NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide...

NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide

National Trauma Data Bank 2010Annual Report


67% or greater

34% to 66%

0% to 33%

Percent of Hospitals Submitting Data to NTDB by State and US Territory

Figure1

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 trauma centers designated by a state of local authority and/or verified by the American College of Surgeons.


Facilities by Bed SizeFigure2


Figure3

Facilities by Trauma Level


Figure4

Facilities by Region


Figure5

Facilities by ICD-9 Inclusion Criteria


Figure6

Facilities by Length of Stay Inclusion Criteria


Figure7

Facilities by Isolated Hip Fracture Inclusion Criteria by Age


Figure8

Facilities by Death on Arrival (DOA) Inclusion Criteria


Figure9

Incidents by Age


Figure 10 Case Fatality Rate by Age


Figure

11

Incidents by Age and Gender


Figure

12

Case Fatality Rate by Age and Gender


Figure

13

Alcohol Use


Figure

14

Drug Use


Figure

15

Primary Payment Source


Figure

16A

Incidents by Selected Mechanisms of Injury


Figure

16B

Case Fatality Rate by Selected Mechanisms of Injury


Figure

17

Incidents by Selected Mechanisms of Injury and Age


Figure

18

Case Fatality Rate by Selected Mechanisms of Injury and Age


Figure

19A

Incidents by Selected Mechanisms of Injury and Gender


Figure

19B

Case Fatality Rate by Selected Mechanisms of Injury and Gender


Figure

20

Incidents by Comparative Injury Severity Scores


Figure

21

Case Fatality Rate by Injury Severity Score


Figure

22

Injury Severity Score by Age


Figure

23

Case Fatality Rate by Injury Severity Score and Age


Incidents by Work-Related InjuriesFigure

24A


Case Fatality Rate by Work-Related InjuriesFigure

24B


Case Fatality Rate by IntentFigure

25


Case Fatality Rate by Location E-codeFigure

26


Incidents by AIS Body Region

Note: An incident may involve multiple organ systems and a patient will then be counted in each of the organ systems in which there is an injury.

Figure

27


Incidents with AIS ≥ 3 by AIS Body Region

Note: An incident may involve multiple body regions, and, if so, the patient will be counted in each of the categories in which there is an injury.

Figure

28


Case Fatality Rate for AIS > 3 AIS Body Region

Note: an incident may involve multiple body regions, and, if so, the patient will be counted in each of the categories in which there is an injury.

Figure

29


Incidents by Protective DevicesFigure

30


Median Total Prehospital (in Minutes) by Selected Mechanisms of Injury

Figure

31

MEDIAN TOTAL PREHOSPITAL TIME (IN MINUTES) BY SELECTED MECHANISMS OF INJURY

0

10

20

30

40

50

60

70

Natu

ral/e

nviro

nmen

tal, Ot

her

Tran

spor

t, othe

r

Hot o

bjec

t/sub

stanc

e

Fire

/flam

e

Machine

ry

Othe

r spe

cified

and

classifi

able

Drow

ning

/subm

ersio

n

Natu

ral/e

nviro

nmen

tal, Bites a

nd st

ings

Over

exer

tion

NUM

BER

OF M

INUTES


Median Total Prehospital Time (in Minutes) by Injury Severity Score

Figure

32


Median Length of Stay (in Days) by Selected Mechanisms of Injury

Figure

33


Median Length of Stay (in Days) by Injury Severity Score

Figure

34


Median Ventilator Days by Selected Mechanisms of Injury

Figure

35


Median Ventilator Days by Injury Severity Score

Figure

36


Median ICU Days by Mechanism of InjuryFigure

37


Median ICU Days by Injury Severity ScoreFigure

38


Incidents by ED Discharge DispositionFigure

39


Reasons for Death in Emergency DepartmentFigure

40


Incidents by Hospital Discharge DispositionFigure

41


Incidents by RegionFigure

42


Case Fatality Rate by RegionFigure

43


Mechanism of Injury by RegionFigure

44


Injury Severity Score by RegionFigure

45


Incidents by RuralityFigure

46


Case Fatality Rate by RuralityFigure

47


Mechanism of Injury by RuralityFigure

48


Injury Severity Score by RuralityFigure

49


Number of Cases Submitted per Facility for Level I Facilities

Figure

50

Only cases with valid trauma diagnosis code per the NTDB criteria are included in the analysis. Trauma level is based upon ACS verification and state designation.


