality Database (EDMD) and disability weights from the injury-VIBES study were used to calculate the DALY estimates.
The general approach to calculating DALYs followed that of the Global Burden of Disease (GBD) study but utilised new and different disability weights created by the analysis of data from the largest injury outcome cohort studies from the Injury-VIBES cohort and detailed injury incidence data from nineteen countries.
DALY estimates were between 2-10 times larger than estimates generated by previous studies such as the Global Burden of Disease (GBD) study, due to much higher incidence figures and larger disability weights.
Males, 10-14 year old children and accidental falls have the highest DALY estimates and contribute considerably to the burden of injuries across Europe
The DALY estimates generated by the IDB project demonstrate that the burden of injury in Europe is considerably higher than previously estimated.
There is an ongoing need to support national and EU data administrators and policy makers in the calculation of burden of injury metrics and their use in the evaluation of national and EU wide policies and strategies to reduce the burden.