In Ottawa:
- Unintentional and intentional injuries to residents accounted for over 92,200 emergency department (ED) visits in 2017. Approximately 6,600 of these visits were hospitalized. [3]
- Falls were the leading cause of injury-related ED visits (28,367) (Figure 2), hospitalizations (2,749) (Figure 3), and deaths (132). [2,3]
- Falls were the leading cause of injury-related hospitalization in all age groups, with the exception of 15 to 24 year olds (Table 4). Self-harm was the leading cause of injury-related hospitalization for 15 to 24 year olds. [3]
Figure 2. Leading causes of injury-related emergency department visits for Ottawa residents, all ages, 2017
Data Source and Notes for Figure 2
|
Unscheduled emergency department visits, National Ambulatory Care System (2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted June 8, 2018.
ICD-10-CA Codes for External Causes of Injuries
External Cause of Injury
|
ICD10-CA
|
All Unintentional Injuries
|
V01-X59, Y85-Y86. Emergency department and hospitalizations with a code of W75-W84 not accompanied by a main diagnosis of ICD-10-CA S or T are excluded.
|
Burns
|
X00-X19, W85-W93
|
Choking or suffocation
|
W75-W84 accompanied by a main diagnosis of ICD-10-CA S or T
|
Cut/pierce
|
W25-W29, W45-W46
|
Drowning/near drowning
|
W65-W74, V90, V92
|
Falls
|
W00-W19
|
Foreign body entering the eye or other orifice
|
W44
|
Motor vehicle traffic collisions, car/van/truck/motorcyclist occupant
|
V20-V69, V83-V85
|
Natural environment – bitten by animals, reptiles, insects, plants, forces of nature, heat, cold, noise/vibration
|
W53-W64, W92-W99, W42, W43, W20-39, X51-X57
|
Overexertion, non-sports
|
X50. Emergency department visits and hospitalizations accompanied with a code of U99.00-U99.09 are excluded.
|
Pedestrian
|
V01-V09
|
Poisoning/overdose (unintentional)
|
X40-X49
|
Public transit (bus, train, streetcar)
|
V70-V79, V81-V82
|
Sport and recreational activities
|
Includes ICD10-CA Chapter XX codes for ATV or snowmobile, baseball, cycling, rollerskate, scooter or skateboard, football or rugby, hockey/ringette, ice skating, playground, including trampoline, pool & natural water swimming, diving/jumping, recreational boating, ski or snowboarding, soccer, tobogganing and all activities coded as U99.00-U99.09 accompanied with a main diagnosis in Chapter XIX (S or T codes) and an unintentional injury code (V01-X59, Y85-Y86).
|
ATV or Snowmobile
|
V68, U99.032a, U99.045a
|
Baseball
|
W22.05, W21.01, W51.05, U99.010a
|
Cycling
|
V10-V19, U99.034a, U99.035a
|
Rollerskate, scooter or skateboard
|
W02.02, W02.03, W02.08, U99.036a
|
Football or rugby
|
W22.03, W51.03, U99.003 a, U99.004a
|
Hockey/Ringette
|
W21.02, W21.03, W22.02, W51.02, U99.011a, U99.012a, U99.013a, U99.014a, U99.016a
|
Ice skating
|
W02.00, U99.041a
|
Playground (excluding trampoline)
|
W09.0-W09.4, W09.6-W09.9
|
Toboggan
|
W22.01, W51.01, U99.043a
|
Trampoline
|
W09.05, U99.062a
|
Pool & natural water swimming, diving/jumping
|
W16, W67-W74, U99.020a, U99.021a, U99.024, U99.025a, U99.028a, U99.029a
|
Recreational boating
|
V90.2-V90.8, V91.2-V91.8, V92.2-V92.9, U99.022a, U99.030a, U99.031a, U99.085a
|
Ski or snowboard
|
W02.01, W02.04, W22.00, W51.00, U99.040a, U99.044a
|
Soccer
|
W22.04, W51.04, U99.002a
|
Struck/bumped by object/person, non-sports
|
W20.00, W22.08, W22.09, W50.00, W51.08, W51.09, W52
|
Intentional injuries
|
|
Self-harm
|
X60-X84, Y87.0
|
Assault
|
X85-X99, Y00-Y09, Y87.1
|
a “U” codes included only if accompanied with a “S” or “T” code from Chapter XIX. U codes were available for ER visits and hospitalizations only.
