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Indiana Trauma Registry - IN.gov 2019 ICJI Monthly Report.pdf · Other Race Not Known Asian...
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Monthly Report for December 2019 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* December 3rd Ramzi Nimry (Statewide Trauma System Development and Training Manager) trained Parke County on the Indiana Coroner Case Management System. December 5th Ramzi Nimry (Statewide Trauma System Development and Training Manager) and Katie Hokanson attended the Stroke Consortium of Indiana at Community Hospital North in Indianapolis. December 11th Ramzi Nimry (Statewide Trauma System Development and Training Manager), Camry Hess (Data Analyst) and Andzelika Rzucidlo (Injury Prevention Epidemiologist) attended the TRCC meeting at IGC-South. December 12th Ramzi Nimry (Statewide Trauma System Development and Training Manager) attended and participated at the District 3 Trauma Regional Advisory Committee (TRAC) in Fort Wayne. December 13th Ramzi Nimry (Statewide Trauma System Development and Training Manager), Camry Hess (Data Analyst), Trinh Dinh (Registry Coordinator) and Andzelika Rzucidlo (Injury Prevention Epidemiologist) attended and participated in the Trauma System Planning Subcommittee, Indiana State Trauma Care Committee and Indiana Trauma Network meeting. December 17th Ramzi Nimry (Statewide Trauma System Development and Training Manager) trained Bartholomew County on the Indiana Coroner Case Management System.
Transcript of Indiana Trauma Registry - IN.gov 2019 ICJI Monthly Report.pdf · Other Race Not Known Asian...
Monthly Report for December 2019 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* December 3rd Ramzi Nimry (Statewide Trauma System Development and Training Manager) trained Parke County on the Indiana Coroner Case Management System. December 5th Ramzi Nimry (Statewide Trauma System Development and Training Manager) and Katie Hokanson attended the Stroke Consortium of Indiana at Community Hospital North in Indianapolis. December 11th Ramzi Nimry (Statewide Trauma System Development and Training Manager), Camry Hess (Data Analyst) and Andzelika Rzucidlo (Injury Prevention Epidemiologist) attended the TRCC meeting at IGC-South. December 12th Ramzi Nimry (Statewide Trauma System Development and Training Manager) attended and participated at the District 3 Trauma Regional Advisory Committee (TRAC) in Fort Wayne. December 13th Ramzi Nimry (Statewide Trauma System Development and Training Manager), Camry Hess (Data Analyst), Trinh Dinh (Registry Coordinator) and Andzelika Rzucidlo (Injury Prevention Epidemiologist) attended and participated in the Trauma System Planning Subcommittee, Indiana State Trauma Care Committee and Indiana Trauma Network meeting. December 17th Ramzi Nimry (Statewide Trauma System Development and Training Manager) trained Bartholomew County on the Indiana Coroner Case Management System.
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 86% 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 102 days.
Monthly Report for December 2019
Uniformity In December we sent out the sixty-third monthly quiz for the inter-rater reliability study. There were 32 partici-pants from 19 (15% of hospitals with EDs in Indiana) hospitals who completed the quiz. The percent correct was 76% and the free-marginal kappa was 0.33. Activities to improve the uniformity of data include trauma registrar training throughout the state and at the Indi-ana State Department of Health.
Integration The number of linked EMS to trauma cases was 1,639 for Q3 2018 data. Trauma data are due on a quarterly basis.
Indiana Trauma Registry
Accessibility There was one aggregate request (1 day on average) and one self-report (1 day on average) in December. There were no identifiable data requests.
