Indiana Trauma Registry - IN.gov3).pdfWhite Black or African American Race Category Motorcycle May...
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Monthly Report for April 2016 Indiana Trauma Registry On April 7th, Ramzi Nimry (Trauma System PI Manager) attended/was a vendor at the Indiana Public Health Week at IU Memorial Union in Bloomington. On April 12th, Ramzi Nimry (Trauma System PI Manager) trained Monroe Hospital in Bloomington, IN on the trauma registry. On April 15th, Katie Hokanson (Director), Camry Hess (Database Analyst) and Ramzi Nimry (Trauma System PI Manager) attended the Indiana State Trauma Care Committee (ISTCC) meeting and the Indiana Trauma Network (ITN). On April 28th, Camry Hess (Database Analyst) and Ramzi Nimry (Trauma System PI Manager) attend the District 10 Trauma Regional Advisory Council (TRAC) at St. Mary’s Medical Center in Evansville, IN.
Transcript of Indiana Trauma Registry - IN.gov3).pdfWhite Black or African American Race Category Motorcycle May...
Monthly Report for April 2016 Indiana Trauma Registry
On April 7th, Ramzi Nimry (Trauma System PI Manager) attended/was a vendor at the Indiana
Public Health Week at IU Memorial Union in Bloomington.
On April 12th, Ramzi Nimry (Trauma System PI Manager) trained Monroe Hospital in
Bloomington, IN on the trauma registry.
On April 15th, Katie Hokanson (Director), Camry Hess (Database Analyst) and Ramzi Nimry
(Trauma System PI Manager) attended the Indiana State Trauma Care Committee (ISTCC)
meeting and the Indiana Trauma Network (ITN).
On April 28th, Camry Hess (Database Analyst) and Ramzi Nimry (Trauma System PI
Manager) attend the District 10 Trauma Regional Advisory Council (TRAC) at St. Mary’s
Medical Center in Evansville, IN.
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 December 2015 until April 2016 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 2016
Uniformity In December we sent out the twenty-fourth monthly quiz for the inter-rater reliability study. Sixty-four regis-
trars completed the quiz from 45 hospitals. The percent of correct answers was 72% for the entire quiz and the
average free-marginal Kappa (measure of consistency) 0.47. We plan to collect data for four months and
track trends in percent of correct answers by individuals 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 500 for Q3 2015 data. Trauma data is due on a quarterly ba-
sis.
Indiana Trauma Registry
Accessibility The average time to complete data requests was 0.5 days for identifiable requests (2 requests). There were no
aggregate or self-report requests during April.
Monthly Report for April 2016
May 2015 to April 2016 25457 Incidents 1
January 2013 to December 2013 23623 IncidentsCause of Injury (COI)
Cause of Injury (COI)
E-Code MissingNot CategorizedMachineryBicyclist, OtherCut/PierceTransportation,OtherFirearmStruck by, AgainstMVCFall
50.9
20.9
5.63.3 4.2 2.9 1.2 1.1
6.81
0
10
20
30
40
50
% o
f Tot
al In
cide
nts
2013
<1% of COI: Pedestrian (Other), Natural/Environmental,Overexertion, Fire/Burn, and Bites/Stings
Cause of Injury (COI)
Not CategorizedMachineryBicyclist, OtherCut/PierceTransportation,OtherFirearmStruck by, AgainstMVCFall
50.4
20.5
5.5 3.2 4.7 2.8 1.5 1.1
7.2
0
10
20
30
40
50
% o
f Tot
al In
cide
nts
May 2015 to April 2016
<1% of COI: Pedestrian (Other), Natural/Environmental,Overexertion, Fire/Burn, and Bites/Stings
COI-Motor Vehicle Collision (MVC)
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
67.6
19.6
7.82.3 2.6
2013
0
20
40
60
% o
f MV
C F
requ
ency
COI-Motor Vehicle Collision (MVC)
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
67.3
19.8
7.32.7 2.9
May 2015 to April 2016
0
20
40
60
% o
f MV
C F
requ
ency
May 2015 to April 2016 4851 Incidents 2
January 2013 to December 2013 5326 IncidentsMotor Vehicle Collision
COI-MVC Nonfatal Incidents and Fatal Incidents
UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)
14047 41 5 7
Fatal Incidents 20133460
996
377
119 134
Nonfatal Incidents 2013
0
1000
2000
3000
Cou
nt o
f In
cide
nts
& F
atal
itie
s
UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)
14050 31 6 7
Fatal Incidents May 2015 to April 20163126
912
324
123 132
Nonfatal Incidents May 2015 to April 2016
0
1000
2000
3000
Cou
nt o
f In
cide
nts
& F
atal
itie
s
May 2015 to April 2016 4851 Incidents 3
Motor Vehicle Collision
Race
84.1
11
0.8 0.1 2 20
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
10.8
75.6
13.5
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
Gender
62.9
37.1
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
Drug & Alcohol Use
2.6
1416.6
0
20
40
60
80
100
Per
cent
age
of D
rugs
or
Alc
ohol
Use
Total Alcohol or Drug Involved MVCAlcohol-Beyond Legal LimitsAlcohol-Trace Amount
Drugs or Alcohol Use
Injury Severity Score
43.2
32.8
13.58.7
1.1 0.2 0.50
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
38.1 38.2
15.8
55.9
