Global Burden and Mortality Trends of Thoracic Trauma: An Analysis Based on World Health Organization Data
DOI:
https://doi.org/10.55227/ijhet.v4i5.518Keywords:
Global Burden, Mortality, Secondary Data Analysis, Thoracic Trauma, WHOAbstract
Trauma remains a leading cause of global mortality and disability, with thoracic trauma representing a critical subset due to its involvement of vital organs and high risk of fatal complications. Despite its clinical significance, comprehensive global assessments focusing specifically on thoracic trauma are limited, particularly those examining disparities across regions and income levels. This study aimed to analyze the global burden and mortality trends of thoracic trauma using World Health Organization (WHO) data, with a focus on regional and economic disparities. Methods: A cross-sectional secondary data analysis was conducted using publicly available datasets from the WHO Global Health Estimates, WHO Injury and Violence Prevention databases, and Global Burden of Disease (GBD) results integrated within WHO reports. Variables analyzed included the incidence and mortality of thoracic trauma, regional distribution based on WHO regions, and comparisons across World Bank income classifications. Thoracic trauma was defined according to WHO injury classifications. Data were analyzed descriptively and presented as absolute numbers, population-based rates where available, and comparative trends across regions and income groups. Results: The analysis demonstrated that thoracic trauma remains a major contributor to global injury-related mortality, with substantial disparities between high-income countries and low- and middle-income countries (LMICs). Mortality rates were disproportionately higher in LMICs despite comparable or lower injury incidence, indicating that system-level factors such as limited prehospital care, delayed diagnosis, and restricted access to definitive thoracic surgery play a central role in adverse outcomes. Conclusion: Thoracic trauma represents a significant and inequitable global health burden. Strengthening trauma care systems, particularly in LMICs, is essential to reducing preventable mortality. WHO-based global data provide valuable evidence to support policy development, resource allocation, and targeted interventions aimed at improving trauma outcomes worldwide
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Alanwer, K. M., Refat, A. M., & Negm, E. M. (2023). Impact of flail chest injury on morbidity and outcome: Ten years’ experience at a tertiary care hospital in a developing country. BMC Anesthesiology, 23(1), 229. https://doi.org/10.1186/s12871-023-02185-y
Benhamed, A., Ndiaye, A., Emond, M., Lieutaud, T., Boucher, V., Gossiome, A., Laumon, B., Gadegbeku, B., & Tazarourte, K. (2022a). Road traffic accident-related thoracic trauma: Epidemiology, injury pattern, outcome, and impact on mortality—A multicenter observational study. PLOS ONE, 17(5), e0268202. https://doi.org/10.1371/journal.pone.0268202
Benhamed, A., Ndiaye, A., Emond, M., Lieutaud, T., Boucher, V., Gossiome, A., Laumon, B., Gadegbeku, B., & Tazarourte, K. (2022b). Road traffic accident-related thoracic trauma: Epidemiology, injury pattern, outcome, and impact on mortality—A multicenter observational study. PLOS ONE, 17(5), e0268202. https://doi.org/10.1371/journal.pone.0268202
Cai, Q., Jiang, Y., Zhu, B., Huang, C., & Wang, Z. (2025). Global burden and trends of severe chest injuries from 1990 to 2021 and projections to 2045. Medicine, 104(51), e46393. https://doi.org/10.1097/MD.0000000000046393
Chen, Q., Huang, G., Li, T., Zhang, Q., He, P., Yang, J., Li, Y., & Du, D. (2024). Insights into epidemiological trends of severe chest injuries: An analysis of age, period, and cohort from 1990 to 2019 using the Global Burden of Disease study 2019. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 32(1), 89. https://doi.org/10.1186/s13049-024-01258-2