Monthly Report for December 2019
December 2019 Indiana Trauma Registry ReportOverall Cause of Injury (COI)
January 2019 - December 2019: 27132 Incidents
Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport
Cause of Injury (COI)
21.5
59.2
5.4
2
9.5
0
10
20
30
40
50
60
% o
f T
ota
l Inc
ide
nts
Jan 2019 to Dec 2019
2018: 31956 Incidents
Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport
Cause of Injury (COI)
22
57.8
5.8
1.9
10.5
0
10
20
30
40
50
60
% o
f T
ota
l Inc
ide
nts
2018
COI-Motor Vehicle Collision (MVC)
January 2019 - December 2019: 4250 Incidents
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
COI-Motor Vehicle Collision (MVC)
73.6
16.4
5.8
1.52.7
0
20
40
60
% o
f M
VC
Fre
que
ncy
Jan 2019 to Dec 2019
2018: 5230 Incidents
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
COI-Motor Vehicle Collision (MVC)
71.5
18.2
5.3
2.1 2.9
0
20
40
60
% o
f M
VC
Fre
que
ncy
2018
December 2019 Indiana Trauma Registry Report
Motor Vehicle Collision: Nonfatal Incidents and Fatal Incidents
January 2019 - December 2019
UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)
8837 16 7 1
Fatal Jan 2018 to Dec 20193041
660
231
57112
Nonfatal Jan 2018 to Dec 2019
0
1000
2000
3000
Co
unt
of
Inci
dent
s
2019
UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)
102 43 27 8 4
Fatal 20193638
910
252
100 146
Nonfatal 2019
0
1000
2000
3000
Co
unt
of
Inci
dent
s
December 2019 Indiana Trauma Registry Report Overall Motor Vehicle Collisions (MVC) January 2019 - December 2019
Race
80
14.2
0.5 0.2 1.7 3.4
0
20
40
60
80
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
Age
9.4
74.2
16.3
0
20
40
60
80
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Gender
61.8
38.2
0
20
40
60
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
Drug & Alcohol Use
51
0.8
13.6
65.3
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
Injury Severity Score
38.3
34.7
14.2
8.6
1.40.1
2.8
0
10
20
30
40
Sco
re F
req
uenc
yP
erc
ent
age
of
Inju
ry S
eve
rity
NO ISS7545-7425-4415-249-141-8
ISS Category
Injury Severity Score (ISS) is a measure of how bad the injury is. Scoresover 15 are considered major trauma. A score of 75 is considered notsurvivable.
Protective Devices
48.7
45
1.1
4.2
0.8
37.4
0
10
20
30
40
50
Use
Pe
rce
ntag
e o
f P
rote
ctiv
e G
ear
No Safety Equipment UsedProtective Clothing/Gear UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use
Protective Gear Use
December 2019 Indiana Trauma Registry ReportMotor Vehicle Collisions by Race
2019
83.2
11
0.8 0.2 2 2.9
0
20
40
60
80
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
January 2019 - December 2019
80
14.2
0.5 0.2 1.7 3.4
0
20
40
60
80
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
January 2019 - December 2019: MVC by Collision Type and Race
Motorcycle
86.8
10.5
0.3 0.3 2.2
0
20
40
60
80
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAsianBlack or African AmericanWhite
Race Category
Automobile
79.6
14.3
0.5 0.2 2 3.4
0
20
40
60
80P
erc
ent
age
of
Rac
e F
req
uenc
y
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
Bicyclist
85.9
12.5
1.6
0
20
40
60
80
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownBlack or African AmericanWhiteRace Category
Pedestrian
63.6
27.1
0.42.8
6.1
0
20
40
60
Pe
rce
ntag
e o
f R
ace
Fre
que
ncy
Not KnownOther RaceAmerican Indian or Alaska NativeBlack or African AmericanWhite
Race Category
December 2019 Indiana Trauma Registry ReportMotor Vehicle Collision by Age Category
2019
9.4
73.3
17.3
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Race
9.4
74.2
16.3
0
20
40
60
80
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
January 2019 - December 2019: MVC by Collision Type and Age Category
Motorcycle
1.7
91.1
7.2
0
20
40
60
80
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Automobile
10.1
71.1
18.8
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Bicyclist
25
64.1
10.9
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
