Portrait de la traumatologie dans les unités d'urgence rurales québécoises et identification des besoins d'interventions prioritaires afin d'améliorer la qualité des soins


Richard Fleet

Centre de recherche du Centre hospitalier affilié universitaire Hôtel-Dieu Lévis


Domaine : santé des populations

Consortium pour le développement de la recherche en traumatologie - volet 1

Concours 2015-2016

Since the introduction of the Trauma Care Continuum in 1992, the mortality rate from a severe traumatic event in Quebec has decreased. Experts now agree that these systems have not been designed to provide trauma care in rural and remote areas and there is no specific data on the effectiveness of this system on Quebec's rural population. In Quebec, 42% of emergency departments (ED) are located more than 300 km from high-level trauma centers, they receive over 500,000 visits per year and a significant proportion of these consultations are due to trauma.

Our objectives are: 1) describe trauma cases and trauma care in the 26 Quebec rural EDs; 2) explore possible geographical variations in trauma care; 3) identify modifiable factors to reduce these variations; 4) find consensual priority solutions to improve the quality of rural trauma care.

To describe trauma cases and trauma care, we will use the Registre des traumatismes du Québec as well as data collected as part of our previous rural ED study. To explore impact of inequities we will analyze mortality in rural EDs and high-level urban trauma centers. We will also examine pre-hospital emergency care data. Finally, we will identify specific challenges faced by rural EDs and, consensual solutions to improve care will be sought using a Delphi expert survey process

We expect to discover inequities in terms of the quality of care in rural versus urban areas. The solutions proposed at the end of this project will meet the needs of citizens, professionals and decision makers involved and will be a crucial step for the improvement of trauma care for this vulnerable population.