Indiana Trauma Registry - IN.gov Report.pdf · Other Race Not Known Asian American Indian or Alaska...

Monthly Report for April 2017 Indiana Trauma Registry

On April 13th, Ramzi Nimry (Trauma System PI Manager) and Katie Hokanson (Director)

attended the Designation Subcommittee meeting at St. Vincent-Indianapolis.


attended the District 5’s Regional Trauma meeting at Indianapolis EMS.

On April 20th, Ramzi Nimry (Trauma System PI Manager) attended the St. Mary’s Pediatric

Trauma Conference in Evansville.

On April 21st, Ramzi Nimry (Trauma System PI Manager) attended the Regional Outreach

Critical Care Symposium at Reid Health.

On April 25th, Ramzi Nimry (Trauma System PI Manager) attended the Public Health Nurse

Conference in Carmel.

On April 27th, Ramzi Nimry (Trauma System PI Manager) attended the District 10’s Trauma

Regional Advisory Council meeting at Good Samaritan Hospital and provided a district data

update.


attended the EMS Medical Directors’ Conference in Indianapolis.

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 January 2017 until April 2017 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 2017

Uniformity In April we sent out the thirty-sixth monthly quiz for the inter-rater reliability study. Forty-three registrars

completed the quiz from 25 hospitals. The percent of correct answers was 68% for the entire quiz and the av-

erage free-marginal Kappa (measure of consistency) 0.27. 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. Oth-

er 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 2,457 for Q3 2016 data. Trauma data is due on a quarterly

basis.

Indiana Trauma Registry

Accessibility The average time to complete data requests was 1 days for aggregate requests (1 total) and 1.3 days for identi-

fiable requests (3 total). There were no self-requests during April.

Monthly Report for April 2017

January 2016 to December 2016 40705 Incidents 1

May 2016 to April 2017 29310 IncidentsCause of Injury (COI)

Cause of Injury (COI)

Not IdentifiedSmokeAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport

24.4

50.4

6.21.7 1

15.2

0

10

20

30

40

50

% o

f Tot

al In

cide

nts

May 2016 to April 2017

Cause of Injury (COI)

Not IdentifiedSmokeAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport

25.2

51.4

6.61.7 1

12.9

0

10

20

30

40

50

% o

f Tot

al In

cide

nts

2016

COI-Motor Vehicle Collision (MVC)

UnspecifiedBicyclistPedestrianMotorcycleAutomobile

71.2

17.3

5.62.2 3.6


0

20

40

60

% o

f MV

C F

requ

ency

COI-Motor Vehicle Collision (MVC)

UnspecifiedBicyclistPedestrianMotorcycleAutomobile

68.5

19.2

5.82.6 3.8

2016

0

20

40

60

% o

f MV

C F

requ

ency

May 2016 to April 2017 5146 Incidents 2

January 2016 to December 2016 6810 IncidentsMotor Vehicle Collision

COI-MVC Nonfatal Incidents and Fatal Incidents

UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)

17355 25 6 8

Fatal Incidents 20164679

1125

354

146239

Nonfatal Incidents 2016

0

1000

2000

3000

4000

Cou

nt o

f In

cide

nts

& F

atal

itie

s

UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)

12050 21 5 8

Fatal Incidents May 2016 to April 20173404

940

280

130188

Nonfatal Incidents May 2016 to April 2017

0

1000

2000

3000

Cou

nt o

f In

cide

nts

& F

atal

itie

s


Motor Vehicle Collision

Race

84.2

9.9

0.9 0.2 2.1 2.7

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

74

16.6

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency

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

Gender

61.3

38.7

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender

Drug & Alcohol Use

14.3 13.3

2.4

12.4

35.7

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 AmountDrug-rX UseDrug-illegal Use

