Public Health Agency of Canada, Ottawa, Ontario, Canada.
Health Promot Chronic Dis Prev Can. 2023 Mar;43(3):130-138. doi: 10.24095/hpcdp.43.3.03.
Injuries continue to be a leading cause of death and contribute significantly to hospitalizations each year in Canada. Substance use has been associated with an increase in intentional and unintentional injuries, resulting in hospitalizations. This study examines trends in injury hospitalizations with a co-occurring substance diagnosis, to quantify the burden of injuries and identify at risk populations.
We analyzed Discharge Abstract Database data between 2010/11 and 2020/21, for clinical and demographic information about hospital discharges across Canada. We used ICD-10 codes to identify injury hospitalizations with co-occurring substance diagnostic codes, by injury intent and substance type. Rates, proportions, age-specific rates and age-standardized rates were calculated, trends quantified using average annual percent change and results stratified by sex and age group.
From 2010/11 to 2020/21, unintentional injuries accounted for over half of all substance-related injury hospitalizations. Substance-related injuries accounted for 12% of total injury hospitalizations over this period. Overall, substance-related injury hospitalizations with co-occurring use of stimulants, opioids, cannabinoids and alcohol increased significantly among males and females. Unintentional substance-related, injury hospitalizations were more common later in life, and intentional substancerelated injuries were more common among adolescents and young adults.
These results highlight key demographic groups with higher rates of substance-related injury hospitalizations that would benefit from targeted prevention efforts.
在加拿大，伤害仍然是导致死亡的主要原因，每年都会导致大量人员住院。药物滥用与故意和非故意伤害的增加有关，从而导致住院。本研究通过共病物质诊断检查伤害住院的趋势，以量化伤害负担并确定高风险人群。
我们分析了 2010/11 年至 2020/21 年期间的出院摘要数据库数据，以获取加拿大各地住院患者的临床和人口统计学信息。我们使用 ICD-10 代码来识别伴有共病物质诊断代码的伤害住院，按伤害意图和物质类型进行分类。计算了发病率、比例、特定年龄发病率和年龄标准化发病率，使用平均年百分比变化来量化趋势，并按性别和年龄组进行分层。
从 2010/11 年至 2020/21 年，非故意伤害占所有与物质有关的伤害住院的一半以上。在此期间，与物质有关的伤害占所有伤害住院的 12%。总体而言，男性和女性中伴有兴奋剂、阿片类药物、大麻素和酒精共同使用的与物质有关的伤害住院人数显著增加。非故意与物质有关的伤害住院在以后的生活中更为常见，而故意与物质有关的伤害住院在青少年和年轻人中更为常见。
这些结果突出了具有更高物质相关伤害住院率的关键人群，这些人群将受益于有针对性的预防措施。
