Temporal trends in vascular trauma in Ontario, 1991-2009: a population-based study

Altoijry, Abdulmajeed; Al‐Omran, Mohammed; Johnston, K.Wayne; Mamdani, Muhammad; Lindsay, Thomas F.

doi:10.9778/cmajo.20150046

Cited by 1 publication

(4 citation statements)

References 17 publications

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“…To assess trends in the rates of vascular injury-related in-hospital mortality, we used time-series analysis and exponential smoothing models. 11 Multivariable logistic regression analysis was used to assess the relationship between in-hospital mortality and the following factors: mechanism of injury (transport-related or other), sex, age group, socioeconomic status (high vs. low), location of residence (rural vs. urban), and anatomical site of injury. For time series analysis, statistical significance was defined as a two-sided p < 0.05.…”

Section: Discussionmentioning

confidence: 99%

“…Vascular injury in the upper or lower limbs was associated with the lowest mortality rates (0.5% and 3%, respectively), in agreement with studies showing that vascular injuries of the extremities are associated with mortality rates ranging from 0% to 4%. [47][48][49][50] Furthermore, we previously observed that abdominal and thoracic vascular injuries are more frequent among older than younger patients, 11 which suggests that the higher mortality rate among older people is owing to both age and the site of injury.…”

Section: Discussionmentioning

confidence: 99%

“…To assess trends in the rates of vascular injury-related in-hospital mortality, we used time-series analysis and exponential smoothing models. 11…”

Section: Methodsmentioning

confidence: 99%

“…10 In Canada, a recent study reported that the annual rate of hospital admissions for vascular trauma in Ontario, Canada has declined in recent decades, from 3.3 per 100,000 in 1991 to 2.7 per 100,000 in 2009. 11 However, the number of traumarelated deaths in Canada overall appears to be increasing, with 8687 deaths following a trauma-related accident in 1994 12 and 13,906 deaths from traumatic injury in 2013. 13 The extent to which traumarelated deaths are caused by vascular injuries is unclear.…”

Section: Introductionmentioning

confidence: 99%

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Vascular injury-related in-hospital mortality in Ontario between 1991 and 2009

et al. 2021

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Objective Trauma-related vascular injuries are major contributors to morbidity and mortality worldwide. We conducted a retrospective, population-based, cross-sectional study to examine temporal trends and factors associated with traumatic vascular injury-related in-hospital mortality in Ontario, Canada from 1991 to 2009. Methods We obtained data on Ontario hospital admissions for traumatic vascular injury, including injury mechanism and body region; and patient age, sex, socioeconomic status, and residence from the Canadian Institute for Health Information Discharge Abstract Database and Registered Persons Database from fiscal years 1991 to 2009. We performed time series analysis of vascular injury-related in-hospital mortality rates and multivariable logistic regression analysis to identify significant mortality-associated factors. Results The overall in-hospital mortality rate for trauma-related vascular injury was 5.5%. A slight but non-significant decline in mortality occurred over time. The likelihood of vascular injury-related in-hospital mortality was significantly higher for patients involved in transport-related accidents (odds ratio [OR[=2.21, 95% confidence interval [CI], 1.76–2.76), age ≥65 years (OR = 4.34, 95% CI, 2.25–8.38), or with thoracic (OR = 2.24, 95% CI, 1.56–3.20) or abdominal (OR = 2.45, 95% CI, 1.75–3.42) injuries. Conclusions In-hospital mortality from traumatic vascular injury in Ontario was low and stable from 1991 to 2009.

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Section: Discussionmentioning

confidence: 99%