Indiana Trauma Registry 2018.pdf · Indiana Trauma Registry Monthly Report for April 2018...
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Monthly Report for April 2018 Indiana Trauma Registry *As an expansion to my role I have been training Indiana coroners on the Indiana Coroner Case Management System while continuing to train hospitals on the Indiana Trauma Registry.-Ramzi* On April 12, Ramzi Nimry (Statewide Trauma System Development and Training Manager) attended and presented at the District 7 Trauma Symposium in Terre Haute. On April 18, Ramzi Nimry (Statewide Trauma System Development and Training Manager) attended the District 5 Trauma Regional Advisory Committee at Indianapolis EMS. On April 19, Ramzi Nimry (Statewide Trauma System Development and Training Manager) guest lectured for H-366 Health Problems in the Community course at IUPUI. On April 26, Ramzi Nimry (Statewide Trauma System Development and Training Manager) attended and presented at the District 10 Trauma Regional Advisory Council in Evansville.
Transcript of Indiana Trauma Registry 2018.pdf · Indiana Trauma Registry Monthly Report for April 2018...
Monthly Report for April 2018 Indiana Trauma Registry
*As an expansion to my role I have been training Indiana coroners on the Indiana Coroner
Case Management System while continuing to train hospitals on the Indiana Trauma
Registry.-Ramzi*
On April 12, Ramzi Nimry (Statewide Trauma System Development and Training
Manager) attended and presented at the District 7 Trauma Symposium in Terre Haute.
On April 18, Ramzi Nimry (Statewide Trauma System Development and Training
Manager) attended the District 5 Trauma Regional Advisory Committee at Indianapolis EMS.
On April 19, Ramzi Nimry (Statewide Trauma System Development and Training
Manager) guest lectured for H-366 Health Problems in the Community course at IUPUI.
On April 26, Ramzi Nimry (Statewide Trauma System Development and Training
Manager) attended and presented at the District 10 Trauma Regional Advisory Council in
Evansville.
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 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 decrease in timeliness from November 2017 until February 2018 is due to only timely reports being provided to the ITR
during this time frame, typically from non-trauma hospitals and early reporting trauma centers.
Monthly Report for April 2018
Uniformity In April we sent out the forty-eighth monthly quiz for the inter-rater reliability study. There were 52 partici-
pants from 34 hospitals who completed the quiz. The percent correct was 75% and the free-marginal kappa
was 0.36. We plan to collect data for four months and track trends in percent of correct answers by individu-
als and as a group over time as well as their consistency. Other activities to improve the uniformity of data
includes trauma registrar training throughout the state and at the Indiana State Department of Health.
Integration The number of linked EMS to trauma cases was 2,197 for Q3 2017 data. Trauma data is due on a quarterly
basis.
Indiana Trauma Registry
Accessibility The average time to complete data requests was 1 day for aggregate requests (1 total). The average time to
complete a identifiable report was 2 days (1 total). There were no self reports.
Monthly Report for April 2018
January 2017 to December 2017 39192 Incidents 1
May 2017 April 2018 28190 IncidentsCause of Injury (COI)
Cause of Injury (COI)
Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport
24.2
54.4
6.51.9
11.2
0
10
20
30
40
50
% o
f Tot
al In
cide
nts
May 2017 to April 2018
Cause of Injury (COI)
Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport
25.4
53.9
6.52
10.5
0
10
20
30
40
50
% o
f Tot
al In
cide
nts
2017
COI-Motor Vehicle Collision (MVC)
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
71.1
18.5
5.71.9 2.9
May 2017 to April 2018
0
20
40
60
% o
f MV
C F
requ
ency
COI-Motor Vehicle Collision (MVC)
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
70.6
19.1
5.3 1.9 3.1
2017
0
20
40
60
% o
f MV
C F
requ
ency
May 2017 to April 2018 5056 Incidents 2
January 2017 to December 2017 6901 IncidentsMotor Vehicle Collision
COI-MVC Nonfatal Incidents and Fatal Incidents
UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)
15263 30 4 2
Fatal Incidents 20174129
1050
311
108 172
Nonfatal Incidents 2017
0
1000
2000
3000
4000
Cou
nt o
f In
cide
nts
& F
atal
itie
s
UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)
12353 23 2 2
Fatal Incidents March 2017 to February 20183331
884
236
91149
Nonfatal Incidents March 2017 to February 2018
0
1000
2000
3000
Cou
nt o
f In
cide
nts
& F
atal
itie
s
May 2017 to April 2017 5056 Incidents 3
Motor Vehicle Collision
Race
84.7
10.3
0.8 0.1 1.9 2.2
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
10.2
73.9
15.9
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
Gender
61
39
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
Drug & Alcohol Use
0.8 0.3 1.10
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
41.9
32
13.88.7
1.2 0.3 2.2
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
