Navigation Links
More than 50 percent of injury-related deaths in rural Ontario occur before patients reach hospital
Date:1/26/2010

Toronto, January 26, 2010-- It's known that people who live or work in rural areas are more likely to suffer and die from serious injuries compared to those in more urban environments. But while time and distance play a role in these higher mortality rates, new research suggests that limited access to early, high-quality trauma care in many smaller Ontario hospitals may be a factor.

Researchers from St. Michael's in Toronto looked at 3,486 trauma-related deaths that occurred in Ontario between 2002 and 2003, which was the most recent data available for analysis. (A traumatic injury is caused by something outside the person's bodyfor example, a leg crushed by machinery or a head injury caused by a fall from a ladder.)

"We wanted to see what happened to these patients after they were injured and also to learn more about the settings in which death was most likely to occur," explains study investigator Dr. Avery B. Nathens, director of trauma services at St. Michael's and Canada Research Chair in Systems of Trauma Care.

The researchers say that interventions designed to improve the skills and resources available in rural emergency departments could reduce mortality rates from serious traumatic injury. "We also need to understand why the transfer process takes so long," Dr. Nathens adds. "If we can reduce this, we can save lives."

The study found that more than half of the deaths occurred before the injured person reached a hospital emergency department (ED). These "pre-hospital" deaths were twice as likely among patients injured in the most rural locations and in those with limited access to timely trauma centre care.

"But even when people survived long enough to reach hospital, we noted a threefold increase in the risk of ED death if the injury occurred in a region with limited access to trauma centre care," says Dr. Nathens, who is also a professor of surgery at the University of Toronto. "This means people were more likely to die before ever reaching an operating room or being admitted to hospital."

According to the data, most deaths (54%) occurred before any hospital contact. Motor vehicle collisions were responsible for over half of all deaths. While only 15 percent of Ontario's population lives more than one hour away from a trauma centre, this small proportion of the population accounted for 37% of all trauma-related deaths during the study period. This finding highlights the higher risk of death associated with delayed access to trauma centre care.

Although all patients in the study group ultimately died, the researchers considered those who succumbed to their injuries in EDs or later in hospital were "potentially salvageable," because they had potential access to life-saving interventions.

Other research shows that care in a designated trauma centre is associated with a 25% lower risk of death among severely injured patients. Ontario has nine designated Level I adult trauma centres, all located in urban areas.

But delivering timely, appropriate trauma care is a challenge in Ontario, where 90 percent of the province is considered rural, says Dr. Nathens. In Ontario, there is no requirement that smaller, more rural hospitals have a trauma team to assist in providing early care to stabilize severely injured patients such that they can survive long enough to benefit from the highest level of trauma care available in trauma centres. Nor do Ontario hospitals require that emergency department staff in these smaller centres have any special training in the treatment of severely injured patients.

St. Michael's is partnering with the Ontario Telemedicine network to evaluate the usefulness of telemedicine in helping community hospitals deliver better early care to severely injured patients.

The new study, entitled "Identifying Targets for Potential Interventions to Reduce Rural Trauma Deaths: A Population-Based Analysis," was and published online last month in the Journal of Trauma.


'/>"/>

Contact: Julie Saccone
sacconej@smh.toronto.on.ca
416-864-5047
St. Michael's Hospital
Source:Eurekalert

Related medicine news :

1. McGill-CHUM study: 56 percent of young adults in a new sexual relationship infected with HPV
2. Liver donations from living donors increase 42 percent after educational intervention
3. 83 Percent of Small Businesses Say No to Health Care Public Option, 89 Percent Say Government Cannot Provide Adequate Health Care
4. Bella Sante Spas in Boston Reports Online Spending Rise of 12 percent December 1 to December 17, 2009
5. Disordered eating may affect 10 to 15 percent of women
6. Study finds over 90 percent of people with gum disease are at risk for diabetes
7. Ninety Percent of All Vaccine Preventable Deaths Occur in Those 65 and Older According to Highlighted Studies in the December Patient Safety Advisory
8. American Red Cross Survey Finds 62 Percent of Americans Plan to Donate More Than $25 to Charity This Holiday Season in Spite of Economic Downturn
9. PharmaShack.com Embraces Fall - Offers 15 Percent Off of All Meds on Site
10. New Poll Finds 71 Percent of Americans Favor Investing More in Disease Prevention as Central to Health Reform
11. Quick Medical to Donate a Percentage of Internet Sales to Charity
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:3/28/2017)... ... March 28, 2017 , ... A recent Bellwether Education ... quality, the field must first improve teacher preparation program design. It then asserts ... and that decades of input- and outcome-based research has failed to improve teacher ...
(Date:3/28/2017)... ... March 28, 2017 , ... Greenfield Advisors ... brings his extensive knowledge of appraisals, property values, ad valorem taxation, and government ... valuation industry for more than 40 years. , “Ruel is a great addition ...
(Date:3/28/2017)... ... March 29, 2017 , ... Dr. Isabella Wentz, PharmD, FASCP, ... 9-part video series titled The Thyroid Secret. Dr. Wentz talked about journey and research ... the fact that medication IS NOT the only solution to deal with thyroid disease. ...
(Date:3/28/2017)... PA (PRWEB) , ... March 28, 2017 , ... ... for and by physicians, announced today the launch of a free, public-facing tool ... Via Cost Analyzer (VCA) was developed to provide comparative information to patients, providers, ...
(Date:3/28/2017)... ... , ... Usually, the impending arrival of warmer weather means the gleeful banishment ... double chin, this means more anxiety than elation. The cosmetic dermatology experts at Cosmetic ... double chin is undesirable,” Dr. Goldman said, “but it seems doubly so when the ...
Breaking Medicine News(10 mins):
(Date:3/29/2017)... 2017  Maxor National Pharmacy Services, LLC ("Maxor"), a ... named Leah Bailey as General Counsel.  Bailey will ... company. With more than 13 years of ... focused on health care, Bailey joins the Maxor team ... Bailey advised the PBM, Specialty, and Mail Order business ...
(Date:3/29/2017)... , March 29, 2017  Designers of primary ... reduce solution size by 50% and extend battery life ... power management integrated circuit (PMIC) from Maxim Integrated Products, ... supports a low input voltage of just 0.7V for ... and Silver Oxide, as well as the more common ...
(Date:3/29/2017)... Stryker announced today that it has been ... partnership with Great Place to Work (GPTW). We ranked ... list highlights the top U.S. companies with 1,000 or ... demonstrating respect, compassion and concern for their employees, their ... the companies on the list, GPTW asked more than ...
Breaking Medicine Technology: