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Background: Given limited resources for injury prevention, it is essential to determine which mechanisms of injury to target to provide the most benefit to the largest proportion of the population. We developed objective, evidence-based injury prevention priority scores (IPPSs) for the Canadian population across 4 prevention perspectives: mortality, injury severity, resource use and societal cost. Methods: We performed a retrospective cohort study of all injuries in Canada from 2009/10 to 2013/14. Hospital admissions were obtained from the Discharge Abstract Database, and deaths from the Statistics Canada Canadian Vital Statistics Death Database. For each mechanism of injury, we calculated an IPPS as a balanced measure of injury frequency and 1) mortality rate, 2) median 1 - ICISS (Injury Severity Score derived from the International Statistical Classification of Diseases and Related Health Problems, 10th revision, enhanced Canadian version), 3) median cost per hospital stay or 4) median potential years of life lost (PYLL), providing a ranking of mechanisms of injury in priority order. The IPPS by definition has a mean of 50 and a standard deviation of 10. The higher the IPPS, the higher the priority for injury prevention. Results: A total of 694 535 injuries were identified over the study period. The most frequent mechanism of injury was falls (391 068 [56.3%]). The overall mortality rate was 0.09 deaths/injured person, the median 1 - ICISS was 0.017, the median cost was $5217, and the median PYLL was 0. The mechanisms with the 3 highest IPPSs were falls (75), self-harm (67) and drowning (66) for mortality; falls (77), drowning (70) and suffocation (61) for severity; falls (80), suffocation (63) and fire (60) for resource use; and falls (72), assault (62), and firearms and legal interventions (59 in both cases) for societal cost. Conclusion: This study produced IPPSs for traumatic injuries in Canada that provide objective and quantifiable methods for identifying mechanisms of injury to target for specific prevention initiatives. Preventing falls would provide the most benefit to the largest proportion of Canadians and should be prioritized in injury-prevention policy. Contexte : ?‰tant donné le peu de ressources allouées à la prévention des blessures, il est important de déterminer quels mécanismes sont à l'origine des blessures et de cibler les mesures correctives qui bénéficieront au plus grand nombre de citoyens. Nous avons conçu des scores objectifs de priorité en matière de prévention des blessures fondés sur des données probantes (SPPB) pour la population canadienne sous 4 angles différents : mortalité, gravité des blessures, utilisation des ressources et coûts sociétaux. Méthodes : Nous avons procédé à une étude de cohorte rétrospective sur toutes les blessures recensées au Canada de 2009/10 à 2013/14. Les données sur les hospitalisations proviennent de la Base de données sur les congés des patients et les données sur les décès, de la Base canadienne de données sur les décès de la Statistique de l'état civil (Statistique Canada). Pour chaque mécanisme, nous avons calculé un SPPB comme évaluation raisonnable de la fréquence des blessures et 1) le taux de mortalité, 2) le score 1 - ICISS médian de gravité des blessures (dérivé de la International Statistical Classification of Diseases and Related Health Problems, 10th revision, version canadienne augmentée), 3) le coût médian des hospitalisations et 4) le nombre médian d'années potentielles de vie perdues (APVP), ce qui classifiait les mécanismes par ordre de priorité. Par définition, le SPPB a une moyenne de 50 et un écart-type de 10. Le SPPB est directement proportionnel à l'ordre de priorité pour la prévention des blessures. Résultats : En tout 694 535 blessures ont été recensées pour la période de l'étude. Le mécanisme le plus souvent en cause était les chutes (391 068 [56,3%]). Le taux de mortalité global était de 0,09 décès/personne blessée, le score 1 - ICISS médian, de 0,017, le coût médian, de 5217 S, et le nombre médian d'APVP, de 0. Les mécanismes présentant les 3 scores SPPB les plus élevés étaient chutes (75), blessure auto-infligée (67) et noyade (66) sous l'angle de la mortalité; chutes (77), noyade (70) et suffocation (61) sous l'angle de la gravité; chutes (80), suffocation (63) et incendie (60) sous l'angle de l'utilisation des ressources; et chutes (72), agressions (62) et armes à feu et interventions policières (59 dans chaque cas) sous l'angle des coûts sociétaux. Conclusion : Cette étude a produit des SPPB pour les traumatismes physiques au Canada qui permettent de quantifier objectivement les mécanismes des blessures et de cibler des mesures préventives précises. C'est la prévention des chutes qui serait bénéfique au plus grand nombre de Canadiens et qui devrait être priorisée par les politiques de prévention des blessures., Unintentional injuries are the leading cause of death among people younger than 44 years of age. (1,2) They account for about 4.8 million deaths and affect 973 million people annually [...]

Background: Acute care injury outcomes vary substantially across Canadian provinces and trauma centres. Our aim was to develop Canadian benchmarks to monitor mortality and hospital length of stay (LOS) for [...]

Background All-Terrain Vehicles (ATVs) are a leading cause of serious injury in children and youth. Certain Canadian regions have implemented legislation to promote safety, including age restrictions, mandatory training and helmet use. Jurisdictions with more stringent ATV safety legislation have been shown to have reduced injury rates in the short term. Objectives To estimate the burden of ATV-related serious injury and death in Canada and to identify Canadian physicians' knowledge of ATV-related legislation, safety and health promotion practices. Methods A one-time survey was distributed to practicing paediatricians and paediatric subspecialists participating in the Canadian Paediatric Surveillance Program (CPSP) in October 2016. Results Of 2793 physicians contacted, 904 responded (32.4%). There were 181 reported cases of serious and/or fatal ATV-related injuries, including 6 deaths. Children aged 10 to 14 represented the most number of cases (n=82, 45.3%), followed by 15 to 19 (n=48, 26.5%) and 5 to 9 (n=40, 22.1%). Most cases occurred in July/August (48.3%) and May/June (25.2%), were in males (n=133, 78.2%), and occurred during recreational activity (n=139, 83.2%) or organized racing (n=6, 3.6%). In 99 cases (58.9%), the child was the driver of the ATV. Only two-thirds of respondents (67.5%) knew that ATVs should not carry passengers while under half (42.2%) never discussed ATV safety with their patients. Conclusions ATV-related injuries and deaths in Canadian children remain a serious public health problem. Education of health care practitioners, including paediatricians, is needed to promote safety. Despite efforts to reduce ATV-related injuries, there remains a significant number of serious injuries and/deaths related to their use. [ABSTRACT FROM AUTHOR]