Vascular trauma: Does experience in the United States apply to a Canadian centre?

Vascular trauma: Does experience in the United States apply to a Canadian centre?

Can J Surg 2019;62(6):499-501 | PDF | Appendix

Shane Smith, MD, MSc; Vivian McAlister, MB; Neil Parry, MD; Adam Power, MD, MPhil; Kelly Vogt, MD, MSc


Trauma care has evolved similarly in the United States and Canada over the last 3 decades. Like much of modern trauma care, management of vascular trauma has been influenced by combat surgery experiences in recent wars. The American Association for the Surgery of Trauma sponsored the Prospective Observational Vascular Injury Treatment (PROOVIT) registry to document changes in the treatment of vascular trauma and determine outcomes in the US. However, differences in trauma populations and trauma systems between Canada and the US need to be considered. Here we compare the vascular trauma experience at a Canadian level I trauma centre over a 5-year period to the data in the PROOVIT registry.

Accepted Feb. 5, 2019

Affiliations: From the Division of Vascular Surgery, Western University, London, Ont.

Competing interests: K. Vogt is a CJS associate editor; she was not involved in the review of this manuscript or in the decision to accept it for publication. No other competing interests 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.002317

Correspondence to: S. Smith, Division of General Surgery, Western University, 800 Commissioners Road East, Room E2-214, London ON N6A 5W9,