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Global Trauma-related Mortality in Children and Adolescents
Zhenkun Wang, MSc1,2,3, Chuanhua Yu, PhD1,4, Huiyun Xiang, MD, MPH, PhD2,3 1 School of Public Health, Wuhan University, China; 2 Center for Pediatric Trauma Research, Nationwide Children's Hospital, Columbus OH; 3 Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus OH; 4 Global Health Institute, Wuhan University, China

Background: Comparative study of trauma-related mortality among children (aged 0-9 years) and adolescents (aged 10-19 years) worldwide is not available.

Methods: We used the Global Burden of Disease 2013 Study data to compare pediatric trauma-related deaths around the world.

Results: Although pediatric trauma-related deaths had fallen by 40.9% from 1990 to 2013, there were still 0.83 million pediatric trauma-related deaths worldwide in 2013. Trauma-related deaths accounted for 10.8% of all-cause deaths among children and adolescents. About 95.2% of all trauma-related deaths occurred in the developing countries and only 4.8% occurred in the developed world. Of these 0.83 million trauma-related deaths, 0.37 million occurred among less than 5 years old children, 0.11 million among 5-9 years old children, and 0.35 million among adolescents. Trauma-related deaths accounted for 5.9%, 22.9% and 36.1% of all-cause deaths respectively in these three age groups. In 2013, the leading causes of trauma-related deaths were: drowning among less than 5 years, road traffic injuries among 5-9 years and adolescents. Large between-country variations of leading causes exist in the pediatric trauma-related mortality around the world. Over half (53.0%) of the world's drowning deaths among children and adolescents occurred in four countries: India, China, Bangladesh and Indonesia; nearly half (46.0%) of the world's road traffic crash deaths among children and adolescents occurred in four countries: Nigeria, China, India and Indonesia.

Conclusions: Injuries caused a significant number of deaths among children and adolescents worldwide. Drowning and road traffic crashes were leading causes and a few developing countries face significant challenges.

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