Citation
Zuniga, Yves Miel H. and Zumla, Alimuddin and Zuhlke, Liesl J. and Zoladl, Mohammad and Ziaeian, Boback and Zhong, Chenwen and Zhao, Xiu Ju George and Zhang, Zhi Jiang and Zhang, Jianrong and Zepro, Nejimu Biza and Zenebe, Getachew Assefa and Zeitoun, Jean David and Zegeye, Zelalem Banjaw and Zastrozhin, Mikhail Sergeevich
(2025)
Characterising acute and chronic care needs: insights from the Global Burden of Disease Study 2019.
Nature Communications, 16 (1).
art. no. 4235.
pp. 1-36.
ISSN 2041-1723
Abstract
Chronic 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.
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