Abstract
(1) Background: Pedestrian injuries (PIs) represent a significant proportion of road traffic injuries. Our aim was to investigate the incidence and mortality of PIs in different age groups and sociodemographic index (SDI) categories between 1990 and 2017. (2) Method: Estimates of age-standardized incidence and mortality along with trends of PIs by SDI levels were obtained from the Global Burden of Disease from 1990 to 2017. We also forecasted the trends across all the SDI categories until 2040 using the Statistical Package for the Social Sciences (SPSS Statistics for Windows, version 23.0, Chicago, IL, USA) time series expert modeler. (3) Results: Globally, the incidence of PIs increased by 3.31% (−9.94 to 16.56) in 2017 compared to 1990. Men have higher incidence of PIs than women. Forecasted incidence was 132.02 (127.37 to 136.66) per 100,000 population in 2020, 101.52 (65.99 to 137.05) in 2030, and reduced further to 71.02 (10.62 to 152.65) by 2040. Globally across all SDI categories, there was a decreasing trend in mortality due to PIs with the global estimated percentage reduction of 37.12% (−45.19 to −29.04). (4) Conclusions: The results show that PIs are still a burden for all SDI categories despite some variation. Although incidence and mortality are expected to decrease globally, some SDI categories and specific vulnerable age groups may require particular attention. Further studies addressing incidence and mortality patterns in vulnerable SDI categories are needed.
Highlights
Every day, about 1800 pedestrians never return home due to road traffic injuries and fatalities [1].An estimated 12 million pedestrian road traffic injuries (PIs) occur on an annual basis [1]
The highest incidence was seen among the high–middle SDI (HMSDI) category 195.52 (160.55 to 234.45), while the lowest PIs occurred in the high SDI (HSDI) category 110.05 (88.33 to 135.33)
The current study showed that incidence, trends, and mortality rates of PIs varied between different sociodemographic index (SDI) categories
Summary
About 1800 pedestrians never return home due to road traffic injuries and fatalities [1].An estimated 12 million pedestrian road traffic injuries (PIs) occur on an annual basis [1]. PIs carry the highest risk of a person being severely injured, leading to significant morbidity, disability, and death [3,4]. Such a burden inflicts pain and suffering on injured pedestrians and their families and has an economic impact costing approximately. 0.5% of the total world Gross National Product and 130 billion US dollars globally [5] This surge has been due to rapid urbanization leading to an increased amount of motor vehicles as well as changes in the environment and lifestyle due to global economic development [6]
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