Comparison of out-of-hospital mortality following injury in Canadian provinces and territories: a historical cohort study
Authors' conclusion
Half of all injury deaths in Canada between 2017 and 2020 occured outside of hospitals. This proportion varied by province, possibly suggesting differences in the development and maturity of provincial trauma systems.
Study context
- Population
- Injury-related deaths in Canadian provinces and territories (except Quebec), 2017 to 2020
- Participants
- 64,725 injury-related deaths
- Exposure
- Out-of-hospital injury mortality by province
- Outcome
- Proportion of out-of-hospital injury deaths
Methodological detailsaggregate national data, robust Poisson models
- Aggregate national data
- Robust Poisson models
Main finding
As reported in the abstract
Proportion of out-of-hospital deaths
- Out-of-hospital deaths, Canada overall
- 48%
- Out-of-hospital deaths in < 65-yr-olds
- 80%
- Lowest proportion, Atlantic provinces
- 30%
- Highest proportion, Saskatchewan
- 58%
- Alberta vs Ontario, adjusted higher risk of out-of-hospital mortality
- 13%
- British Columbia vs Ontario, adjusted lower risk of out-of-hospital mortality
- 26%
Observational data: associations, not effects.
Further findings
Subgroups by age group, sex, year (subgroup)
- Variations across age groups, sex, and years
Original publication
Comparison of out-of-hospital mortality following injury in Canadian provinces and territories: a historical cohort study. Can J Anaesth. Published 5 June 2025. doi:10. 1007/ s12630-025-02964-w
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