Indiana Trauma Registry - IN.gov 2019 ICJI Report.pdf · White Black or African American Race...

Monthly Report for September 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*

September 3rd Ramzi Nimry (Statewide Trauma System Development and Training Manager)

attended the District 2 Trauma Regional Advisory Council (TRAC) at St. Joseph Medical

Center-Plymouth in Plymouth.

September 4th Ramzi Nimry (Statewide Trauma System Development and Training Manager)

attended the Stroke Consortium of Indiana in Fort Wayne.

September 5th Ramzi Nimry (Statewide Trauma System Development and Training Manager)

attended and presented at the District 8 Trauma Regional Advisory Committee (TRAC) at IU

Health-Bedford in Bedford.

September 16th Ramzi Nimry (Statewide Trauma System Development and Training

Manager) attended and participated in the Pediatric Emergency Care Coordinator (PECC)

Advisory Board meeting in Indianapolis.


Manager) and Katie Hokanson (Director) attended and presented to the District 7 Wabash

Valley Trauma Advisory Committee (WAV-TAC) via webcast.


Manager) attended and presented at the District 5 Trauma Advisory Committee (TAC) at

Indianapolis EMS in Indianapolis.


Manager) attended and presented at the ISDH/IDHS Operation: Force Multiplier tour with

IDHS, Indiana National Guard and ISDH in Fort Wayne.

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 65% 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 106 days.

Monthly Report for September 2019

Uniformity In September we sent out the sixty-first monthly quiz for the inter-rater reliability study. There were 28 partici-

pants from 26 (21% of hospitals with EDs in Indiana) hospitals who completed the quiz. The percent correct was

67% and the free-marginal kappa was 0.42.

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 were two aggregate requests (10 days on average) in September. There were no self-reports or identifia-

ble data requests.

Monthly Report for September 2019

January 2018 to December 2018 31956 Incidents 1

October 2018 September 2019 35549 IncidentsCause of Injury (COI)

Cause of Injury (COI)

Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport

22

57.8

5.81.9

10.5

0

10

20

30

40

50

60

% o

f Tot

al In

cide

nts

October 2018 to September 2019

Cause of Injury (COI)

Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport

28.8

53

5.11.7

9.2

0

10

20

30

40

50

% o

f Tot

al In

cide

nts

2018

COI-Motor Vehicle Collision (MVC)

UnspecifiedBicyclistPedestrianMotorcycleAutomobile

71.5

18.2

5.3 2.1 2.9


0

20

40

60

% o

f MV

C F

requ

ency

COI-Motor Vehicle Collision (MVC)

UnspecifiedBicyclistPedestrianMotorcycleAutomobile

86.7

6.7 3.4 0.9 2.3

2018

0

20

40

60

80

% o

f MV

C F

requ

ency

October 2018 to September 2019 8387 Incidents 2

January 2018 to December 2018 5230 IncidentsMotor Vehicle Collision

COI-MVC Nonfatal Incidents and Fatal Incidents

UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)

102 43 27 8 4

Fatal Incidents 20183638

910

252

100 146

Nonfatal Incidents 2018

0

1000

2000

3000

Cou

nt o

f In

cide

nts

& F

atal

itie

s

UnspecifiedBicyclistPedestrianMotorcycleAutomobileCOI-Motor Vehicle Collision (MVC)

18131 31 3 6

Fatal Incidents October 2018 to September 20197088

528

25773

189

Nonfatal Incidents October 2018 to September 20...

0

2000

4000

6000

Cou

nt o

f In

cide

nts

& F

atal

itie

s


Motor Vehicle Collision

Race

82.5

12.4

0.5 0.2 1.8 2.5

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

8.5

72

19.4

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency

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

Gender

55.8

44.2

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender

Drug & Alcohol Use

63

64.6

0

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

40.435

14.1

7.5

0.8 02.2

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

28.4 26

0.7 1.7 0.4

57.1

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se

Any Safety Equipment UseProtective Clothing/Gear UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use

