Characterising acute and chronic care needs: insights from the Global Burden of Disease Study 2019
journal contribution
posted on 2025-08-27, 10:52 authored by Cecilia Anza-Ramirez, J Jaime Miranda, Benedetta Armocida, Jorge César Correia, Harriette Gillian Christine Van Spall, David Beran, Amirali Aali, Kalkidan Hassen Abate, Semagn Mekonnen Abate, Cristiana Abbafati, Mohsen Abbasi-Kangevari, Zeinab Abbasi-Kangevari, Hedayat Abbastabar, Ahmed M Abdel-Azeem, Michael Abdelmasseh, Sherief Abd-Elsalam, Ahmed Abdelwahab, Gholamreza Abdoli, Mohammad Abdollahi, Meriem Abdoun, Deldar Morad Abdulah, Abu Yousuf Md Abdullah, Ame Mehadi Abdurehman, Getachew Abebe, Aidin Abedi, Vida Abedi, Hassan Abidi, Richard Gyan Aboagye, Hassan Abolhassani, Lucas Guimarães Abreu, Michael RM Abrigo, Yonas Derso Abtew, Hiwa Abubaker Ali, Eman Abu-Gharbieh, Ahmed Abu-Zaid, Manfred Mario Kokou Accrombessi, Juan Manuel Acuna, Denberu Eshetie Adane, Tigist Demssew Adane, Isaac Yeboah Addo, Giovanni Addolorato, Oluwafemi Atanda Adeagbo, Victor Adekanmbi, Miracle Ayomikun Adesina, Olatunji O Adetokunboh, Daniel Adedayo Adeyinka, Qorinah Estiningtyas Sakilah Adnani, Aanuoluwapo Adeyimika Afolabi, Muhammad Sohail Afzal, Saira Afzal, Gina Agarwal, Prerna Agarwal, Pradyumna Agasthi, Anurag Agrawal, Marcela Agudelo-Botero, Bright Opoku Ahinkorah, Aqeel Ahmad, Sajjad Ahmad, Sohail Ahmad, Tauseef Ahmad, Ali Ahmadi, Keivan Ahmadi, Sepideh Ahmadi, Ali Ahmed, Ayman Ahmed, Haroon Ahmed, Jivan Qasim Ahmed, Luai A Ahmed, Janardhana P Aithala, Marjan Ajami, Budi Aji, Hossein Akbarialiabad, Yibeltal Akelew, Meisam Akhlaghdoust, Addis Aklilu, Maxwell Akonde, Hanadi Al Hamad, Fares Alahdab, Ziyad Al-Aly, Khurshid Alam, Manjurul Alam, Nazmul Alam, Samiah Alam, Fahad Mashhour Alanezi, Turki M Alanzi, Jacqueline Elizabeth Alcalde-Rabanal, Astawus Alemayehu, Birhanu Alamirew Alamirew Alemu, Kefyalew Addis Alene, Abdelazeem M Algammal, Khalid F Alhabib, Noora Alhajri, Mohammed Khaled Al-Hanawi, Robert Kaba Alhassan, Liaqat Ali, Muhammad Ali, Syed Shujait Ali, Shohreh Alian Samakkhah, Gianfranco Alicandro, Sheikh Mohammad Alif, Yousef Alimohamadi, Adel Al-Jumaily, Syed Mohamed Aljunid, François Alla, Mohammed J Almalki, Sadeq Al-Maweri, Sami Almustanyir, Mahmoud A Alomari, Jordi Alonso, Nivaldo Alonso, Rajaa M Al-Raddadi, Salman Khalifah Al-Sabah, Ala’a B Al-Tammemi, Khalid A Altirkawi, Nelson Alvis-Guzman, Nelson J Alvis-Zakzuk, Azmeraw T Amare, Hiwot Amare, Edward Kwabena Ameyaw, Tarek Tawfik Amin, Javad Aminian Dehkordi, Afreenish Amir, Hoda Amiri, Sohrab Amiri, Hubert Amu, John H Amuasi, Dickson A Amugsi, Ganiyu Adeniyi Amusa, Tadele Fentabil Anagaw, Julio Ancochea, Robert Ancuceanu, Deanna Anderlini, Catalina Liliana Andrei, Tudorel Andrei, Sofia Androudi, Ranjit Mohan Anjana, Amir Anoushiravani, Adnan Ansar, Alireza Ansari-Moghaddam, Benny Antony, Ernoiz Antriyandarti, Maxwell Hubert Antwi, Davood Anvari, Razique Anwer, Anayochukwu Edward Anyasodor, Stella Apostolaki, Francis Appiah, Jalal Arabloo, Morteza