26 27.3
0.44.4
37.7
0
20
40
60
80
100
Per
cent
age
of P
rote
ctiv
e D
evic
e U
se
Any Safety Equipment UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use
Protective Devices
May 2017 to April 2018 5056 Incidents 4
Race- Motor Vehicle Collision
2017
84.7
10.3
0.7 0.2 1.9 2.2
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
May 2017 to April 2018
84.7
10.3
0.8 0.1 1.9 2.3
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
MotorcycleMay 2017 to April 2018
89
7.1
0.3 1.1 2.4
0
20
40
60
80
100
Per
cent
age
of R
ace
Fre
quen
cy
Not KnownOther RaceAsianBlack or African AmericanWhite
Race Category
AutomobileMay 2017 to April 2018
84.1
10.7
0.9 0.2 2 20
20
40
60
80
100P
erce
ntag
e of
Rac
e F
requ
ency
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
BicyclistMay 2017 to April 2018
80.9
13.9
3.5 1.70
20
40
60
80
100
Per
cent
age
of R
ace
Fre
quen
cy
Not KnownOther RaceBlack or African AmericanWhiteRace Category
PedestrianMay 2017 to April 2018
71.6
23.5
0.5 1.8 2.6
0
20
40
60
80
100
Per
cent
age
of R
ace
Fre
quen
cy
Not KnownOther RaceAsianBlack or African AmericanWhite
Race Category
May 2017 April 2018 5056 Incidents 5
Age- Motor Vehicle Collision
2017
9.9
74.7
15.3
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
May 2017 to April 2018
10.2
73.9
15.9
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
MotorcycleMay 2017 to April 2018
3.2
90.2
6.6
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
AutomobileMay 2017 to April 2018
9.5
72.1
18.4
0
20
40
60
80
100P
erce
ntag
e of
Age
Cat
egor
y
Elderly (>65)AdultPediatric (<18)Age Category
BicyclistMay 2017 to April 2018
41.7
49.6
8.7
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
PedestrianMay 2017 to April 2018
24.6
63.4
12
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
May 2017 to April 2018 5056 Incidents 6
Gender- Motor Vehicle Collision
2017
61.3
38.7
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
May 2017 to April 2018
61.4
38.6
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
MotorcycleMay 2017 to April 2018
84.9
15.1
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
AutomobileMay 2017 to April 2018
55.1
44.9
0
20
40
60
80
100P
erce
ntag
e of
Gen
der
FemaleMaleGender
BicyclistMay 2017 to April 2018
85.2
14.8
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
PedestrianMay 2017 to April 2018
59.3
40.7
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
May 2017 to April 2018 5056 Incidents 7
Drug & Alcohol Use- Motor Vehicle Collision
2017
0.1 1 0
98.9
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
May 2017 to April 2018
1
99
0
20
40
60
80
100
Per
cent
age
of D
rug
& A
lcoh
ol U
se
No Drugs or Alcohol InvolvedOnly Drugs InvolvedMVC Drug & Alcohol Use
MotorcycleMay 2017 to April 2018
0.2 0.7
99.1
0
20
40
60
80
100
Per
cent
age
of D
rug
& A
lcoh
ol U
se
No Drugs or Alcohol InvolvedOnly Drugs InvolvedOnly Alcohol Involved
Drug & Alcohol Use
AutomobileMay 2017 to April 2018
0 1.1 0
98.9
0
20
40
60
80
100P
erce
ntag
e of
Dru
g &
Alc
ohol
Use
No Drugs or Alcohol InvolvedBoth Drugs & Alcohol InvolvedOnly Drugs InvolvedOnly Alcohol Involved
Drug & Alcohol Use
BicyclistMay 2017 to April 2018
100
0
20
40
60
80
100
Per
cent
age
of D
rug
& A
lcoh
ol U
se
No Drugs or Alcohol InvolvedDrug & Alcohol Use
PedestrianMay 2017 to April 2018
1.5
98.5
0
20
40
60
80
100
Per
cent
age
of D
rug
& A
lcoh
ol U
se
No Drugs or Alcohol InvolvedOnly Drugs InvolvedDrug & Alcohol Use
May 2017 to April 2018 5056 Incidents 8
Injury Severity Score- Motor Vehicle Collision
2017
41.6
32.5
148.5
1.1 0.3 2
0
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
May 2017 to April 2018
41.9
32.1
13.88.7
1.2 0.3 2
0
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
MotorcycleMay 2017 to April 2018
35 35.2
15.911
1.3 0.3 1.20
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
AutomobileMay 2017 to April 2018
43.1
31.8
13.9
7.5
1.1 0.3 2.2
0
20
40
60
80
100P
erce
ntag
e of
IS
S F
requ
ency
NO ISS7545-7425-4415-249-141-8ISS Category
BicyclistMay 2017 to April 2018
34.830.4
18.315.7
0.90
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
45-7425-4415-249-141-8ISS Category
PedestrianMay 2017 to April 2018
35 35
14.1 12.3
1.3 1.3 10
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
May 2017 to April 2018 5056 Incidents 9
Protective Devices- Motor Vehicle Collision
2017
36.7 37.8
0.55
48
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
May 2017 to April 2018
26.7 28
0.44.5
61.3
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
MotorcycleMay 2017 to April 2018
0.1 0.3
23.5
76.2
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
AutomobileMay 2017 to April 2018
43.7 45
0.6 0.3
43.9
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
BicyclistMay 2017 to April 2018
11.3
88.7
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
PedestrianMay 2017 to April 2018
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
3
District 9
1.6 1.6
District 8
0.6
District 7
0.9
District 6
0.6 0.2
District 5
1.3
District 4
1
District 2
4.6
0.8
District 1
0.8 0.3
State Average
0
10
20
30
0
10
20
30
0
10
20
30
