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.
| Original language | English |
|---|---|
| Article number | 4235 |
| Pages (from-to) | 1-36 |
| Number of pages | 36 |
| Journal | Nature Communications |
| Volume | 16 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2025 |
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In: Nature Communications, Vol. 16, No. 1, 4235, 2025, p. 1-36.
Research output: Contribution to journal › Article › peer-review
TY - JOUR
T1 - Characterising acute and chronic care needs
T2 - insights from the Global Burden of Disease Study 2019
AU - GBD 2019 Acute and Chronic Care Collaborators
AU - Zuniga, Yves Miel H.
AU - Zumla, Alimuddin
AU - Zuhlke, Liesl J.
AU - Zoladl, Mohammad
AU - Ziaeian, Boback
AU - Zhong, Chenwen
AU - Zhao, Xiu Ju George
AU - Zhang, Zhi Jiang
AU - Zhang, Jianrong
AU - Zepro, Nejimu Biza
AU - Zenebe, Getachew Assefa
AU - Zeitoun, Jean David
AU - Zegeye, Zelalem Banjaw
AU - Zastrozhin, Mikhail Sergeevich
AU - Zareshahrabadi, Zahra
AU - Zarea, Kourosh
AU - Dehnavi, Ali Zare
AU - Zare, Iman
AU - Zangiabadian, Moein
AU - Zangeneh, Alireza
AU - Zamora, Nelson
AU - Zaman, Sojib Bin
AU - Zaki, Nazar
AU - Zakaryaei, Farima
AU - Zahir, Mazyar
AU - Tajrishi, Farbod Zahedi
AU - Zadnik, Vesna
AU - Zadey, Siddhesh
AU - Yusefi, Hossein
AU - Yousefinezhadi, Taraneh
AU - Yousefi, Zabihollah
AU - Younis, Mustafa Z.
AU - You, Yuyi
AU - Yonemoto, Naohiro
AU - Yon, Dong Keon
AU - Yisihak, Eshetu
AU - Yip, Paul
AU - Yiğit, Vahit
AU - Yiğit, Arzu
AU - Yi, Siyan
AU - Ye, Pengpeng
AU - Yazdanpanah, Fereshteh
AU - Yaya, Sanni
AU - Yano, Yuichiro
AU - Yang, Lin
AU - Yamagishi, Kazumasa
AU - Yamada, Tomohide
AU - Jabbari, Seyed Hossein Yahyazadeh
AU - Yahya, Gahin Abdulraheem Tayib Yahya
AU - Yaghoubi, Sajad
AU - Xu, Xiaoyue
AU - Xu, Suowen
AU - Xu, Hanzhang
AU - Xie, Yang
AU - Xiao, Hong
AU - Wulandari, Ratna D.W.I.
AU - Wubetie, Gedif Ashebir
AU - Wu, Ai Min
AU - Woolf, Anthony D.
AU - Wolfe, Charles D.A.
AU - Woldemariam, Melat
AU - Tsadik, Daniel Sisay Wolde
AU - Woday, Abay Tadesse
AU - Wickramasinghe, Nuwan Darshana
AU - Wiangkham, Taweewat
AU - Westerman, Ronny
AU - Wen, Yi Feng
AU - Wei, Melissa Y.
AU - Waris, Abdul
AU - Ward, Paul
AU - Wang, Ziyue
AU - Wang, Yuan Pang
AU - Wang, Yu
AU - Wang, Yanzhong
AU - Vu, Linh Gia
AU - Volovici, Victor
AU - Vo, Bay
AU - Vlassov, Vasily
AU - Vishwanath, Prashant M.
AU - Violante, Francesco S.
AU - Villafañe, Jorge Hugo
AU - Vervoort, Dominique
AU - Veroux, Massimiliano
AU - Verma, Madhur
AU - Venketasubramanian, Narayanaswamy
AU - Vaziri, Siavash
AU - Vasic, Milena
AU - Vasankari, Tommi Juhani
AU - Varughese, Santosh
AU - Vart, Priya
AU - Varma, Ravi Prasad
AU - Vardavas, Constantine
AU - Van den Eynde, Jef
AU - Valizadeh, Rohollah
AU - Valdez, Pascual R.
AU - Tahbaz, Sahel Valadan
AU - Vakilian, Alireza
AU - Vacante, Marco
AU - Upadhyay, Era
AU - Unnikrishnan, Bhaskaran
AU - Unim, Brigid
AU - Umeokonkwo, Chukwuma David
AU - Umapathi, Krishna Kishore
AU - Umakanthan, Srikanth
AU - Ullah, Sana
AU - Ullah, Saif
AU - Uezono, Deinzel Robles
AU - Tusa, Biruk Shalmeno
AU - Tufa, Derara Girma
AU - Car, Lorainne Tudor
AU - Tsilimparis, Nikolaos
AU - Truelsen, Thomas Clement
AU - Tripathy, Jaya Prasad
AU - Tripathi, Niharika
AU - Tripathi, Manjari
AU - Tran, Mai Thi Ngoc
AU - Tovani-Palone, Marcos Roberto
AU - Topor-Madry, Roman
AU - Tonelli, Marcello
AU - Tincho, Marius Belmondo
AU - Ticoalu, Jansje Henny Vera
AU - Tichopad, Ales
AU - Thornton, James Douglas
AU - Thomas, Nikhil Kenny
AU - Thomas, Nihal
AU - Thienemann, Friedrich
AU - Thapar, Rekha
AU - Thankappan, Kavumpurathu Raman
AU - Thangaraju, Pugazhenthan
AU - Tesfaye, Azene
AU - Tesema, Getaye Worku
AU - Teramoto, Masayuki
AU - Temsah, Mohamad Hani
AU - Temesgen, Worku Animaw
AU - Tehrani, Hadi
AU - Tefera, Yibekal Manaye
AU - Tat, Vivian Y.