Pedestrian
19.4
69.2
11.3
0
20
40
60
Pe
rce
ntag
e o
f A
ge
Fre
que
ncy
Elderly (>65)AdultPediatric (<18)Age Category
December 2019 Indiana Trauma Registry ReportMotor Vehicle Collision by Gender
2019
60.1
39.9
0
20
40
60
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
Race
61.8
38.2
0
20
40
60
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
January 2019 - December 2019: MVC by Collision Type and Gender
Motorcycle
89.8
10.2
0
20
40
60
80
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
Automobile
55.4
44.6
0
10
20
30
40
50P
erc
ent
age
of
Ge
nde
r F
req
uenc
y
FemaleMaleGender
Bicyclist
81.3
18.8
0
20
40
60
80
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
Pedestrian
64.4
35.6
0
20
40
60
Pe
rce
ntag
e o
f G
end
er
Fre
que
ncy
FemaleMaleGender
December 2019 Indiana Trauma Registry ReportMotor Vehicle Collision by Drug & Alcohol Use
2019
63.1
0.3 0.5
64
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
January 2019 - December 2019
51
0.8
13.6
65.3
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
January 2019 - December 2019: MVC by Collision Type and Drug & Alcohol Use
Motorcycle
56.1
0.7
18.5
75.3
0
20
40
60
80
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
Automobile
50.9
0.8
12.3
64
0
20
40
60P
erc
(S
um)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
Bicyclist
46.9
20.3
67.2
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly Alcohol
Drugs or Alcohol Use
Pedestrian
50.6
0.8
16.6
68
0
20
40
60
Pe
rc (
Sum
)
Either Drugs or AlcoholBoth Drugs & AlcoholOnly DrugsOnly Alcohol
Drugs or Alcohol Use
December 2019 Indiana Trauma Registry ReportMotor Vehicle Collision by Injury Severity Score
2018
40.8
32.1
15
8.2
1.40.2
2.3
0
10
20
30
40
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
NO ISS7545-7425-4415-249-141-8ISS Category
January 2019 - December 2019
38.3
34.7
14.2
8.6
1.40.1
2.8
0
10
20
30
40
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
NO ISS7545-7425-4415-249-141-8ISS Category
Motorcycle: Jan 2019 - Dec 2019
28.8
38.7
16.1
12.1
2.3 2
0
10
20
30
40
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
NO ISS45-7425-4415-249-141-8ISS Category
Automobile: Jan 2019 - Dec 2019
40.5
33.9
13.9
7.7
1.10.1
2.8
0
10
20
30
40P
erce
ntag
e of
IS
S F
requ
ency
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
Bicyclist: Jan 2019 - Dec 2019
26.6
40.6
21.9
6.34.7
0
10
20
30
40
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
45-7425-4415-249-141-8ISS Category
Pedestrian: Jan 2019 - Dec 2019
37.7
33.2
12.6 13.4
2.40.8
0
10
20
30
40
Per
cent
age
of I
SS
Fre
quen
cy F
requ
ency
NO ISS45-7425-4415-249-141-8ISS Category
December 2019 Indiana Trauma Registry ReportMotor Vehicle Collision by Protective Devices
2019
0.1 0.1
99.8
0
20
40
60
80
100
Use
Pe
rce
ntag
e o
f P
rote
ctiv
e G
ear
No Safety Equipment UsedSeatbelt UseAirbag UseProtective Gear Use
January 2019 - December 2019
48.7
45
1.14.2
0.8
37.4
0
10
20
30
40
50
Ge
ar U
seP
erc
ent
age
of
Pro
tect
ive
No Safety Equipment UsedProtective Clothing/Gear UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use
Protective Gear Use
January 2019 - December 2019: MVC by Collision Type and Protective Gear Use
Motorcycle
0.3 0.1
22.5
4.2
75.8
0
20
40
60
80
Ge
ar U
seP
erc
ent
age
of
Pro
tect
ive
No Safety Equipment UsedProtective Clothing/Gear UseHelmet UseSeatbelt UseAirbag Use
Protective Gear Use
Automobile
64.860.3
1.5 0.2 0.1
22.2
0
20
40
60
Ge
ar U
seP
erc
ent
age
of
Pro
tect
ive
No Safety Equipment UsedProtective Clothing/Gear UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use
Protective Gear Use
Bicyclist
1.6
20.3
78.1
0
20
40
60
80
Use
Pe
rce
ntag
e o
f P
rote
ctiv
e G
ear
No Safety Equipment UsedHelmet UseSeatbelt UseProtective Gear Use
Pedestrian
0.8 0.8 0.4
98.8
0
20
40
60
80
100
Ge
ar U
seP
erc
ent
age
of
Pro
tect
ive
No Safety Equipment UsedHelmet UseSeatbelt UseAirbag Use
Protective Gear Use
