Division of Vascular Surgery, Department of Surgery, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
Division of Vascular Surgery, Toronto General Hospital, University of Toronto, Toronto, Canada.
J Int Med Res. 2021 Jan;49(1):300060520987728. doi: 10.1177/0300060520987728.
Trauma-related vascular injuries are major contributors to morbidity and mortality worldwide. We conducted a retrospective, population-based, cross-sectional study to examine temporal trends and factors associated with traumatic vascular injury-related in-hospital mortality in Ontario, Canada from 1991 to 2009.
We obtained data on Ontario hospital admissions for traumatic vascular injury, including injury mechanism and body region; and patient age, sex, socioeconomic status, and residence from the Canadian Institute for Health Information Discharge Abstract Database and Registered Persons Database from fiscal years 1991 to 2009. We performed time series analysis of vascular injury-related in-hospital mortality rates and multivariable logistic regression analysis to identify significant mortality-associated factors.
The overall in-hospital mortality rate for trauma-related vascular injury was 5.5%. A slight but non-significant decline in mortality occurred over time. The likelihood of vascular injury-related in-hospital mortality was significantly higher for patients involved in transport-related accidents (odds ratio [OR[=2.21, 95% confidence interval [CI], 1.76-2.76), age ≥65 years (OR = 4.34, 95% CI, 2.25-8.38), or with thoracic (OR = 2.24, 95% CI, 1.56-3.20) or abdominal (OR = 2.45, 95% CI, 1.75-3.42) injuries.
In-hospital mortality from traumatic vascular injury in Ontario was low and stable from 1991 to 2009.
创伤相关的血管损伤是全球发病率和死亡率的主要原因。我们进行了一项回顾性、基于人群的、横断面研究，以调查 1991 年至 2009 年期间加拿大安大略省创伤性血管损伤相关住院死亡率的时间趋势和相关因素。
我们从加拿大健康信息研究所的出院摘要数据库和注册人员数据库中获取了安大略省因创伤性血管损伤住院的患者数据，包括损伤机制和身体部位；以及患者年龄、性别、社会经济状况和居住地，这些数据来自 1991 年至 2009 年的财政年度。我们对血管损伤相关住院死亡率进行了时间序列分析，并进行了多变量逻辑回归分析，以确定与死亡率相关的显著因素。
创伤相关血管损伤的总体住院死亡率为 5.5%。死亡率随着时间的推移略有下降，但无统计学意义。与交通相关事故（比值比[OR] = 2.21，95%置信区间[CI]，1.76-2.76）、年龄≥65 岁（OR = 4.34，95% CI，2.25-8.38）、胸部（OR = 2.24，95% CI，1.56-3.20）或腹部（OR = 2.45，95% CI，1.75-3.42）损伤的患者相比，血管损伤相关住院死亡率显著更高。
1991 年至 2009 年期间，安大略省创伤性血管损伤的住院死亡率较低且稳定。
