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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.
September 16th Ramzi Nimry (Statewide Trauma System Development and Training
Manager) and Katie Hokanson (Director) attended and presented to the District 7 Wabash
Valley Trauma Advisory Committee (WAV-TAC) via webcast.
September 18th Ramzi Nimry (Statewide Trauma System Development and Training
Manager) attended and presented at the District 5 Trauma Advisory Committee (TAC) at
Indianapolis EMS in Indianapolis.
September 20th Ramzi Nimry (Statewide Trauma System Development and Training
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
October 2018 to September 2019
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
October 2018 to September 2019 8387 Incidents 3
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
October 2018 to September 2019 8387 Incidents 4
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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
October 2018 to September 2019
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
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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
October 2018 to September 2019 8387 Incidents 5
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
Elderly (>65)AdultPediatric (<18)Age Category
October 2018 to September 2019
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
MotorcycleOctober 2018 to September 2019
2.5
89.8
7.7
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
AutomobileOctober 2018 to September 2019
10.1
69.9
20
0
20
40
60
80
100P
erce
ntag
e of
Age
Cat
egor
y
Elderly (>65)AdultPediatric (<18)Age Category
BicyclistOctober 2018 to September 2019
27.1
64.5
8.4
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
PedestrianOctober 2018 to September 2019
15.1
70.1
14.7
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
October 2018 to September 2019 8387 Incidents 6
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
October 2018 to September 2019
55.8
44.2
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
MotorcycleOctober 2018 to September 2019
85.5
14.5
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
AutomobileOctober 2018 to September 2019
53.4
46.6
0
20
40
60
80
100P
erce
ntag
e of
Gen
der
FemaleMaleGender
BicyclistOctober 2018 to September 2019
81.3
18.7
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
PedestrianOctober 2018 to September 2019
59
41
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
October 2018 to September 2019 8387 Incidents 7
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
October 2018 to September 2019
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
No Drugs or Alcohol InvolvedBoth Drugs & Alcohol InvolvedOnly Drugs InvolvedOnly Alcohol Involved
MVC Drug & Alcohol Use
MotorcycleOctober 2018 to September 2019
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
No Drugs or Alcohol InvolvedBoth Drugs & Alcohol InvolvedOnly Drugs InvolvedOnly Alcohol Involved
Drug & Alcohol Use
AutomobileOctober 2018 to September 2019
61.3
0.5 0.4
37.8
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
BicyclistOctober 2018 to September 2019
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
PedestrianOctober 2018 to September 2019
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
October 2018 to September 2019 8387 Incidents 8
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
NO ISS7545-7425-4415-249-141-8ISS Category
October 2018 to September 2019
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
MotorcycleOctober 2018 to September 2019
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
NO ISS7545-7425-4415-249-141-8ISS Category
AutomobileOctober 2018 to September 2019
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
NO ISS7545-7425-4415-249-141-8ISS Category
BicyclistOctober 2018 to September 2019
38
30.6
15.712
1.9 1.9
0
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS45-7425-4415-249-141-8ISS Category
PedestrianOctober 2018 to September 2019
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
NO ISS7545-7425-4415-249-141-8ISS Category
October 2018 to September 2019 8387 Incidents 9
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
October 2018 to September 2019
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
MotorcycleOctober 2018 to September 2019
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
AutomobileOctober 2018 to September 2019
100
0
20
40
60
80
100P
erce
ntag
e of
Pro
tect
ive
Dev
ice
Use
No Safety Equipment UseProtective Devices
BicyclistOctober 2018 to September 2019
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
PedestrianOctober 2018 to September 2019
100
0
20
40
60
80
100
Per
cent
age
of P
rote
ctiv
e D
evic
e ...
No Safety Equipment UseProtective Devices
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