|
Data Table for Figure 2
|
Table 2. Leading causes of injury-related emergency department visits for Ottawa residents, all ages, 2017
Injury Type
|
Number of Emergency Department Visits
|
Falls
|
28367
|
Sports & recreation
|
11898
|
Struck/bumped by object/person, non-sports
|
7643
|
Cut/pierce
|
6152
|
Overexertion
|
5802
|
Natural environment
|
3836
|
MVTC occupant/motorcyclist
|
3182
|
Foreign body in eye/orifice
|
2513
|
Assault
|
1978
|
Cycling
|
1619
|
Unintentional poisonings
|
1465
|
Self-harm
|
1270
|
Burns
|
872
|
Pedestrian
|
407
|
Public transit
|
237
|
Choking or suffocation
|
106
|
Non-fatal and fatal drowning
|
28
|
|
Figure 3. Leading causes of injury-related hospitalizations for Ottawa residents, all ages, 2017
Data Source and Notes for Figure 3
|
Hospitalizations resulting from unscheduled emergency department visits, National Ambulatory Care System (2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted June 8, 2018
- MVTC = Motor vehicle traffic collisions.
- Not all categories are mutually exclusive and unless stated, some of the injury categories (e.g. cycling, falls, drowning) may overlap with the sport & recreation category.
- The approach to reporting leading causes of injury here is different from the way others have reported the leading causes of injury.
- It includes a sport and recreational injury category, utilizing Canadian-specific U99 activity codes for ED and hospitalization data, which are not mandatory in the hierarchy of coding sport and recreational injuries. The U99 activity codes are suggested for use in describing further, the activity of the injured person at the time the event occurred. For example, a person who fell while playing ice hockey would be coded as W00 (Fall on same level involving ice and snow) and U99.011 (Ice hockey). While we have used the U99 codes to tease out sport and recreation specific codes from categories where there is common (>5%) overlap (i.e., falls, overexertion), the categories are not all mutually exclusive. For example, a person who was bitten by a dog and fell while out for a run would be coded as W54 (Bitten or struck by dog), W01 (Fall on same level from slipping, tripping and stumbling) and U99.050 (Running) and would be counted in the sport and recreation and the natural environment categories, but would not be included in the falls, non-sports category.
- Another difference is that others have defined MVTC as a broader category, whereas we have separate categories for car/van/truck/motorcyclist occupants, pedestrians, public transit/bus/train occupants and cyclists injured in a transport collision.
- Due to these differences, the rankings should not be compared to other rankings of leading causes of injury morbidity and mortality.
- The following ICD-10-CA codes were used to categorize the injuries:
ICD-10-CA Codes for External Causes of Injuries
External Cause of Injury
|
ICD10-CA
|
All Unintentional Injuries
|
V01-X59, Y85-Y86. Emergency department and hospitalizations with a code of W75-W84 not accompanied by a main diagnosis of ICD-10-CA S or T are excluded.
|
Burns
|
X00-X19, W85-W93
|
Choking or suffocation
|
W75-W84 accompanied by a main diagnosis of ICD-10-CA S or T
|
Cut/pierce
|
W25-W29, W45-W46
|
Drowning/near drowning
|
W65-W74, V90, V92
|
Falls
|
W00-W19
|
Foreign body entering the eye or other orifice
|
W44
|
Motor vehicle traffic collisions, car/van/truck/motorcyclist occupant
|
V20-V69, V83-V85
|
Natural environment – bitten by animals, reptiles, insects, plants, forces of nature, heat, cold, noise/vibration
|
W53-W64, W92-W99, W42, W43, W20-39, X51-X57
|
Overexertion, non-sports
|
X50. Emergency department visits and hospitalizations accompanied with a code of U99.00-U99.09 are excluded.
|
Pedestrian
|
V01-V09
|
Poisoning/overdose (unintentional)
|
X40-X49
|
Public transit (bus, train, streetcar)
|
V70-V79, V81-V82
|
Sport and recreational activities
|
Includes ICD10-CA Chapter XX codes for ATV or snowmobile, baseball, cycling, rollerskate, scooter or skateboard, football or rugby, hockey/ringette, ice skating, playground, including trampoline, pool & natural water swimming, diving/jumping, recreational boating, ski or snowboarding, soccer, tobogganing and all activities coded as U99.00-U99.09 accompanied with a main diagnosis in Chapter XIX (S or T codes) and an unintentional injury code (V01-X59, Y85-Y86).