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 2015 to April 2016 4851 Incidents 4
Race- Motor Vehicle Collision
2013
83.4
9.4
0.5 0.13.2 3.4
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 2015 to April 2016
84.1
11
0.8 0.1 2 20
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 2015 to April 2016
89.6
5.30.1 0.1 1.8 3.1
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
AutomobileMay 2015 to April 2016
83.6
8.7
0.6 0.13.6 3.4
0
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 2015 to April 2016
79
18.5
1.6 0.80
20
40
60
80
100
Per
cent
age
of R
ace
Fre
quen
cy
Not KnownOther RaceBlack or African AmericanWhiteRace Category
PedestrianMay 2015 to April 2016
68.9
23.7
0.53.1 3.8
0
20
40
60
80
100
Per
cent
age
of R
ace
Fre
quen
cy
Not KnownOther RaceAsianBlack or African AmericanWhite
Race Category
May 2015 to April 2016 4851 Incidents 5
Age- Motor Vehicle Collision
2013
11.3
75.6
13.1
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
May 2015 to April 2016
10.8
75.6
13.5
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
MotorcycleMay 2015 to April 2016
5
89
6
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
AutomobileMay 2015 to April 2016
10.9
73.3
15.8
0
20
40
60
80
100P
erce
ntag
e of
Age
Cat
egor
y
Elderly (>65)AdultPediatric (<18)Age Category
BicyclistMay 2015 to April 2016
39.5
54
6.5
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
PedestrianMay 2015 to April 2016
23.2
66
10.8
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
May 2015 to April 2016 4851 Incidents 6
Gender- Motor Vehicle Collision
2013
63
37
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
May 2015 to April 2016
62.9
37.1
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
MotorcycleMay 2015 to April 2016
85.1
14.9
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
AutomobileMay 2015 to April 2016
55.5
44.5
0
20
40
60
80
100P
erce
ntag
e of
Gen
der
FemaleMaleGender
BicyclistMay 2015 to April 2016
83.9
16.1
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
PedestrianMay 2015 to April 2016
64.8
35.2
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
May 2015 to April 2016 4851 Incidents 7
Drug & Alcohol Use- Motor Vehicle Collision
2013
17.2
1.2 0.8
80.8
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 2015 to April 2016
16.6
83.4
0
20
40
60
80
100
Per
cent
age
of D
rug
& A
lcoh
ol U
se
No Drugs or Alcohol InvolvedOnly Alcohol InvolvedMVC Drug & Alcohol Use
MotorcycleMay 2015 to April 2016
19.7
1.4 0.9
78
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
Drug & Alcohol Use
AutomobileMay 2015 to April 2016
16.1
1.2 0.7
81.9
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 2015 to April 2016
10.5
2.4 0.8
86.3
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
Drug & Alcohol Use
PedestrianMay 2015 to April 2016
20.1
1 1
78
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
Drug & Alcohol Use
May 2015 to April 2016 4851 Incidents 8
Injury Severity Score- Motor Vehicle Collision
2013
40.8
32.8
15.6
8.6
1 0.4 0.80
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
May 2015 to April 2016
43.2
32.8
13.58.7
1.1 0.2 0.50
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
MotorcycleMay 2015 to April 2016
34.337.1
16.5
10.8
1 0.2 0.10
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
AutomobileMay 2015 to April 2016
43.1
31.6
15.5
7.6
1 0.4 0.90
20
40
60
80
100P
erce
ntag
e of
IS
S F
requ
ency
NO ISS7545-7425-4415-249-141-8ISS Category
BicyclistMay 2015 to April 2016
34.7 36.3
12.9 12.9
2.4 0.80
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS45-7425-4415-249-141-8ISS Category
PedestrianMay 2015 to April 2016
39.7
31.3
15.611
0.5 1 10
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
May 2015 to April 2016 4851 Incidents 9
Protective Devices- Motor Vehicle Collision
2013
25.6
36.7
1.35
49.7
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 2015 to April 2016
38.1 38.2
15.8
44.1
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
MotorcycleMay 2015 to April 2016
0.1 0.2
22.7
77.1
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 Use
Protective Devices
AutomobileMay 2015 to April 2016
37.1
53.4
1.7 0.3
33.8
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 2015 to April 2016
13.7
86.3
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 2015 to April 2016
0.2
99.8
0
20
40
60
80
100
Per
cent
age
of P
rote
ctiv
e D
evic
e ...
No Safety Equipment UseChild Restraint UseProtective Devices
PedestrianMVC
10101010
Alcohol-Beyond Legal LimitsAlcohol-Trace AmountMVC involving Drugs or Alcohol
Per
cent
age
of M
VC
invo
lvin
g D
rugs
or
Alc
ohol
4.8
8.9
District 10
3.7
7.5
District 9
3.8
12.6
District 8
3
16.9
District 7
3.3
11.4
District 6
2.1
16
District 5
2
13.7
District 4
2.9
14.5
District 3
1.3
15.6
District 2
2.4
21.3
District 1
2.6
14
State Average
0
10
20
30
0
10
20
30
0
10
20
30
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