A population-based analysis of injury-related deaths and access to trauma care in rural-remote Northwest British Columbia

The Journal of Trauma
Richard SimonsMorad Hameed

Abstract

Injury rates and injury mortality rates are generally higher in rural and remote communities compared with urban jurisdictions as has been shown to be the case in the rural-remote area of Northwest (NW) British Columbia (BC). The purpose of study was to identify: (1) the place and timing of death following injury in NW BC, (2) access to and quality of local trauma services, and (3) opportunities to improve trauma outcomes. Quantitative data from demographic and geographic databases, the BC Trauma Registry, Hospital discharge abstract database, and the BC Coroner's Office, along with qualitative data from chart reviews of selected major trauma cases, and interviews with front-line trauma care providers were collated and analyzed for patients sustaining injury in NW BC from April 2001 to March 2006. The majority of trauma deaths (82%) in NW BC occur prehospital. Patients arriving alive to NW hospitals have low hospital mortality (1.0%), and patients transferring from NW BC to tertiary centers have better outcomes than matched patients achieving direct entry into the tertiary center by way of geographic proximity. Access to local trauma services was compromised by: incident discovery, limited phone service (land lines/cell), incom...Continue Reading

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Citations

Dec 23, 2011·Critical Care : the Official Journal of the Critical Care Forum·Walter H DzikBrian Muirhead
Jan 11, 2016·Acta Anaesthesiologica Scandinavica·L RaatiniemiH K Bakke
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Mar 10, 2018·The Journal of Trauma and Acute Care Surgery·Richard Keith Simons
Jun 20, 2013·CJEM·Richard FleetJulien Poitras
Jul 6, 2020·International Emergency Nursing·Janita M Morgan, Pauline Calleja
Jan 13, 2021·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Eric SyDonald E G Griesdale

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