{"id":23319,"date":"2026-01-20T09:43:10","date_gmt":"2026-01-20T14:43:10","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=23319"},"modified":"2026-02-24T09:53:45","modified_gmt":"2026-02-24T14:53:45","slug":"access-to-primary-care-is-associated-with-improved-long-term-survival-after-severe-traumatic-injury","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/access-to-primary-care-is-associated-with-improved-long-term-survival-after-severe-traumatic-injury\/","title":{"rendered":"Access to primary care is associated with improved long-term survival after severe traumatic injury"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 Survivors of severe traumatic injury remain at elevated risk of death in the years after injury. Little is known about how long-term mortality among injury survivors can be reduced. Given the importance of primary care to overall health, we hypothesized that access to primary care would be associated with improved long-term survival among injury survivors.<\/p>\n<p><strong>Methods<\/strong> \u2014 This population-based, retrospective cohort study (2010\u20132022) included community-dwelling adults (18 years or older) discharged alive after a severe traumatic injury (Injury Severity Score, &gt;15). The exposure of interest was access to primary care, defined as either visiting or being enrolled with a primary care physician in the 2 years prior to injury. The primary outcome was 5-year all-cause mortality. Cox proportional hazards models were used to evaluate the relationship between access to primary care and mortality, adjusting for sociodemographic characteristics, comorbidity, and injury severity.<\/p>\n<p><strong>Results<\/strong> \u2014 We identified 25,713 survivors of severe injury (mean age, 54 years; 32% female), of whom 92% (n = 23,720) had access to primary care. Five-year mortality was 13% (n = 3,265). Adjusting for patient characteristics, access to primary care was associated with a 20% lower hazard of death (hazard ratio, 0.80; 95% confidence interval, 0.68\u20130.93) at 5 years. The relationship between access to primary care and mortality was preserved across subgroups of age, sex, and comorbidity.<\/p>\n<p><strong>Conclusion<\/strong> \u2014 Survivors of severe traumatic injury without access to primary care were more likely to die in the 5 years after discharge, identifying a vulnerable subset of the survivor population. Primary care physicians may represent key partners to trauma care providers in developing strategies that improve long-term outcomes in the years after injury.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 Survivors of severe traumatic injury remain at elevated risk of death in the years after injury. Little is known about how long-term mortality among injury survivors can be reduced. Given the importance of primary care to overall health, we hypothesized that access to primary care would be associated with improved long-term survival among [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[55,28],"migration-helper-qa-sample-set":[],"class_list":["post-23319","journal_article","type-journal_article","status-publish","hentry","topic-injuries-and-accidents","topic-primary-care"],"acf":{"citation":"Yee EK, Little D, Mason SA, Rosella LC, Jaakkimainen L, Zagorski BM, Postill G, Nathens AB, Tillmann BW, Haas B. <em>J Trauma Acute Care Surg<\/em>. 2026; 100(3): 437-445. Epub 2026 Jan 20.","source_url":"https:\/\/doi.org\/10.1097\/ta.0000000000004866","ices_scientist":[1329,1339,1283,1303,1265],"site":[6733],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Access to primary care is associated with improved long-term survival after severe traumatic injury<\/title>\n<meta name=\"description\" content=\"Background \u2014 Survivors of severe traumatic injury remain at elevated risk of death in the years after injury. 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