Estimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the global burden of disease study 2016

dc.creatorChristophertroeger
dc.creatorZegeye Abebe
dc.creatorReginald Quansah
dc.creatorRajesh Kumar Rai
dc.creatorSaleem m Rana
dc.creatorChhabi Lal Ranabhat
dc.creatorSarah e Ray
dc.creatorMohammad Sadegh Rezai
dc.creatorGeorge Mugambage Ruhago
dc.creatorSaeid Safiri
dc.creatorJoshua a Salomon
dc.creatorBrigette Blacker
dc.creatorOlatunde Aremu
dc.creatorEphrem Tsegay Asfaw
dc.creatorSolomon Weldegebreal Asgedom
dc.creatorTesfay Mehari Atey
dc.creatorEngi Farouk Attia
dc.creatorEuripide Frinel g Arthur Avokpaho
dc.creatorHenok Tadesse Ayele
dc.creatorTambe Betrand Ayuk
dc.creatorKalpana Balakrishnan
dc.creatorStephanie r m Zimsen
dc.creatorAleksandra Barac
dc.creatorIbrahim a Khalil
dc.creatorQuique Bassat
dc.creatorMasoud Behzadifar
dc.creatorMeysam Behzadifar
dc.creatorSoumyadeep Bhaumik
dc.creatorZulfiqar a Bhutta
dc.creatorAli Bijani
dc.creatorMichael Brauer
dc.creatorAlexandria Brown
dc.creatorHamid Yimam Hassen
dc.creatorPaulo a m Camargos
dc.creatorCarlos a Castañeda-orjuela
dc.creatorPuja c Rao
dc.creatorDanny Colombara
dc.creatorSara Conti
dc.creatorAbel Fekadu Dadi
dc.creatorLalit Dandona
dc.creatorRakhi Dandona
dc.creatorHuyen Phuc do
dc.creatorEleonora Dubljanin
dc.creatorMohammad t Hedayati
dc.creatorDumessa Edessa
dc.creatorHajer Elkout
dc.creatorAman Yesuf Endries
dc.creatorJackie Cao
dc.creatorDaniel Obadare Fijabi
dc.creatorKyle j Foreman
dc.creatorMohammad h Forouzanfar
dc.creatorNancy Fullman
dc.creatorAlberto l Garcia-basteiro
dc.creatorBradford d Gessner
dc.creatorMohsen Heidari
dc.creatorPeter w Gething
dc.creatorRahul Gupta
dc.creatorTarun Gupta
dc.creatorGessessew Bugssa Hailu
dc.creatorDesalegn Tsegaw Hibstu
dc.creatorNobuyuki Horita
dc.creatorOlayinka s Ilesanmi
dc.creatorMihajlo b Jakovljevic
dc.creatorAmr a Jamal
dc.creatorAmaha Kahsay
dc.creatorBenn Sartorius
dc.creatorAmir Kasaeian
dc.creatorSamuel b Albertson
dc.creatorDessalegn Haile Kassa
dc.creatorYousef Saleh Khader
dc.creatorEjaz Ahmad Khan
dc.creatormd Nuruzzaman Khan
dc.creatorYoung-ho Khang
dc.creatorYun Jin Kim
dc.creatorNiranjan Kissoon
dc.creatorLuke d Knibbs
dc.creatorIfedayo Morayo o Adetifa
dc.creatorSonali Kochhar
dc.creatorParvaiz a Koul
dc.creatorAniruddha Deshpande
dc.creatorg Anil Kumar
dc.creatorRakesh Lodha
dc.creatorHassan Magdy Abd el Razek
dc.creatorDeborah Carvalho Malta
dc.creatorJoseph l Mathew
dc.creatorDesalegn Tadese Mengistu
dc.creatorHaftay Berhane Mezgebe
dc.creatorMiloje Savic
dc.creatorKarzan Abdulmuhsin Mohammad
dc.creatorMohammed a Mohammed
dc.creatorFatemeh Momeniha
dc.creatorTamer Farag
dc.creatorSrinivas Murthy
dc.creatorCuong Tat Nguyen
dc.creatorKatie r Nielsen
dc.creatorDina Nur Anggraini Ningrum
dc.creatorYirga Legesse Nirayo
dc.creatorEyal Oren
dc.creatorMonika Sawhney
dc.creatorJustin r Ortiz
dc.creatorMahesh pa
dc.creatorMaarten j Postma
dc.creatorMostafa Qorbani
dc.creatorJun She
dc.creatorAziz Sheikh
dc.creatorMekonnen Sisay Shiferaw
dc.creatorMika Shigematsu
dc.creatorJasvinder a Singh
dc.creatorRanjani Somayaji
dc.creatorJeffrey d Stanaway
dc.creatorMuawiyyah Babale Sufiyan
dc.creatorTara Ballav Adhikari
dc.creatorGetachew Redae Taffere
dc.creatorMohamad-hani Temsah
dc.creatorMatthew j Thompson
dc.creatorRuoyan Tobe-gai
dc.creatorRoman Topor-madry
dc.creatorBach Xuan Tran
dc.creatorTung Thanh Tran
dc.creatorKald Beshir Tuem
dc.creatorKingsley Nnanna Ukwaja
dc.creatorStein Emil Vollset
dc.creatorMohammed Akibu
dc.creatorJudd l Walson
dc.creatorFitsum Weldegebreal
dc.creatorAndrea Werdecker
dc.creatort Eoin West
dc.creatorNaohiro Yonemoto
dc.creatorMaysaa el Sayed Zaki
dc.creatorLei Zhou
dc.creatorSanjay Zodpey
dc.creatorTheo Vos
dc.creatorMohsen Naghavi
dc.creatorFaris Hasan al Lami
dc.creatorStephen s Lim
dc.creatorAli h Mokdad
dc.creatorChristopher j l Murray
dc.creatorSimon i Hay
dc.creatorRobert c Reiner
dc.creatorAyman Al-eyadhy
dc.creatorNelson Alvis-guzman
dc.creatorAzmeraw t Amare
dc.creatorYaw Ampem Amoako
dc.creatorCarl Abelardo t Antonio
dc.date.accessioned2023-04-20T19:26:51Z
dc.date.accessioned2025-09-09T00:38:23Z
dc.date.available2023-04-20T19:26:51Z
dc.date.issued2018
dc.format.mimetypepdf
dc.identifier.doi10.1016/s1473-3099(18)30310-4
