Indiana Trauma Registry 2018.pdf · January 2017 to December 2017 40116 Incidents 1 November 2017...

Monthly Report for October 2018 Indiana Trauma Registry

*As an expansion to my role I have been training Indiana coroners on the Indiana Coroner

Case Management System (INCCMS) while continuing to train hospitals on the Indiana

Trauma Registry.-Ramzi*

On October 11h, Ramzi Nimry (Statewide Trauma System Development and Training

Manager) attended the District 3 TRAC at the Public Safety Academy in Fort Wayne, IN.

On October 17th, Ramzi Nimry (Statewide Trauma System Development and Training

Manager) and Camry Hess (Data Analyst) attended the Trauma Registry Annual Feedback call.

On October 19th, Ramzi Nimry (Statewide Trauma System Development and Training

Manager) and Camry Hess (Data Analyst) attended the Indiana State Trauma Care Committee

and Indiana Trauma Network meetings.

From October 24th-26th, Ramzi Nimry (Statewide Trauma System Development and Training

Manager) attended Kentucky’s Annual Trauma and Emergency Medicine Symposium in

Louisville, KY.

Completeness

Indiana Trauma Registry

Timeliness

The Hospital Discharge database, also maintained by the ISDH, contains all records of patients cared for in Indiana hospitals. We

compared patient records from the ITR with the Hospital Discharge database to know how complete is the ITR’s data. The hospital

discharge database is 66% complete.

The Indiana Trauma Registry (ITR) monthly report is a dashboard style report for the Indiana Criminal Justice Institute (ICJI) and

any other party concerned about trauma in Indiana. This report highlights the four data quality measures for the ICJI grant: com-

pleteness, timeliness, uniformity, integration and accessibility. This report uses data within the ITR, with an emphasis on motor ve-

hicle collisions (MVC).

Timeliness increases as facilities wait until the data submission deadline to submit data to the ITR. Hospitals are asked to report

data on the national trauma (TQIP) reporting schedule. The average timeliness in the past year was 83 days.

Monthly Report for October 2018

Uniformity In October we sent out the fifty-first monthly quiz for the inter-rater reliability study. There were 30 partici-

pants from 19 (16% of hospitals with EDs in Indiana) hospitals who completed the quiz. The percent correct

was 70% and the free-marginal kappa was 0.36.

Integration The number of linked EMS to trauma cases was 2,124 for Q4 2017 data. Trauma data is due on a quarterly

basis.

Indiana Trauma Registry

Accessibility There were 2 aggregate data requests (2 days) in October. There were no self report or identifiable requests.

Monthly Report for October 2018

January 2017 to December 2017 40116 Incidents 1

November 2017 October 2018 27032 IncidentsCause of Injury (COI)

Cause of Injury (COI)

Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport

23.7

55.1

6.21.9

11.3

0

10

20

30

40

50

% o

f Tot

al In

cide

nts

November 2017 to October 2018

Cause of Injury (COI)

Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport

21.3

59.6

5.41.8

10

0

10

20

30

40

50

60

% o

f Tot

al In

cide

nts

2017

COI-Motor Vehicle Collision (MVC)

UnspecifiedBicyclistPedestrianMotorcycleAutomobile

73.1

16.5

5.71.7 3


0

20

40

60

% o

f MV

C F

requ

ency

COI-Motor Vehicle Collision (MVC)

UnspecifiedBicyclistPedestrianMotorcycleAutomobile

78.3

11.65.8

1.1 3.2

2017

0

20

40

60

80

% o

f MV

C F

requ

ency

November 2017 to October 2018 4346 Incidents 2

January 2017 to December 2017 7002 IncidentsMotor Vehicle Collision

COI-MVC Nonfatal Incidents and Fatal Incidents

UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)

18563 34 5 2

Fatal Incidents 20174935

1095

363

112208

Nonfatal Incidents 2017

0

1000

2000

3000

4000

5000

Cou

nt o

f In

cide

nts

& F

atal

itie

s

UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)

10917 20 4 3

Fatal Incidents November 2017 to October 20183295

486

232

45135

Nonfatal Incidents November 2017 to October 20...

0

1000

2000

3000

Cou

nt o

f In

cide

nts

& F

atal

itie

s


Motor Vehicle Collision

Race

82.4

12

0.9 0.2 1.9 2.6

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy

Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite

Race Category

Age

9.5

72.7

17.8

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency

Elderly (>65)AdultPediatric (<18)Age Category

Gender

58.3

41.7

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender

Drug & Alcohol Use

0.7 0.4

63.2

0

20

40

60

80

100

Per

cent

age

of D

rugs

or

Alc

ohol

Use

Total Alcohol or Drug Involved MVCDrug-rX UseDrug-illegal Use

Drugs or Alcohol Use

Injury Severity Score

41.2

31.9

14.5

8.1

1.2 0.22.9

0

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy

NO ISS7545-7425-4415-249-141-8ISS Category

Injury Severity Score (ISS) is a measure of how bad the injuryis. Scores over 15 are considered major trauma. A score of 75

is considered not survivable.

