Indiana Trauma Registry - IN.gov 2019.pdf · Other Race Not Known Asian American Indian or Alaska...

Monthly Report for May 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*

On May 13th, Ramzi Nimry (Statewide Trauma System Development and Training

Manager) trained Henry Community Health on the Indiana Trauma Registry.


Manager) and Camry Hess (Data Analyst) attended the PI Subcommittee meeting.


Manager) trained Union Co. on the Indiana Coroner Case Management System (INCCMS).


Manager) attended the EMS Commission meeting.

On May 23rd, Ramzi Nimry (Statewide Trauma System Development and Training

Manager) discussed the Indiana Trauma Registry with Sullivan Co. Community Hospital.


Manager) attended the District TRAC 6 at IU Health Ball Memorial in Muncie.

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 97 days.

Monthly Report for May 2019

Uniformity In May we sent out the fifty-eighth monthly quiz for the inter-rater reliability study. There were 37 partici-

pants from 28 (23% of hospitals with EDs in Indiana) hospitals who completed the quiz. The percent correct

was 49% and the free-marginal kappa was 0.58.

Activities to improve the uniformity of data include trauma registrar training throughout the state and at the

Indiana 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 3 aggregate requests (1.7 days on average) in May. There were no self-reports or identifiable re-

quests.

Monthly Report for May 2019

January 2018 to December 2018 31956 Incidents 1

June 2018 May 2019 30059 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

June 2018 to May 2019

Cause of Injury (COI)

Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport

29.6

50.9

5.51.8

10

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

81.2

11.23.2 1.6 2.8

2018

0

20

40

60

80

% o

f MV

C F

requ

ency

June 2018 to May 2019 7191 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)

15143 28 5 9

Fatal Incidents June 2018 to May 20195689

763

203 111 189

Nonfatal Incidents June 2018 to May 2019

0

1000

2000

3000

4000

5000

Cou

nt o

f In

cide

nts

& F

atal

itie

s


Motor Vehicle Collision

Race

83.4

11

0.8 0.1 2.4 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

Age

9.4

70.6

20

0

20

40

60

80

100

Per

cent

age

of A

ge F

requ

ency

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

Gender

57.2

42.8

0

20

40

60

80

100

Per

cent

age

of G

ende

r F

requ

ency

FemaleMaleGender

Drug & Alcohol Use

0.4 0.2

63.2

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

41.7

33.5

14.4

7.8

1.1 0.1 1.40

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

25.6 24.2

0.8 2.9 0.5

54.1

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


83.4

11

0.8 0.1 2.4 2.3

0

20

40

60

80

100

Per

cent

age

of R

ace

Fre

quen

cy


Race Category

MotorcycleJune 2018 to May 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

AutomobileJune 2018 to May 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

BicyclistJune 2018 to May 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

PedestrianJune 2018 to May 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



9.4

70.6

20

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


57.2

42.8

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


62.6

0.2 0.3

36.8

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



41.7

33.5

14.4

7.8

1.1 0.1 1.40

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


25.6 24.2

0.8 2.9

45.9

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

0.4

District 10

2.11.3

District 8

0.6

District 6

0.1

District 5

0.8 0.5

District 4

0.6 0.2

District 2

0.7 0.2

District 1

0.4 0.2

State Average

0

10

20

30

0

10

20

30

0

10

20

30

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Indiana Trauma Registry - IN.gov 2019.pdf · Other Race Not Known Asian American Indian or Alaska...

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