One thousand consecutive in-hospital deaths following severe injury: Has the etiology of traumatic inpatient death changed in Canada?

One thousand consecutive in-hospital deaths following severe injury: Has the etiology of traumatic inpatient death changed in Canada?

Can J Surg 2018;61(3):150-152 | PDF

Derek J. Roberts, MD, PhD; Christina Harzan, MD; Andrew W. Kirkpatrick, MD, MSc; Elijah Dixon, MD, MSc; Sean C. Grondin, MD, MPH; Paul B. McBeth, MD; Gilaad G. Kaplan, MD; Chad G. Ball, MD, MSc

Summary

A wide range of factors have traditionally led to early in-hospital death following severe injury. The primary goal of this commentary was to evaluate the causes of early posttraumatic inpatient deaths over an extended period. Although early posttraumatic in-hospital death remains multifactorial, severe traumatic brain injuries are the dominant cause and have increased in proportion over time. Other traditional causes of death have also decreased owing to improved clinical care.


This manuscript was presented at the 2016 Trauma Association of Canada (TAC) conference, Halifax, NS, in May, 2016.

Accepted Sept. 6, 2017

Affiliations: From the Department of Surgery, University of Calgary, Calgary, Alta. (Roberts, Harzan, Kirkpatrick, Dixon, Grondin, McBeth, Ball); and the Department of Medicine, University of Calgary, Calgary, Alta. (Kaplan).

Competing interests: None declared.

Contributors: All authors contributed substantially to the conception, writing and revision of this article and approved the final version for publication.

DOI: 10.1503/cjs.014116

Correspondence to: C.G. Ball, Associate Professor, Department of Surgery, University of Calgary, Foothills Medical Centre, 1403-29th St Northwest, Calgary AB T2N 2T9, ball.chad@gmail.com