Protective Devices


Race- Motor Vehicle Collision

2018

83.2

11

0.8 0.2 2 2.9

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category


82.5

12.4

0.5 0.2 1.8 2.5

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category

MotorcycleOctober 2018 to September 2019

90.6

6.10.1 0.1 0.9 2.2

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category

AutomobileOctober 2018 to September 2019

82.6

11

1 0.2 2.4 2.9

0

20

40

60

80

100P

erce

ntag

e of

Rac

e F

requ

ency


Race Category

BicyclistOctober 2018 to September 2019

76.9

18.5

0.9 0.9 2.8

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy

Not KnownOther RaceAsianBlack or African AmericanWhite

Race Category

PedestrianOctober 2018 to September 2019

69.9

26.2

0.7 0.4 0.7 2.2

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category


Age- Motor Vehicle Collision

2018

9.4

73.3

17.3

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency



8.5

72

19.4

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency



2.5

89.8

7.7

0

20

40

60

80

100

Per

cent

age

of A

ge C

ateg

ory



10.1

69.9

20

0

20

40

60

80

100P

erce

ntag

e of

Age

Cat

egor

y



27.1

64.5

8.4

0

20

40

60

80

100

Per

cent

age

of A

ge C

ateg

ory



15.1

70.1

14.7

0

20

40

60

80

100

Per

cent

age

of A

ge C

ateg

ory



Gender- Motor Vehicle Collision

2018

60.1

39.9

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender


55.8

44.2

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender


85.5

14.5

0

20

40

60

80

100

Per

cent

age

of G

ende

r

FemaleMaleGender


53.4

46.6

0

20

40

60

80

100P

erce

ntag

e of

Gen

der

FemaleMaleGender


81.3

18.7

0

20

40

60

80

100

Per

cent

age

of G

ende

r

FemaleMaleGender


59

41

0

20

40

60

80

100

Per

cent

age

of G

ende

r

FemaleMaleGender


Drug & Alcohol Use- Motor Vehicle Collision

2018

63.1

0.3 0.5

36

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


55.6

0.4

8.6

35.4

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se


MVC Drug & Alcohol Use


73.3

0.1 0.7

25.8

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se


Drug & Alcohol Use


61.3

0.5 0.4

37.8

0

20

40

60

80

100P

erce

ntag

e of

Dru

g &

Alc

ohol

Use


Drug & Alcohol Use


60.2

39.8

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se

No Drugs or Alcohol InvolvedOnly Alcohol InvolvedDrug & Alcohol Use


68.1

31.9

0

20

40

60

80

100

Per

cent

age

of D

rug

& A

lcoh

ol U

se

No Drugs or Alcohol InvolvedOnly Alcohol InvolvedDrug & Alcohol Use


Injury Severity Score- Motor Vehicle Collision

2018

40.8

32.1

15

8.2

1.4 0.2 2.3

0

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



40.435

14.1

7.5

0.8 02.2

0

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



31.936.6

17.5

11.1

1.8 0.1 0.90

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



43.1

31.4

14.3

7.2

1.2 0.22.6

0

20

40

60

80

100P

erce

ntag

e of

IS

S F

requ

ency



38

30.6

15.712

1.9 1.9

0

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



36.2

28.7

19.4

10.8

2.2 0.7 2.2

0

20

40

60

80

100

Per

cent

age

of I

SS

Fre

quen

cy



Protective Devices- Motor Vehicle Collision

2018

100

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se

No Safety Equipment UseProtective Devices


28.4 26

0.7 1.7

42.9

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


100

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se



100

0

20

40

60

80

100P

erce

ntag

e of

Pro

tect

ive

Dev

ice

Use



100

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e U

se



100

0

20

40

60

80

100

Per

cent

age

of P

rote

ctiv

e D

evic

e ...


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

2.5

District 10

1.8

District 9

9.6

6.1

District 8

11.2 11.2

District 7

7.6

3.1

District 6

10.1

4.1

District 5

10.6

4.8

District 4

3.11.3

District 3

5.5

1.3

District 2

3.5

0.8

District 1

6

3

State Average

0

10

20

30

0

10

20

30

0

10

20

30

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Indiana Trauma Registry - IN.gov 2019 ICJI Report.pdf · White Black or African American Race...

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