Deng, H., Tang, T.-X., Yao, Y., Zhang, C., Wu, H., Li, Z., Tang, L., Chen, D., Chang, T., Yang, J.-Z., Luo, J.-L., Dong, L., Yang, X.-P., & Tang, Z.-H. (2022). The incidence, clinical characteristics, and outcome of polytrauma patients with the combination of pulmonary contusion, flail chest and upper thoracic spinal injury. Injury, 53(3), 1073–1080. https://doi.org/10.1016/j.injury.2021.09.053
Fokkema, A. T., Johannesdottir, B. K., Wendt, K., Haaverstad, R., Reininga, I. H. F., & Geisner, T. (2023). Comorbidities, injury severity and complications predict mortality in thoracic trauma. European Journal of Trauma and Emergency Surgery, 49(2), 1131–1143. https://doi.org/10.1007/s00068-022-02177-6
Hefny, A. F., Elkamhawy, A. A., Fathi, S. A., Zoubeidi, T., & Alshamsi, F. (2025). Outcomes and predictors of mortality in patients with blunt chest trauma admitted to the intensive care unit: A retrospective study. Frontiers in Medicine, 12. https://doi.org/10.3389/fmed.2025.1601033
Hisamune, R., Kobayashi, M., Nakasato, K., Yamazaki, T., Ushio, N., Mochizuki, K., Takasu, A., & Yamakawa, K. (2024). A meta-analysis and trial sequential analysis of randomised controlled trials comparing nonoperative and operative management of chest trauma with multiple rib fractures. World Journal of Emergency Surgery, 19(1), 11. https://doi.org/10.1186/s13017-024-00540-z
Lai, J., Li, X., Liu, W., Liufu, Q., & Zhong, C. (2024). Global burden of fracture of sternum and/or ribs: An analysis of 204 countries and territories between 1990 and 2019. Injury, 55(11), 111783. https://doi.org/10.1016/j.injury.2024.111783
Liu, Y., Yang, X., He, Z., Li, J., Li, Y., Wu, Y., Manyande, A., Feng, M., & Xiang, H. (2023). Spinal cord injury: Global burden from 1990 to 2019 and projections up to 2030 using Bayesian age-period-cohort analysis. Frontiers in Neurology, 14. https://doi.org/10.3389/fneur.2023.1304153
Lundin, A., Akram, S. K., Berg, L., Göransson, K. E., & Enocson, A. (2022). Thoracic injuries in trauma patients: Epidemiology and its influence on mortality. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 30(1), 69. https://doi.org/10.1186/s13049-022-01058-6
McGuinness, M. J., Isles, S., Xu, W., & Harmston, C. (2023). Incidence and outcomes of major trauma patients with thoracic injuries and rib fractures in Aotearoa New Zealand. Injury, 54(9), 110787. https://doi.org/10.1016/j.injury.2023.05.018
Proctor, D. W., Goodall, R., Borsky, K., Salciccioli, J. D., Marshall, D. C., & Shalhoub, J. (2024). Trends in the incidence of rib and sternal fractures: A nationwide study of the global burden of disease database, 1990–2019. Injury, 55(4), 111404. https://doi.org/10.1016/j.injury.2024.111404
Razzak, J. A., Bhatti, J., Wright, K., Nyirenda, M., Tahir, M. R., & Hyder, A. A. (2022). Improvement in trauma care for road traffic injuries: An assessment of the effect on mortality in low-income and middle-income countries. The Lancet, 400(10348), 329–336. https://doi.org/10.1016/S0140-6736(22)00887-X
Réa-Neto, Á., da Silva Júnior, E. D., Hassler, G., dos Santos, V. B., Bernardelli, R. S., Kozesinski-Nakatani, A. C., Martins-Junior, M. J., Reese, F. B., Cosentino, M. B., Oliveira, M. C., & Teive, H. A. G. (2023). Epidemiological and clinical characteristics predictive of ICU mortality of patients with traumatic brain injury treated at a trauma referral hospital – a cohort study. BMC Neurology, 23(1), 101. https://doi.org/10.1186/s12883-023-03145-2
World Health Organization. (2022). Strengthening Injury Prevention and Trauma Care. https://www.who.int/southeastasia/activities/strengthening-injury-prevention-and-trauma-care
World Health Organization. (2024). Injuries and violence. https://www.who.int/news-room/fact-sheets/detail/injuries-and-violence.
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