Heart failure (HF) is a common condition, especially in older patients. Considering the increase of life expectancy the total number of HF patients is expected to grow in the future
Background:The Inuit people residing in Nunavik, Quebec, are vulnerable to major trauma owing to environmental and social factors; however, there is no systematic data collection for trauma in Nunavik, and, apart from data regarding patients who are transferred to tertiary care centres, no data enter the Quebec trauma registry directly from Nunavik. We performed a study to characterize the epidemiologic fea tures of trauma in Nunavik, and describe indications for transfer and outcomes of patients referred to the tertiary trauma centre.
Methods:We collected data retrospectively for all patients with trauma admitted to the Centre de santé Tulattavik de l'Ungava in Kuujjuaq from 2005 to 2014. Socio demographic, injury and health services data were extracted. The data were analyzed in conjunction with coroners' reports on death from trauma in Nunavik.Results: A total of 797 trauma cases were identified. The most common causes of injury were motor vehicle collisions (258 cases [32.4%]), falls (137 [17.2%]) and blunt assault (95 [11.9%]). Onethird of patients (262 [32.9%]) were transferred to the ter tiary care centre in Montréal. The incidence rate of major trauma (Injury Severity Score > 12) was 18.1 and 21.7 per 10 000 personyears in the Kuujjuaq region and the Puvirnituq region, respectively, which translates to a relative risk (RR) of 4 compared to the Quebec population. The disparity observed in trauma mortality rate was even greater, with an RR of 47.6 compared to the Quebec population.
Conclusion:The study showed major disparity in trauma incidence and mortality rate between Nunavik and the province of Quebec. Our findings allow for a better understanding of the burden of injury and regional trauma mortality in Nunavik, and recommendations for optimization of the trauma system in this unique setting.
Contexte :Le peuple Inuit du Nunavik, au Québec, est sujet à des traumatismes majeurs en raison de facteurs environnementaux et sociaux; or, on ne dispose d'aucun système de collecte des données concernant les traumatismes au Nunavik, et outre les données relatives aux patients transférés dans des établissements de soins tertiaires, aucun renseignement n'est consigné au Registre des traumatismes du Québec directe ment en provenance du Nunavik. Nous avons procédé à une étude pour cerner les caractéristiques épidémiologiques des traumatismes au Nunavik et décrire les indica tions de transfert et l'issue des traumatismes subis par les patients adressés vers des centres tertiaires de traumatologie.Méthodes : Nous avons recueilli les données de manière rétrospective pour tous les patients victimes de traumatismes admis au Centre de santé Tulattavik de l'Ungava, à Kuujjuaq, de 2005 à 2014. Nous avons extrait les données sociodémographiques, ainsi que les données sur les blessures et les services de santé utilisés. Nous avons analysé les données en parallèle avec les rapports des coroners sur les décès des suites de trau matismes au Nunavik.Résultats : En tout, 797 cas de traumatisme ont été recensés. Les causes les plus ...
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