American College of Surgeons National Trauma Data Bank ® 2006. Version 6.0 © American College of...



Figure 1

States and U.S Territories submitting data to the NTDB. Percent of hospitals = Number of hospitals in the state that have submitted to the NTDB* divided by the number of hospitals identified by the Trauma Exchange Information Program (TIEP) as a trauma center. A trauma center is a hospital that is designated by a state or local authority or is verified by the American College of Surgeons.

67% or greater

34% to 66%

0% to 33%



Figure 2A

Size of hospitals submitting data to the NTDB as indicated by number of licensed beds. Total N = 640.

Hospitals by Size

0

50

100

150

200

250

300

Licensed Beds

Nu

mb

er o

f H

osp

ital

s

< 200

201 - 400

401 - 600

> 600

Unspecified



Figure 3A

Number of hospitals submitting to NTDB ranked by level of designation. Total N= 640.

Hospitals by Level of Designation

0

50

100

150

200

250

300

350

Level of Designation

Nu

mb

er o

f H

osp

ital

s I

II

III

IV

V

Unspecified



Figure 4A

Source of payment for hospital charges. Total patients with known source of payment = 1,031,030.

Source of Payment

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

200,000N

um

ber

of

Pat

ien

tsSelf Pay

Medicare

Managed Care Organization

Medicaid

Other Com m ercialIndem nity Plan Other

Not Done/Not Doc

Autom obile Insurance

Blue Cross/Blue Shie ld

Worker's Com pensation

No Charge



Figure 5AYearly comparison of all patients in the NTDB.

The 2006 Annual Report reviewsthe combined data set for the period 2001 - 2005 that contains 1,191,215 records, highlighted in the box.

NTDB Data Submissions by Year

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

Nu

mb

er o

f P

atie

nts

NTDB 2005Submissions

NTDB 1993 to 2004Submissions



Figure 6A

Number of patients grouped by age.

Number of Patients by Age

0

5,000

10,000

15,000

20,000

25,000

30,000

1 6 11 16 21 26 31 36 41 46 51 56 61 66 71 76 81 86 91 96 101 106

Age (years)

Nu

mb

er o

f P

atie

nts



Figure 7A

Number of men and women grouped by age.

Patients by Age and Gender

0

5,000

10,000

15,000

20,000

25,000

1 8 15 22 29 36 43 50 57 64 71 78 85 92 99 106

Age (years)

Nu

mb

er o

f P

atie

nts

Females

Males



Figure 8A

Proportional distribution of patients, grouped by mechanism of injury.

Patients by Mechanism of Injury

0

50,000

100,000

150,000

200,000

250,000

300,000

350,000

400,000

450,000

500,000

Mechanism of Injury

Nu

mb

er o

f P

atie

nts

Motor vehicle traffic

Fall

Struck by, against

Firearm

Transport, other

Cut/pierce

Fire /burn

Pedal cyclis t, other

Other specified andclassifiableMachinery



Figure 9A

Number of patients injured by the most common mechanism of injury categories grouped by age.

Mechanism of Injury by Age

02,0004,0006,0008,000

10,00012,00014,00016,000

1 8 15 22 29 36 43 50 57 64 71 78 85 92 99 106

Age (years)

Nu

mb

er o

f P

atie

nts Motor Vehicle Traffic

Fall

Struck by

Firearm

Transport, other



Figure 10A

Number of deaths in each category of injury mechanism. Other includes the other specified and classifiable mechanism.

Deaths by Mechanism of Injury

0

5,000

10,000

15,000

20,000

25,000

Mechanism of Injury

Nu

mb

er o

f P

atie

nts


Fall

Struck by, against

Firearm

Transport, other

Cut/pierce

Fire/burn

Pedal cyclist, other

Other specified andclassifiableMachinery



Figure 11A

Case fatality by age. (Case Fatality = number of deaths divided by the number of patients X 100 by age).

Case Fatality by Age

0.0%

2.0%

4.0%

6.0%

8.0%

10.0%

12.0%

1 6 11 16 21 26 31 36 41 46 51 56 61 66 71 76 81 86 91 96 101

Age (years)

Cas

e F

atal

itie

s (%

)



Figure 12A

Case fatality for males and females grouped by age. (Case fatality = number of deaths divided by the number of patients X 100 by age and gender).

Case Fatality by Age and Gender

0%2%4%6%8%

10%12%14%16%18%

1 7 13 19 25 31 37 43 49 55 61 67 73 79 85 91 97

Age (years)

Cas

e F

atal

ity

(%)

Males

Females



Figure 13A

Number of deaths due to injuries from the most common mechanism of injury categories grouped by age.

Deaths by Mechanism and Age

0

100

200

300

400

500

600

700

1 8 15 22 29 36 43 50 57 64 71 78 85 92 99

Age (years)

Nu

mb

er o

f P

atie

nts Motor Vehicle Traffic

Fall

Struck by

Firearm

Transport, other



Figure 14A

Proportional distribution of total hospital length of stay, grouped by mechanism of injury.

Total Hospital Length of Stay by Mechanism of Injury

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000

M echanism of Injury

Ho

sp

ita

l L

OS

in

Da

ys


Fall

Transport, other

Struck by, against

Firearm

Cut/pierce

Fire/burn

Machinery

Unspecified

Pedal cyclist, other



Figure 15A

Average hospital length of stay grouped by mechanism of injury (Average hospital length of stay = total hospital length of stay divided by the number of patients by mechanism of injury).