AU - Tat, Nathan Y.
AU - Tarkang, Elvis Enowbeyang
AU - Tarigan, Ingan Ukur
AU - Tan, Ker Kan
AU - Tampa, Mircea
AU - Talaat, Iman M.
AU - Soodejani, Moslem Taheri
AU - Abkenar, Yasaman Taheri
AU - Taheri, Majid
AU - Tadakamadla, Santosh Kumar
AU - Tabuchi, Takahiro
AU - Tabish, Mohammad
AU - Tabb, Karen M.
AU - Tabatabai, Shima
AU - Tabatabaeizadeh, Seyed Amir
AU - Tabarés-Seisdedos, Rafael
AU - Tabaeian, Seidamir Pasha
AU - Szócska, Miklós
AU - Szeto, Mindy D.
AU - Sundström, Johan
AU - Sun, Jing
AU - Sultana, Abida
AU - Suleman, Muhammad
AU - Suchdev, Parminder S.
AU - Stroumpoulis, Konstantinos
AU - Stokes, Mark A.
AU - Stephens, Jacqueline H.
AU - Steiropoulos, Paschalis
AU - Stein, Dan J.
AU - Stefan, Simona Catalina
AU - Steel, Nicholas
AU - Starodubova, Antonina V.
AU - Sreeramareddy, Chandrashekhar T.
AU - Soyiri, Ireneous N.
AU - Sousa, Raúl A.R.C.
AU - Soriano, Joan B.
AU - Sood, Prashant
AU - Song, Yimeng
AU - Song, Suhang
AU - Somayaji, Ranjani
AU - Soltani-Zangbar, Mohammad Sadegh
AU - Solomon, Yonatan
AU - Socea, Bogdan
AU - Sleet, David A.
AU - Skryabina, Anna Aleksandrovna
AU - Skryabin, Valentin Yurievich
AU - Skou, Søren T.
AU - Siraj, Md Shahjahan
AU - Sinto, Robert
AU - Singh, Surjit
AU - Singh, Paramdeep
AU - Singh, Narinder Pal
AU - Singh, Kuldeep
AU - Singh, Jasvinder A.
AU - Singh, Harpreet
AU - Singh, Garima
AU - Singh, Balbir Bagicha
AU - Singh, Ambrish
AU - Singal, Anjali
AU - Sinaei, Ehsan
AU - Simonetti, Biagio
AU - Simegn, Wudneh
AU - Sima, Ali Reza
AU - Silva, Luís Manuel Lopes Rodrigues
AU - Sigfusdottir, Inga Dora
AU - Shuval, Kerem
AU - Shuja, Kanwar Hamza
AU - Shrestha, Sunil
AU - Shrestha, Dhan Bahadur Dhan
AU - Shorofi, Seyed Afshin
AU - Shobeiri, Parnian
AU - Shivarov, Velizar
AU - Shivakumar, K. M.
AU - Shishani, Kawkab
AU - Shiri, maryam Shirvani
AU - Shiri, Rahman
AU - Shin, Jae Il
AU - Shigematsu, Mika
AU - Shiani, Amir
AU - Shi, Yi
AU - Shi, Peilin
AU - Shetty, Pavanchand H.
AU - Shetty, Jeevan K.
AU - Shetty, B. Suresh Kumar
AU - Shetty, Adithi
AU - Shekhar, Shashank
AU - Sheikhtaheri, Abbas
AU - Sheikhi, Rahim Ali
AU - Sheikh, Aziz
AU - Shehaj, Blerta
AU - Shayan, Maryam
AU - Shavandi, Amin Amin
AU - Shashamo, Bereket Beyene
AU - Sharma, Vishal
AU - Sharma, Saurab
AU - Sharma, Purva
AU - Sharifi-Rad, Javad
AU - Sharifian, Sakineh
AU - Sharifi, Azam
AU - Sharew, Nigussie Tadesse
AU - Sharew, Mequannent Melaku
AU - Shanawaz, Mohd
AU - Shalash, Ali S.
AU - Shakaib, Reza
AU - Shaji, K. S.
AU - Shaikh, Masood Ali
AU - Shahsavari, Hamid R.
AU - Shahraki-Sanavi, Fariba
AU - Rahman, Azizur
AU - Islam, Sheikh Mohammed Shariful
AU - Islam, Md Rafiqul
AU - Burns, Richard A.
AU - Bagheri, Nasser
N1 - Publisher Copyright: © The Author(s) 2025.
PY - 2025
Y1 - 2025
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=105007161094&partnerID=8YFLogxK
U2 - 10.1038/s41467-025-56910-x
DO - 10.1038/s41467-025-56910-x
M3 - Article
C2 - 40335470
AN - SCOPUS:105007161094
SN - 2041-1723
VL - 16
SP - 1
EP - 36
JO - Nature Communications
JF - Nature Communications
IS - 1
M1 - 4235
ER -