Drugs or Alcohol Use

Injury Severity Score

44.4

30.3

14

8.2

1.1 0.3 1.70

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

40.744.9

0.76.2

60.3

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


Race- Motor Vehicle Collision

2016

83.8

10.5

1.1 0.2 1.9 2.6

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category


84.2

9.9

0.9 0.2 2.1 2.7

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category

MotorcycleMay 2016 to April 2017

89.6

7.5

0.3 0.9 1.70

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy

Not KnownOther RaceAsianBlack or African AmericanWhite

Race Category

AutomobileMay 2016 to April 2017

83.7

10.3

1.3 0.2 2.1 2.3

0

20

40

60

80

100P

erce

ntag

e of

Rac

e F

requ

ency


Race Category

BicyclistMay 2016 to April 2017

80.3

15.1

1.3 3.3

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy

Other RaceAsianBlack or African AmericanWhiteRace Category

PedestrianMay 2016 to April 2017

73.4

21.1

1.3 0.3 2.4 1.60

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category


Age- Motor Vehicle Collision

2016

10.1

73.8

16.2

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency



9.5

74

16.6

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency



4.2

87.3

8.5

0

20

40

60

80

100

Per

cent

age

of A

ge C

ateg

ory



10.2

71.4

18.5

0

20

40

60

80

100P

erce

ntag

e of

Age

Cat

egor

y



24.3

61.2

14.5

0

20

40

60

80

100

Per

cent

age

of A

ge C

ateg

ory



19.9

71

9

0

20

40

60

80

100

Per

cent

age

of A

ge C

ateg

ory



Gender- Motor Vehicle Collision

2016

60.5

39.5

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender


61.3

38.7

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender


84.7

15.3

0

20

40

60

80

100

Per

cent

age

of G

ende

r

FemaleMaleGender


53.8

46.2

0

20

40

60

80

100P

erce

ntag

e of

Gen

der

FemaleMaleGender


75.7

24.3

0

20

40

60

80

100

Per

cent

age

of G

ende

r

FemaleMaleGender


67.3

32.7

0

20

40

60

80

100

Per

cent

age

of G

ende

r

FemaleMaleGender


Drug & Alcohol Use- Motor Vehicle Collision

2016

8.2

21.4

6.5

63.9

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


8.1

21

6.6

64.3

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se


MVC Drug & Alcohol Use


11.7

25.3

8.1

54.9

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se


Drug & Alcohol Use


7.2

21.3

6.4

65

0

20

40

60

80

100P

erce

ntag

e of

Dru

g &

Alc

ohol

Use


Drug & Alcohol Use


8.6

14.5

3.9

73

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se


Drug & Alcohol Use


10.8

22.7

7.1

59.4

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

2016

44.3

30.6

14

7.9

1.3 0.3 1.60

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



44.4

30.3

148.2

1.1 0.3 1.70

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



38.6

32.5

15.910.8

1 0.2 10

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



45.6

29.9

14

7.2

1.3 0.3 1.70

20

40

60

80

100P

erce

ntag

e of

IS

S F

requ

ency



47.4

36.2

9.25.9

0.7 0.70

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



33.2 35.1

15.612.4

2.60.3 0.8

0

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



Protective Devices- Motor Vehicle Collision

2016

43.8 46.3

0.85.9

37.1

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


40.744.9

0.76.2

39.7

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se


Protective Devices


0.1 0.3

29.2

70.6

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


59.863.1

1.1 0.4

21.9

0

20

40

60

80

100P

erce

ntag

e of

Pro

tect

ive

Dev

ice

Use


Protective Devices


19.1

80.9

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 0.3 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 UseAirbag UseProtective Devices

PedestrianMVC

10101010

Alcohol-Beyond Legal LimitsAlcohol-Trace AmountDrug-rX UseDrug-illegal UseMVC involving Drugs or Alcohol

Per

cent

age

of M

VC

invo

lvin

g D

rugs

or

Alc

ohol

12.2

22.6

2.2

11.3

District 10

11.8

6.3

1.6

4.7

District 9

17.4

22.6

2.6

12.3

District 8

15.3

21.8

2

14.5

District 7

11.713.6

2

8.7

District 6

16.114.2

1.7

12.8

District 5

6.8

11.7

3

11.3

District 4

8.1

4.8 4.4

10.6

District 3

19.8

5.2

2

19.8

District 2

17

3.82.6

14.9

District 1

14.313.3

2.4

12.4

State Average

0

10

20

30

0

10

20

30

0

10

20

30

Indiana Trauma Registry - IN.gov Report.pdf · Other Race Not Known Asian American Indian or Alaska...

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Transcript of Indiana Trauma Registry - IN.gov Report.pdf · Other Race Not Known Asian American Indian or Alaska...