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J Trauma. 2010 Dec;69(6):1350-61; discussion 1361
Publication Type
Syed Morad Hameed
Nadine Schuurman
Tarek Razek
Darrell Boone
Rardi Van Heest
Tracey Taulu
Nasira Lakha
David C Evans
D Ross Brown
Andrew W Kirkpatrick
Henry T Stelfox
Dianne Dyer
Mary van Wijngaarden-Stephens
Sarvesh Logsetty
Avery B Nathens
Tanya Charyk-Stewart
Sandro Rizoli
Lorraine N Tremblay
Frederick Brenneman
Najma Ahmed
Elsie Galbraith
Neil Parry
Murray J Girotti
Guiseppe Pagliarello
Nancy Tze
Kosar Khwaja
Natalie Yanchar
John M Tallon
J Andrew I Trenholm
Candance Tegart
Ofer Amram
Myriam Berube
Usmaan Hameed
Richard K Simons
Author Affiliation
Research Committee of the Trauma Association of Canada, Calgary, Alberta, Canada.
J Trauma. 2010 Dec;69(6):1350-61; discussion 1361
Publication Type
Catchment Area (Health)
Health Services Accessibility
Rural Population - statistics & numerical data
Trauma Centers
Trauma is a leading cause of morbidity, potential years of life lost and health care expenditure in Canada and around the world. Trauma systems have been established across North America to provide comprehensive injury care and to lead injury control efforts. We sought to describe the current status of trauma systems in Canada and Canadians' access to acute, multidisciplinary trauma care.
A national survey was used to identify the locations and capabilities of adult trauma centers across Canada and to identify the catchment populations they serve. Geographic information science methods were used to map the locations of Level I and Level II trauma centers and to define 1-hour road travel times around each trauma center. Data from the 2006 Canadian Census were used to estimate populations within and outside 1-hour access to definitive trauma care.
In Canada, 32 Level I and Level II trauma centers provide definitive trauma care and coordinate the efforts of their surrounding trauma systems. Most Canadians (77.5%) reside within 1-hour road travel catchments of Level I or Level II centers. However, marked geographic disparities in access persist. Of the 22.5% of Canadians who live more than an hour away from a Level I or Level II trauma centers, all are in rural and remote regions.
Access to high quality acute trauma care is well established across parts of Canada but a clear urban/rural divide persists. Regional efforts to improve short- and long-term outcomes after severe trauma should focus on the optimization of access to pre-hospital care and acute trauma care in rural communities using locally relevant strategies or novel care delivery options.
PubMed ID
20838258 View in PubMed
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