Protective Devices

0.6 0.7 0 0.80

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se

Any Safety Equipment UseHelmet UseSeatbelt UseAirbag Use

Protective Devices


Race- Motor Vehicle Collision

2017

84.3

10.8

0.7 0.2 1.8 2.3

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category


82.4

12

0.9 0.2 1.9 2.6

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category

MotorcycleNovember 2017 to October 2018

89.1

7.1

0.3 1.1 2.3

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy

Not KnownOther RaceAsianBlack or African AmericanWhite

Race Category

AutomobileNovember 2017 to October 2018

84.3

10.6

0.9 0.2 2 20

20

40

60

80

100P

erce

ntag

e of

Rac

e F

requ

ency


Race Category

BicyclistNovember 2017 to October 2018

81.2

13.7

3.4 1.70

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy

Not KnownOther RaceBlack or African AmericanWhiteRace Category

PedestrianNovember 2017 to October 2018

71.8

23.4

0.5 1.8 2.5

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy

Not KnownOther RaceAsianBlack or African AmericanWhite

Race Category

November 2017 October 2018 4346 Incidents 5

Age- Motor Vehicle Collision

2017

10.1

74.2

15.8

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency



9.5

72.7

17.8

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency



3.2

90.2

6.6

0

20

40

60

80

100

Per

cent

age

of A

ge C

ateg

ory



9.6

72.1

18.4

0

20

40

60

80

100P

erce

ntag

e of

Age

Cat

egor

y



41.9

49.6

8.5

0

20

40

60

80

100

Per

cent

age

of A

ge C

ateg

ory



24.2

64

11.8

0

20

40

60

80

100

Per

cent

age

of A

ge C

ateg

ory



Gender- Motor Vehicle Collision

2017

60.8

39.2

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender


58.3

41.7

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender


85

15

0

20

40

60

80

100

Per

cent

age

of G

ende

r

FemaleMaleGender


55

45

0

20

40

60

80

100P

erce

ntag

e of

Gen

der

FemaleMaleGender


85.5

14.5

0

20

40

60

80

100

Per

cent

age

of G

ende

r

FemaleMaleGender


59.7

40.3

0

20

40

60

80

100

Per

cent

age

of G

ende

r

FemaleMaleGender


Drug & Alcohol Use- Motor Vehicle Collision

2017

36.6

0.4 0.7

62.3

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se

No Drugs or Alcohol InvolvedBoth Drugs & Alcohol InvolvedOnly Drugs InvolvedOnly Alcohol Involved

MVC Drug & Alcohol Use


62.1

0.4 0.7

36.8

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se


MVC Drug & Alcohol Use


40.3

0.3 0.5

58.9

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se


Drug & Alcohol Use


36.8

0.4 0.7

62.1

0

20

40

60

80

100P

erce

ntag

e of

Dru

g &

Alc

ohol

Use


Drug & Alcohol Use


26.5

73.5

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se

No Drugs or Alcohol InvolvedOnly Alcohol InvolvedDrug & Alcohol Use


35.3

1.3 0.3

63.2

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se


Drug & Alcohol Use


Injury Severity Score- Motor Vehicle Collision

2017

41.7

32.4

148.2

1.1 0.3 2.2

0

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



41.2

31.9

14.5

8.1

1.2 0.22.9

0

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



35.3 35.1

15.810.9

1.3 0.3 1.20

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



43.2

31.9

13.7

7.4

1.1 0.3 2.4

0

20

40

60

80

100P

erce

ntag

e of

IS

S F

requ

ency



3530.8

17.915.4

0.90

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy

45-7425-4415-249-141-8ISS Category


35 34.5

14.412.1

1.5 1.3 1.30

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



Protective Devices- Motor Vehicle Collision

2017

31.7 32.8

0.44.3

55.1

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se

No Safety Equipment UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use

Protective Devices


0.6 0.7 0

99.2

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se

No Safety Equipment UseHelmet UseSeatbelt UseAirbag UseProtective Devices


0.1 0.3

23.1

76.6

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se

No Safety Equipment UseHelmet UseSeatbelt UseAirbag UseProtective Devices


42.9 44.2

0.5 0.3

45

0

20

40

60

80

100P

erce

ntag

e of

Pro

tect

ive

Dev

ice

Use

No Safety Equipment UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use

Protective Devices


11.1

88.9

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se

No Safety Equipment UseHelmet UseProtective Devices


0.3 0.5

99.2

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evi..

.

No Safety Equipment UseHelmet UseSeatbelt UseProtective Devices

PedestrianMVC

10101010

Drug-rX UseDrug-illegal UseMVC involving Drugs or Alcohol

Per

cent

age

of M

VC

invo

lvin

g D

rugs

or

Alc

ohol

2.4

District 9

2.81.4

District 8

0.6

District 7

1

District 6

0.2 0.3

District 5

1.1 0.5

District 4

0.3 0.3

District 2

2 1.4

District 1

0.7 0.4

State Average

0

10

20

30

0

10

20

30

0

10

20

30

Indiana Trauma Registry 2018.pdf · January 2017 to December 2017 40116 Incidents 1 November 2017...

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Transcript of Indiana Trauma Registry 2018.pdf · January 2017 to December 2017 40116 Incidents 1 November 2017...