|
ATV or Snowmobile
|
V68, U99.032a, U99.045a
|
Baseball
|
W22.05, W21.01, W51.05, U99.010a
|
Cycling
|
V10-V19, U99.034a, U99.035a
|
Rollerskate, scooter or skateboard
|
W02.02, W02.03, W02.08, U99.036a
|
Football or rugby
|
W22.03, W51.03, U99.003 a, U99.004a
|
Hockey/Ringette
|
W21.02, W21.03, W22.02, W51.02, U99.011a, U99.012a, U99.013a, U99.014a, U99.016a
|
Ice skating
|
W02.00, U99.041a
|
Playground (excluding trampoline)
|
W09.0-W09.4, W09.6-W09.9
|
Toboggan
|
W22.01, W51.01, U99.043a
|
Trampoline
|
W09.05, U99.062a
|
Pool & natural water swimming, diving/jumping
|
W16, W67-W74, U99.020a, U99.021a, U99.024, U99.025a, U99.028a, U99.029a
|
Recreational boating
|
V90.2-V90.8, V91.2-V91.8, V92.2-V92.9, U99.022a, U99.030a, U99.031a, U99.085a
|
Ski or snowboard
|
W02.01, W02.04, W22.00, W51.00, U99.040a, U99.044a
|
Soccer
|
W22.04, W51.04, U99.002a
|
Struck/bumped by object/person, non-sports
|
W20.00, W22.08, W22.09, W50.00, W51.08, W51.09, W52
|
Intentional injuries
|
Self-harm
|
X60-X84, Y87.0
|
Assault
|
X85-X99, Y00-Y09, Y87.1
|
a “U” codes included only if accompanied with a “S” or “T” code from Chapter XIX. U codes were available for ER visits and hospitalizations only.
|
Data Table for Figure 3
|
Table 3. Leading causes of injury-related hospitalizations for Ottawa residents, all ages, 2017
Injury Type
|
Number of Hospitalizations
|
Falls
|
2749
|
Self-harm
|
429
|
Sports & recreation
|
286
|
MVTC occupant/motorcyclist
|
234
|
Unintentional poisonings
|
157
|
Assault
|
130
|
Cycling
|
93
|
Foreign body in eye/orifice
|
82
|
Overexertion
|
62
|
Cut/pierce
|
54
|
Pedestrian
|
48
|
Natural environment
|
43
|
Choking or suffocation
|
30
|
Burns
|
22
|
Non-fatal and fatal drowning
|
6
|
|
Table 4. Leading causes of injury-related hospitalizations, presented as counts with rates per 100,000 population in brackets, for Ottawa residents by age groups, 2017
Rank
|
0 to 4 Years Old
|
5 to 14 Years Old
|
15 to 24 Years Old
|
25 to 44 Years Old
|
45 to 64 Years Old
|
65+ Years Old
|
1
|
Falls
60 (113.0)
|
Falls
109 (104.1)
|
Self-harm
187 (143.1)
|
Falls
117 (40.3)
|
Falls
375 (140.5)
|
Falls
2030 (1342.6)
|
2
|
Sport & recreation
12 (22.6)
|
Sport & recreation
98 (93.6)
|
Falls
58 (44.4)
|
Self-harm
115 (39.6)
|
Self-harm
91 (34.1%)
|
MVTC, car/van/ truck/motorcycle occupant
57 (37.7)
|
3
|
Foreign body entering eye/orifice
10 (18.8)
|
Cycling
15 (14.3)
|
Sport & recreation
47 (36.0)
|
Assault
62 (21.4)
|
Sport & recreation
89 (33.3)
|
Struck/ bumped by object/person
37 (24.5)
|
4
|
Unintentional poisoning / overdose
8 (15.1)
|
Self-harm
13 (12.4)
|
MVTC, car/van/ truck/motorcycle occupant
40 (30.6)
|
MVTC, car/van/ truck/motorcycle occupant
62 (21.4)
|
MVTC, car/van/ truck/motorcycle occupant
73 (27.3)
|
Sport & recreation
32 (21.2)
|
5
|
Struck/ bumped by object/person
7 (13.2)
|
Foreign body entering eye/orifice
12 (11.5)
|
Assault
39 (29.9)
|
Unintentional poisoning / overdose
45 (15.5)
|
Unintentional poisoning / overdose
42 (15.7)
|
Unintentional poisoning / overdose
28 (18.5)
|
Total
|
All injuries
142 (267.4)
|
All injuries
241 (230.3)
|
All injuries
533 (408.0)
|
All injuries
840 (289.5)
|
All injuries
1487 (557.1)
|
All injuries
3358 (2221.0)
|
Data Source and Notes for Table 4
|
Hospitalizations resulting from unscheduled emergency department visits, National Ambulatory Care System (2017). Ontario Ministry of Health and Long-Term Care IntelliHealth Ontario. Extracted June 8, 2018.
- MVTC = Motor vehicle traffic collisions.
- Not all categories are mutually exclusive and unless stated, some of the injury categories (e.g. cycling, falls, drowning) may overlap with the sport & recreation category.
- The counts provided include all Ottawa residents seen at emergency departments and subsequently hospitalized in Ontario. Please note that injury events may have taken place outside of Ottawa.
- The approach to reporting leading causes of injury here is different from the way others have reported the leading causes of injury.