Number of Cases Submitted per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds

Figure51

Only Cases with valid trauma diagnosis code per the NTDB criteria are included in the analysis. Trauma level is based upon ACS verification and state designation.


Number of Cases Submitted per Facility for Level II Facilities with Bed Size Greater than 400 Beds

Figure52

Only cases with valid trauma diagnosis code per the NTDB criteria are included in the analysis. Trauma level is based upon ACS verification and state designation; however, pediatric hospitals are not included in the analysis.


Number of Cases Submitted per Facility for Level III Facilities

Figure

53



Number of Cases Submitted per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable

Figure

54



Case Fatality Rate per Facility for Level I Facilities

Figure

55

One facility out of the 194 level I facilities had a case fatality rate of 0% reported and is therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.


Case Fatality Rate per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds

Figure

56

Three out of the 137 facilities had a case fatality rate of 0% reported and are therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.


Case Fatality Rate per Facility for Level II Facilities with Bed Size Greater than 400 BedsFigur

e57

One facility out of the 80 level II facilities had a case fatality rate of 0% reported and is therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation.


Case Fatality Rate per Facility for Level III Facilities

Figure

58

Four facilities out of the 121 level II facilities had a case fatality rate of 0% reported and is therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation.


Case Fatality Rate per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable

Figure

59

Thirty-seven facilities out of the 131 facilities had a case fatality rate of 0% reported and is therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation.


Percentage of Cases with ISS ≥ 16 per Facility for Level I Facilities

Figure

60

The ISS score calculated for all records are based on the ICD-90 map. Trauma level is based upon ACS verification and state designation; however, pediatric hospitals are not included in the analysis.


Percentage of Cases with ISS ≥ 16 per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds

Figure

61

The ISS score calculated for all records are based on the ICD-90 map. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.


Percentage of Cases with ISS ≥ 16 per Facility for Level II Facilities with Bed Size Greater than 400 Beds

Figure

62



Percentage of Cases with ISS ≥ 16 per Facility for Level III Facilities

Figure

63



Percentage of Cases with ISS ≥ 16 per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable

Figure

64

Thirteen out of 131 facilities had no incidents with ISS ≥16, and are therefore not visible on the graph. The ISS score calculated for all records are based on the ICD-90. Trauma level is based upon ACS verification and state designation.


Data Completeness per Facility for Level I Facilities

Figure

65

An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation; however, pediatric hospitals are not included in the analysis.


Data Completeness per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds

Figure

66

One out of 137 facilities had 0% of the incidents complete, and is therefore not visible on the graph. An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.


Data Completeness per Facility for Level II Facilities with Bed Size Greater than 400 Beds

Figure

67

An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation; however, pediatric hospitals are not included in the analysis.


Data Completeness per Facility for Level III FacilitiesFigure

68

Nine out of 121 facilities had 0% of the incidents complete, and are therefore not visible on the graph. An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation.


Data Completeness per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable

Figure

69

Thirteen out of 131 facilities had 0% of the incidents complete, and are therefore not visible on the graph. An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation.


Complications Reported per Facility for Level I FacilitiesFigure

70

Two out of 194 facilities had 0% of the incidents with valid response for hospital complications, including not applicable, and are therefore not visible on the graph. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.


Complications Reported per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds

Figure

71

Three out of 137 facilities had 0% of the incidents with valid response for hospital complications, including not applicable, and are therefore not visible on the graph. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.


Complications Reported per Facility for Level II Facilities with Bed Size Greater than or Equal 400 Beds

Figure

72

Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.


Complications Reported per Facility for Level III Facilities

Figure

73

Three out of 121 facilities had 0% of the incidents with valid response for hospital complications, including not applicable, and are therefore not visible on the graph. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.


Complications Reported per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable

Figure

74

Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.


Resources

• www.ntdb.org for more information about NTDB

• www.ntdbdatacenter.com to submit data to NTDB

• www.ntdsdictionary.org for information on the data standard

http://www.ntdb.org/

http://www.ntdbdatacenter.com/

http://www.ntdsdictionary.org/

NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide...

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