Trauma & major bleeding

Comparison of out-of-hospital mortality following injury in Canadian provinces and territories: a historical cohort study

Can J AnaesthPublished 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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