Arab-Zozani, Demelash Areda, Hany Mohamed Amin Aref, Zeleke Gebru Argaw, Hany Ariffin, Johan Ärnlöv, Renato Arruda, Muhammad Arshad, Al Artaman, Anton A Artamonov, Kurnia Dwi Artanti, Judie Arulappan, Raphael Taiwo Aruleba, Ashokan Arumugam, Krishna K Aryal, Zahra Aryan, Ali A Asadi-Pooya, Zatollah Asemi, Saeed Asgary, Mohammad Asghari-Jafarabadi, Tahira Ashraf, Ashagre Molla Assaye, Thomas Astell-Burt, Mahshid Ataei, Zahra Atafar, Mohammad Athar, Seyyed Shamsadin Athari, Prince Atorkey, Alok Atreya, Madhu Sudhan Atteraya, Sameh Attia, Avinash Aujayeb, Marcel AusloosMarcel Ausloos, Abolfazl Avan, Beatriz Paulina Ayala Quintanilla, Tegegn Mulatu Ayana, Alemu Degu Ayele, Meshesha Tsegazeab Ayele, Birhanu Ayelign, Olatunde O Ayinde, Jose L Ayuso-Mateos, Sina Azadnajafabad, Mohammadreza Azangou-Khyavy, Amirhossein Azari Jafari, Ahmed Y Azzam, Amirhesam Babajani, Abraham Samuel Babu, Muhammad Badar, Alaa Badawi, Ashish D Badiye, Nayereh Baghcheghi, Nasser Bagheri, Sara Bagherieh, Saeed Bahadory, Atif Amin Baig, Mohan Bairwa, Jennifer L Baker, Shankar M Bakkannavar, Asaminew Birhanu Balta, Ovidiu Constantin Baltatu, Amitava Banerjee, Indrajit Banerjee, Palash Chandra Banik, Hansi Bansal, Abere Tilahun Bantie, Mainak Bardhan, Suzanne Lyn Barker-Collo, Till Winfried Bärnighausen, Mark Thomaz Ugliara Barone, Francesco Barone-Adesi, Hiba Jawdat Barqawi, Fabio Barra, Amadou Barrow, Sandra Barteit, Lingkan Barua, Azadeh Bashiri, Pritish Baskaran, Sanjay Basu, Saurav Basu, Abdul-Monim Mohammad Batiha, Bernhard T Baune, Neeraj Bedi, Tahmina Begum, Diana Fernanda Bejarano Ramirez, Hailu BY Belay, Moges Mareg Belay, Uzma Iqbal Belgaumi, Michelle L Bell, Luis Belo, Salaheddine Bendak, Derrick A Bennett, Isabela M Bensenor, Habib Benzian, Alemshet Yirga Berhie, Adam E Berman, Robert S Bernstein, Akshaya Srikanth Bhagavathula, Dinesh Bhandari, Nikha Bhardwaj, Pankaj Bhardwaj, Sonu Bhaskar, Ajay Nagesh Bhat, Vivek Bhat, Suraj Bhattarai, Vijayalakshmi S Bhojaraja, Boris Bikbov, Corey B Bills, Antonio Biondi, Setognal Birara, Atanu Biswas, Raaj Kishore Biswas, Saeid Bitaraf, Oleg Blyuss, Micheal Kofi Boachie, Belay Boda Abule Bodicha, Virginia Bodolica, Hunduma Amensisa Bojia, Archith Boloor, João Silva Botelho, Souad Bouaoud, Rupert Bourne, Nicola Luigi Bragazzi, Dejana Braithwaite, Luisa C Brant, Nicholas JK Breitborde, Hermann Brenner, Corstiaan Breugem, Nikolay Ivanovich Briko, Gabrielle Britton, Julie Brown, Traolach Brugha, Andre R Brunoni, Rachelle Buchbinder, Norma B Bulamu, Danilo Buonsenso, Katrin Burkart, Richard A Burns, Sharath Burugina Nagaraja, Muhammad Hammad Butt, Nadeem Shafique Butt, Zahid A Butt, Tianji Cai, Daniela Calina, Luis Alberto Cámera, Luciana Aparecida Campos, Chao Cao, Vera LA Carneiro, Giulia Carreras, Andre F Carvalho, Márcia Carvalho, Joao Mauricio Castaldelli-Maia, Giulio Castelpietra, Alberico L Catapano, Maria Sofia Cattaruzza, Christopher R Cederroth, Francieli Cembranel, Ester Cerin, Promit Ananyo Chakraborty, Eeshwar K