Evidence map›Paper›PMID 34649920›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

Trauma in northern Quebec, 2005-2014: epidemiologic features, transfers and patient outcomes.

Jeongyoon Moon, Cristina Pop, Mohamed Talaat, Nathalie Boulanger, Paul-André Perron, Dan Deckelbaum, Jeremy Grushka, Evan G Wong, Tarek Razek

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Disparities in Access to Trauma Care in Canada: A Geospatial Analysis of Census Data.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
    Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. The hidden epidemiology of trauma in Nunavik: a call for a dedicated trauma registry.Canadian journal of surgery. Journal canadien de chirurgie
    Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jeongyoon MoonFrom the Department of Surgery, McGill University, Montréal, Que. (Moon); the Faculty of Medicine, McGill University, Montréal, Que. (Pop); the Centre de santé Tulattavik de l'Ungava, Kuujjuaq, Que. (Talaat, Boulanger); the Quebec Coroner's Office, Montréal, Que. (Perron); and the Division of General and Trauma Surgery, McGill University, Montréal, Que. (Deckelbaum, Grushka, Wong, Razek).
Cristina PopFrom the Department of Surgery, McGill University, Montréal, Que. (Moon); the Faculty of Medicine, McGill University, Montréal, Que. (Pop); the Centre de santé Tulattavik de l'Ungava, Kuujjuaq, Que. (Talaat, Boulanger); the Quebec Coroner's Office, Montréal, Que. (Perron); and the Division of General and Trauma Surgery, McGill University, Montréal, Que. (Deckelbaum, Grushka, Wong, Razek).
Mohamed TalaatFrom the Department of Surgery, McGill University, Montréal, Que. (Moon); the Faculty of Medicine, McGill University, Montréal, Que. (Pop); the Centre de santé Tulattavik de l'Ungava, Kuujjuaq, Que. (Talaat, Boulanger); the Quebec Coroner's Office, Montréal, Que. (Perron); and the Division of General and Trauma Surgery, McGill University, Montréal, Que. (Deckelbaum, Grushka, Wong, Razek).
Nathalie BoulangerFrom the Department of Surgery, McGill University, Montréal, Que. (Moon); the Faculty of Medicine, McGill University, Montréal, Que. (Pop); the Centre de santé Tulattavik de l'Ungava, Kuujjuaq, Que. (Talaat, Boulanger); the Quebec Coroner's Office, Montréal, Que. (Perron); and the Division of General and Trauma Surgery, McGill University, Montréal, Que. (Deckelbaum, Grushka, Wong, Razek).
Paul-André PerronFrom the Department of Surgery, McGill University, Montréal, Que. (Moon); the Faculty of Medicine, McGill University, Montréal, Que. (Pop); the Centre de santé Tulattavik de l'Ungava, Kuujjuaq, Que. (Talaat, Boulanger); the Quebec Coroner's Office, Montréal, Que. (Perron); and the Division of General and Trauma Surgery, McGill University, Montréal, Que. (Deckelbaum, Grushka, Wong, Razek).
Dan DeckelbaumFrom the Department of Surgery, McGill University, Montréal, Que. (Moon); the Faculty of Medicine, McGill University, Montréal, Que. (Pop); the Centre de santé Tulattavik de l'Ungava, Kuujjuaq, Que. (Talaat, Boulanger); the Quebec Coroner's Office, Montréal, Que. (Perron); and the Division of General and Trauma Surgery, McGill University, Montréal, Que. (Deckelbaum, Grushka, Wong, Razek).
Jeremy GrushkaFrom the Department of Surgery, McGill University, Montréal, Que. (Moon); the Faculty of Medicine, McGill University, Montréal, Que. (Pop); the Centre de santé Tulattavik de l'Ungava, Kuujjuaq, Que. (Talaat, Boulanger); the Quebec Coroner's Office, Montréal, Que. (Perron); and the Division of General and Trauma Surgery, McGill University, Montréal, Que. (Deckelbaum, Grushka, Wong, Razek).
Evan G WongFrom the Department of Surgery, McGill University, Montréal, Que. (Moon); the Faculty of Medicine, McGill University, Montréal, Que. (Pop); the Centre de santé Tulattavik de l'Ungava, Kuujjuaq, Que. (Talaat, Boulanger); the Quebec Coroner's Office, Montréal, Que. (Perron); and the Division of General and Trauma Surgery, McGill University, Montréal, Que. (Deckelbaum, Grushka, Wong, Razek).
Tarek RazekFrom the Department of Surgery, McGill University, Montréal, Que. (Moon); the Faculty of Medicine, McGill University, Montréal, Que. (Pop); the Centre de santé Tulattavik de l'Ungava, Kuujjuaq, Que. (Talaat, Boulanger); the Quebec Coroner's Office, Montréal, Que. (Perron); and the Division of General and Trauma Surgery, McGill University, Montréal, Que. (Deckelbaum, Grushka, Wong, Razek). tarek.razek@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Inuit people residing in Nunavik, Quebec, are vulnerable to major trauma owing to environmental and social factors; however, there is no systematic data collection for trauma in Nunavik, and, apart from data regarding patients who are transferred to tertiary care centres, no data enter the Quebec trauma registry directly from Nunavik. We performed a study to characterize the epidemiologic features of trauma in Nunavik, and describe indications for transfer and outcomes of patients referred to the tertiary trauma centre.

methodsWe collected data retrospectively for all patients with trauma admitted to the Centre de santé Tulattavik de l'Ungava in Kuujjuaq from 2005 to 2014. Sociodemographic, injury and health services data were extracted. The data were analyzed in conjunction with coroners' reports on death from trauma in Nunavik.

resultsA total of 797 trauma cases were identified. The most common causes of injury were motor vehicle collisions (258 cases [32.4%]), falls (137 [17.2%]) and blunt assault (95 [11.9%]). One-third of patients (262 [32.9%]) were transferred to the tertiary care centre in Montréal. The incidence rate of major trauma (Injury Severity Score > 12) was 18.1 and 21.7 per 10 000 person-years in the Kuujjuaq region and the Puvirnituq region, respectively, which translates to a relative risk (RR) of 4 compared to the Quebec population. The disparity observed in trauma mortality rate was even greater, with an RR of 47.6 compared to the Quebec population.

conclusionThe study showed major disparity in trauma incidence and mortality rate between Nunavik and the province of Quebec. Our findings allow for a better understanding of the burden of injury and regional trauma mortality in Nunavik, and recommendations for optimization of the trauma system in this unique setting.

Indexed as

Accidental FallsAccidents, TrafficHealth Status DisparitiesHumansIncidenceInuitOutcome Assessment, Health CarePatient TransferQuebecRetrospective StudiesSelf-Injurious BehaviorTime-to-TreatmentTrauma CentersViolenceWounds and InjuriesWounds, Nonpenetrating

Identifiers

PMID34649920
PMCPMC8526125

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.