Average Hospital LOS by Mechanism of Injury

0.0

2.0

4.0

6.0

8.0

10.0

12.0

Mechanism of Injury

Ave

rag

e H

osp

ital

LO

S i

n D

ays

Adverse effects

Fire/burn

Firearm

Drowning/submersion

Pedestrian, other


Other specified and classifiable

Unspecified

Fall

Transport, other

Poisoning



Figure 16A

Proportional distribution of total days of ICU care grouped by mechanism of injury.

Total ICU Length of Stay by Mechanism of Injury

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

800,000

900,000

Mechanism

ICU

LO

S i

n D

ays

Motor vehicletrafficFall

Firearm

Transport, other

Fire/burn

Struck by,againstOther specifiedand classifiableCut/pierce

Unspecified

Machinery



Figure 17A

Average ICU length of stay grouped by mechanism of injury.

Average ICU Length of Stay by Mechanism of Injury

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

Av

era

ge

ICU

LO

S in

Da

ys

Fire/burn

Drowning/submersion

Adverse effects

Firearm


Suffocation

Other specified andclassifiable Pedestrian, other

Unspecified

Poisoning



Figure 18A

Percentage of patients by Injury Severity Score (ISS) range.

Percentage of Patients and Injury Severity Score (ISS)

0

10

20

30

40

50

60

70

Per

cen

tag

e o

f P

atie

nts

ISS 1 - 9

ISS 10 - 15

ISS16 - 24

ISS > 24

Unknown



Figure 19A

Number of injured patients by Injury Severity Score (ISS) range, at each age.

Patients by ISS and Age

0

2,000

4,000

6,000

8,00010,000

12,000

14,000

16,000

18,000

1 6 11 16 21 26 31 36 41 46 51 56 61 66 71 76 81 86 91 96 101 106

Age (years)

Nu

mb

er o

f P

atie

nts

ISS 1-9

ISS 10-15

ISS 16-24

GT >24



Figure 20A

Case fatality grouped by Injury Severity Score (ISS) range. (Case fatality = number of deaths divided by the number of patients × 100 by ISS range).

Case Fatality by Injury Severity Score (ISS)

0

5

10

15

20

25

30

35

Injury Severity Score

Cas

e F

atal

ity

(%) ISS 1 - 9

ISS 10 - 15

ISS 16 - 24

> 24

Unknown



Figure 21A

Number of deaths grouped by Injury Severity Score (ISS) range at each age.

Deaths by ISS and Age

0100200

300400500600700

800900

1000

1 7 13 19 25 31 37 43 49 55 61 67 73 79 85 91 97

Age (years)

Nu

mb

er o

f P

atie

nts

ISS 1 - 9

ISS 10 - 15

ISS 16 - 24

ISS > 24



Figure 22A

Proportional distribution of total hospital length of stay for patients, grouped by Injury Severity Score (ISS) range.

Total Hospital Length of Stay and ISS

0

500,000

1,000,000

1,500,000

2,000,000

2,500,000

3,000,000


To

tal

Ho

spit

al L

OS

in

Day

s

ISS 1 - 9

ISS 10 - 15

ISS 16 - 24

ISS > 24

Unknown



Figure 22B

Average hospital length of stay for each category of Injury Severity Score (ISS) range.

Average Hospital LOS and ISS

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0


Ave

rag

e H

osp

ital

LO

S i

n D

ays

ISS 1 - 9

ISS 10 - 15

ISS 16 - 24

ISS > 24

Unknown



Figure 23A

Proportional distribution of total ICU length of stay for patients, grouped by Injury Severity Score (ISS) range.

Total ICU LOS and Injury Severity Score (ISS)

0

100,000

200,000

300,000

400,000

500,000

600,000

700,000

800,000


To

tal I

CU

LO

S in

Da

ys

ISS 1 - 9

ISS 10 - 15

ISS 16 - 24

ISS > 24

Unknown



Figure 23B

Average ICU length of stay by Injury Severity Score (ISS) range.

Average ICU LOS and Injury Severity Score (ISS)

0

1

2

3

4

5

6

7

8

9


Ave

rag

e IC

U L

OS ISS 1 - 9

ISS 10 - 15

ISS 16 - 24

ISS > 24

Unknown



Figure 24A

Unintentional motor vehicle traffic related injuries (UMVTRI) are classified from ICD-9-CM ECode E810 to E819.

Number of patients injured in UMVTRI, number who were occupant, motorcyclist, pedal cyclist, pedestrian and unspecified at each age.

Unintentional Motor Vehicle Traffic Related Injuries

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

1 8 15 22 29 36 43 50 57 64 71 78 85 92 99

Age (years)

Nu

mb

er

of

Pa

tie

nts Occupant

Motorcyclist

Pedestrian

Pedal Cyclist

Unspecified



Figure 25A

Unintentional motor vehicle traffic related injuries (UMVTRI) sustained by occupants are classified from ICD -9 –CM Ecode E810-E819 (.0, .1).

Number of patients injured in UMVTRI, number who were drivers, and number who were passengers at each age.

Unintentional Motor Vehicle Related Injuries, Occupant by Age

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

1 7 13 19 25 31 37 43 49 55 61 67 73 79 85 91 97

Age (years)

Nu

mb

er

of

Pa

tie

nts

Occupant

Driver

Passenger



Figure 26A

Proportional distribution of patients, grouped by intent.

Patients by Intent

Unintentional

Assault

Se lf-inflicted

Undeterm ined

Other



Figure 27A

Proportional distribution of deaths, grouped by intent. Total N = 48,149.

Deaths by Intent

Self-inflicted

Undeterm ined

Other

Assault

Unintentional

American College of Surgeons National Trauma Data Bank ® 2006. Version 6.0 © American College of...

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