Chandrasekar, Jung-Chen Chang, Gashaw Sisay Chanie, Periklis Charalampous, Vijay Kumar Chattu, Sarika Chaturvedi, Akhilanand Chaurasia, Meng Xuan Chen, Simiao Chen, Nicolas Cherbuin, Patrick R Ching, Abdulaal Chitheer, William CS Cho, Yuen Yu Chong, Hitesh Chopra, Tzu-Chieh Chou, Sonali Gajanan Choudhari, Enayet Karim Chowdhury, Rajiv Chowdhury, Hanne Christensen, Steffan Wittrup McPhee Christensen, Devasahayam J Christopher, Dinh-Toi Chu, Isaac Sunday Chukwu, Sheng-Chia Chung, Raffaela Ciuffreda, Scott Richard Clark, Rafael M Claro, Kaleb Coberly, Joao Conde, Barbara Corso, Michael H Criqui, Marita Cross, Natália Cruz-Martins, Omid Dadras, Xiaochen Dai, Albertino Antonio Moura Damasceno, Giovanni Damiani, Hadi A Danawi, Jai K Das, Saswati Das, Ana Maria Dascalu, Anna Dastiridou, Claudio Alberto Dávila-Cervantes, Kairat Davletov, Fernando Pio De la Hoz, Maia De Luca, Sisay Abebe Debela, Natanim Degefu, Amin Dehghan, Azizallah Dehghan, Hiwot Dejene, Robert Paul Dellavalle, Andreas K Demetriades, Biniyam Demisse, Fitsum Wolde Demisse, Solomon Demissie, Edgar Denova-Gutiérrez, Diriba Dereje, Msganaw Derese, Nikolaos Dervenis, Hardik Dineshbhai Desai, Rupak Desai, Fikadu Nugusu Dessalegn, Gashaw Dessie, Abebaw Alemayehu Desta, Keshab Deuba, Sagnik Dey, Arkadeep Dhali, Meghnath Dhimal, Sameer Dhingra, Nancy Diao, Diana Dias da Silva, Diriba Tolesa Dibaba, Lankamo Ena Digesa, Mengistie Diress, Abhinav Dixit, Shilpi Gupta Dixit, Shirin Djalalinia, Saeid Doaei, Milad Dodangeh, Mohamed Fahmy Doheim, Paul Narh Doku, Deepa Dongarwar, Bezabih Terefe Dora, Fariba Dorostkar, Wendel Mombaque dos Santos, Chirag P Doshi, Rajkumar Doshi, Leila Doshmangir, Abdel Douiri, Haneil Larson Dsouza, John Dube, Andre Rodrigues Duraes, Oyewole Christopher Durojaiye, Hisham Atan Edinur, David Edvardsson, Kristina Edvardsson, Ferry Efendi, Elham Ehsani-Chimeh, Ebrahim Eini, Michael Ekholuenetale, Temitope Cyrus Ekundayo, Nevine El Nahas, Iman El Sayed, Maha El Tantawi, Hassan El-Abid, Iffat Elbarazi, Teshome Bekele Elema, Frank J Elgar, Islam Y Elgendy, Ghada Metwally Tawfik ElGohary, Hala Rashad Elhabashy, Muhammed Elhadi, Mohamed A Elmonem, Luchuo Engelbert Bain, Ryenchindorj Erkhembayar, Hawi Leul Esayas, Christopher Imokhuede Esezobor, Babak Eshrati, Sharareh Eskandarieh, Juan Espinosa-Montero, Francesco Esposito, Farshid Etaee, Werku Etafa, Sayeh Ezzikouri, Adeniyi Francis Fagbamigbe, Shahriar Faghani, Luca Falzone, Emerito Jose A Faraon, Somayeh Farhang Dehghan, Carla Sofia E Sá Farinha, Andre Faro, Umar Farooq, Md Omar Faruk, Abidemi Omolara Fasanmi, Akinlolu O Fasanmi, Ali Fatehizadeh, Nazir Fattahi, Nelsensius Klau Fauk, Valery L Feigin, Ginenus Fekadu, Xiaoqi Feng, Seyed-Mohammad Fereshtehnejad, Abdullah Hamid Feroze, Pietro Ferrara, Allegra Ferrari, Simone Ferrero, Getahun Fetensa, Bikila Regassa Feyisa, Irina Filip, Florian Fischer, Joanne Flavel, David Flood, Morenike Oluwatoyin Folayan, Ana Catarina Fonseca, Arianna Fornari, Behzad Foroutan, Kayode Raphael Fowobaje, Alberto