dc.identifier.issn14733099
dc.identifier.urihttps://hdl.handle.net/1843/52322
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofTexto & Contexto - Enfermagem
dc.rightsAcesso Aberto
dc.subjectSaúde Coletiva
dc.subjectInfecções respiratórias
dc.subjectEpidemiologia
dc.subject.otherGlobal Burden Disease
dc.subject.otherRespiration Infecction
dc.subject.otherEpidemiology
dc.titleEstimates of the global, regional, and national morbidity, mortality, and aetiologies of lower respiratory infections in 195 countries, 1990-2016: a systematic analysis for the global burden of disease study 2016
dc.typeArtigo de periódico
local.citation.spage1
local.citation.volume1
local.description.resumoBackground Lower respiratory infections are a leading cause of morbidity and mortality around the world. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study 2016, provides an up-to-date analysis of the burden of lower respiratory infections in 195 countries. This study assesses cases, deaths, and aetiologies spanning the past 26 years and shows how the burden of lower respiratory infection has changed in people of all ages.Methods We used three separate modelling strategies for lower respiratory infections in GBD 2016: a Bayesian hierarchical ensemble modelling platform (Cause of Death Ensemble model), which uses vital registration, verbal autopsy data, and surveillance system data to predict mortality due to lower respiratory infections; a compartmental meta-regression tool (DisMod-MR), which uses scientific literature, population representative surveys, and health care data to predict incidence, prevalence, and mortality; and modelling of counterfactual estimates of the population attributable fraction of lower respiratory infection episodes due to Streptococcus pneumoniae, Haemophilus influenzae type b, influenza, and respiratory syncytial virus. We calculated each modelled estimate for each age, sex, year, and location. We modelled the exposure level in a population for a given risk factor using DisMod-MR and a spatio temporal Gaussian process regression, and assessed the effectiveness of targeted interventions for each risk factor in children younger than 5 years. We also did a decomposition analysis of the change in LRI deaths from 2000–16 using the risk factors associated with LRI in GBD 2016.Findings In 2016, lower respiratory infections caused 652 572 deaths (95% uncertainty interval [UI] 586 475–720 612) in children younger than 5 years (under-5s), 1 080 958 deaths (943 749–1 170 638) in adults older than 70 years, and 2 377 697 deaths (2 145 584–2 512 809) in people of all ages, worldwide. Streptococcus pneumoniae was the leading cause of lower respiratory infection morbidity and mortality globally, contributing to more deaths than all other aetiologies combined in 2016 (1 189 937 deaths, 95% UI 690 445–1 770 660). Childhood wasting remains the leading risk factor for lower respiratory infection mortality among children younger than 5 years, responsible for 61·4% of lower respiratory infection deaths in 2016 (95% UI 45·7–69·6). Interventions to improve wasting, household air pollution, ambient particulate matter pollution, and expanded antibiotic use could avert one under-5 death due to lower respiratory infection for every 4000 children treated in the countries with the highest lower respiratory infection burden.Interpretation Our findings show substantial progress in the reduction of lower respiratory infection burden, but this progress has not been equal across locations, has been driven by decreases in several primary risk factors, and might require more effort among elderly adults. By highlighting regions and populations with the highest burden, and the risk factors that could have the greatest effect, funders, policy makers, and programme implementers can more effectively reduce lower respiratory infections among the world’s most susceptible populations.
local.identifier.orcidhttps://orcid.org/0000-0002-8214-5734
local.publisher.countryBrasil
local.publisher.departmentENF - DEPARTAMENTO DE ENFERMAGEM MATERNO INFANTIL E SAÚDE PÚBLICA
local.publisher.initialsUFMG
local.url.externahttps://doi:10.1016/s1473-3099(18)30310-4

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