- It includes a sport and recreational injury category, utilizing Canadian-specific U99 activity codes for ED and hospitalization data, which are not mandatory in the hierarchy of coding sport and recreational injuries. The U99 activity codes are suggested for use in describing further, the activity of the injured person at the time the event occurred. For example, a person who fell while playing ice hockey would be coded as W00 (Fall on same level involving ice and snow) and U99.011 (Ice hockey). While we have used the U99 codes to tease out sport and recreation specific codes from categories where there is common (>5%) overlap (i.e., falls, overexertion), the categories are not all mutually exclusive. For example, a person who was bitten by a dog and fell while out for a run would be coded as W54 (Bitten or struck by dog), W01 (Fall on same level from slipping, tripping and stumbling) and U99.050 (Running) and would be counted in the sport and recreation and the natural environment categories, but would not be included in the falls, non-sports category.
- Another difference is that others have defined MVTC as a broader category, whereas we have separate categories for car/van/truck/motorcyclist occupants, pedestrians, public transit/bus/train occupants and cyclists injured in a transport collision.
- Due to these differences, the rankings should not be compared to other rankings of leading causes of injury morbidity and mortality.
- The following ICD-10-CA codes were used to categorize the injuries:
ICD-10-CA Codes for External Causes of Injuries
External Cause of Injury
|
ICD10-CA
|
All Unintentional Injuries
|
V01-X59, Y85-Y86. Emergency department and hospitalizations with a code of W75-W84 not accompanied by a main diagnosis of ICD-10-CA S or T are excluded.
|
Burns
|
X00-X19, W85-W93
|
Choking or suffocation
|
W75-W84 accompanied by a main diagnosis of ICD-10-CA S or T
|
Cut/pierce
|
W25-W29, W45-W46
|
Drowning/near drowning
|
W65-W74, V90, V92
|
Falls
|
W00-W19
|
Foreign body entering the eye or other orifice
|
W44
|
Motor vehicle traffic collisions, car/van/truck/motorcyclist occupant
|
V20-V69, V83-V85
|
Natural environment – bitten by animals, reptiles, insects, plants, forces of nature, heat, cold, noise/vibration
|
W53-W64, W92-W99, W42, W43, W20-39, X51-X57
|
Overexertion, non-sports
|
X50. Emergency department visits and hospitalizations accompanied with a code of U99.00-U99.09 are excluded.
|
Pedestrian
|
V01-V09
|
Poisoning/overdose (unintentional)
|
X40-X49
|
Public transit (bus, train, streetcar)
|
V70-V79, V81-V82
|
Sport and recreational activities
|
Includes ICD10-CA Chapter XX codes for ATV or snowmobile, baseball, cycling, rollerskate, scooter or skateboard, football or rugby, hockey/ringette, ice skating, playground, including trampoline, pool & natural water swimming, diving/jumping, recreational boating, ski or snowboarding, soccer, tobogganing and all activities coded as U99.00-U99.09 accompanied with a main diagnosis in Chapter XIX (S or T codes) and an unintentional injury code (V01-X59, Y85-Y86).
|
ATV or Snowmobile
|
V68, U99.032a, U99.045a
|
Baseball
|
W22.05, W21.01, W51.05, U99.010a
|
Cycling
|
V10-V19, U99.034a, U99.035a
|
Rollerskate, scooter or skateboard
|
W02.02, W02.03, W02.08, U99.036a
|
Football or rugby
|
W22.03, W51.03, U99.003 a, U99.004a
|
Hockey/Ringette
|
W21.02, W21.03, W22.02, W51.02, U99.011a, U99.012a, U99.013a, U99.014a, U99.016a
|
Ice skating
|
W02.00, U99.041a
|
Playground (excluding trampoline)
|
W09.0-W09.4, W09.6-W09.9
|
Toboggan
|
W22.01, W51.01, U99.043a
|
Trampoline
|
W09.05, U99.062a
|
Pool & natural water swimming, diving/jumping
|
W16, W67-W74, U99.020a, U99.021a, U99.024, U99.025a, U99.028a, U99.029a
|
Recreational boating
|
V90.2-V90.8, V91.2-V91.8, V92.2-V92.9, U99.022a, U99.030a, U99.031a, U99.085a
|
Ski or snowboard
|
W02.01, W02.04, W22.00, W51.00, U99.040a, U99.044a
|
Soccer
|
W22.04, W51.04, U99.002a
|
Struck/bumped by object/person, non-sports
|
W20.00, W22.08, W22.09, W50.00, W51.08, W51.09, W52
|
Intentional injuries
|
Self-harm
|
X60-X84, Y87.0
|
Assault
|
X85-X99, Y00-Y09, Y87.1
|
a “U” codes included only if accompanied with a “S” or “T” code from Chapter XIX. U codes were available for ER visits and hospitalizations only.
|
|