Freitas, Marisa Freitas, Sara D Friedman, Takeshi Fukumoto, Peter Andras Gaal, Muktar A Gadanya, Abhay Motiramji Gaidhane, Santosh Gaihre, Yaseen Galali, Nasrin Galehdar, Silvano Gallus, Balasankar Ganesan, MA Garcia-Gordillo, Priyanka Garg, Mariana Gaspar Fonseca, Federica Gazzelloni, Semiu Olatunde Gbadamosi, Mesfin Gebrehiwot, Kahsu Gebrekirstos Gebrekidan, Teferi Gebru Gebremeskel, Yibeltal Yismaw Gela, Leta Adugna Geleta, Urge Gerema, Lemma Getacher, Tamirat Getachew, Keyghobad Ghadiri, Fariborz Ghaffarpasand, Mansour Ghafourifard, Sulmaz Ghahramani, Seyyed-Hadi Ghamari, Reza Ghanbari, Mohammad Ghasemi Nour, Ahmad Ghashghaee, Farzaneh Ghazi Sherbaf, Zahra GhodsiChronic care manages long-term, progressive conditions, while acute care addresses short-term conditions. Chronic conditions increasingly strain health systems, which are often unprepared for these demands. This study examines the burden of conditions requiring acute versus chronic care, including sequelae. Conditions and sequelae from the Global Burden of Diseases Study 2019 were classified into acute or chronic care categories. Data were analysed by age, sex, and socio-demographic index, presenting total numbers and contributions to burden metrics such as Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLD), and Years of Life Lost (YLL). Approximately 68% of DALYs were attributed to chronic care, while 27% were due to acute care. Chronic care needs increased with age, representing 86% of YLDs and 71% of YLLs, and accounting for 93% of YLDs from sequelae. These findings highlight that chronic care needs far exceed acute care needs globally, necessitating health systems to adapt accordingly.<p></p>
History
Author affiliation
College of Business Accounting & FinanceVersion
- VoR (Version of Record)
Published in
Nature CommunicationsVolume
16Issue
1Pagination
4235Publisher
Springer Science and Business Media LLCissn
2041-1723eissn
2041-1723Copyright date
2025Available date
2025-08-27Publisher DOI
Spatial coverage
EnglandLanguage
enPublisher version
Deposited by
Professor Marcel AusloosDeposit date
2025-07-31Data Access Statement
All data can be accessed at:Global Burden of Disease Collaborative Network. Global Burden of Disease Study 2019 (GBD 2019) Results. Seattle, United States: Institute for Health Metrics and Evaluation (IHME), 2020. Available from https://vizhub.healthdata.org/gbd-results/. If any required data, such as specific categorised sequelae data, are not available, requests can be sent to engage@healthdata.org, and they will respond in the coming days to assist with the request.Usage metrics
Categories
No categories selectedKeywords
GBD 2019 Acute and Chronic Care CollaboratorsHumansAcute DiseaseChronic DiseaseCost of IllnessAdolescentAdultAgedAged, 80 and overMiddle AgedChildChild, PreschoolInfantHealth Services Needs and DemandFemaleMaleYoung AdultGlobal Burden of DiseaseDisability-Adjusted Life YearsPersons with Disabilities
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC