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Monthly Report for November 2017 Indiana Trauma Registry
*As an expansion to my role I have been training Indiana coroners on the Indiana Coroner
Case Management System while continuing to train hospitals on the Indiana Trauma
Registry.-Ramzi*
On November 6th, Ramzi Nimry (Statewide Trauma System Development and Training
Manager) attended the Pediatric Readiness Facility Recognition Consensus meeting at ISDH.
On November 9th, Camry Hess (Data Analyst) and Ramzi Nimry (Statewide Trauma System
Development and Training Manager) attended the District 1 Trauma Advisory Council in
Valparaiso.
On November 14th, Camry Hess (Data Analyst) and Ramzi Nimry (Statewide Trauma System
Development and Training Manager) attended the Indiana State Trauma Care Committee’s PI
Subcommittee meeting.
On November 30th, Ramzi Nimry (Statewide Trauma System Development and Training
Manager) attended District 7’s Wabash Valley Trauma Advisory Council meeting at Terre
Haute Regional hospital.
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 September 2017 until November 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 November 2017
Uniformity In November we sent out the forty-third monthly quiz for the inter-rater reliability study. The number of reg-
istrars, percent of correct answers and free-marginal Kappa could not be calculated. There were 52 partici-
pants from 32 hospitals who completed the quiz. The percent correct was 73% and the free-marginal kappa
was 0.37. We plan to collect data for four months and track trends in percent of correct answers by individu-
als 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 3,184 for Q1 2017 data. Trauma data is due on a quarterly
basis.
Indiana Trauma Registry
Accessibility The average time to complete data requests was 6 days for aggregate requests (1 total), 5 days for self-reports
(1 total), and 6 days for identifiable reports (1 report).
Monthly Report for November 2017
January 2016 to December 2016 40705 Incidents 1
December 2016 to November 2017 24758 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
December 2016 to November 2017
Cause of Injury (COI)
Not IdentifiedAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport
22.7
54.8
6.11.9
12.4
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
December 2016 to November 2017
0
20
40
60
% o
f MV
C F
requ
ency
COI-Motor Vehicle Collision (MVC)
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
74.5
15.1
5.91.5 3
2016
0
20
40
60
80
% o
f MV
C F
requ
ency
December 2016 to November 2017 4159 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)
12032 21 2 2
Fatal Incidents December 2016 to November 20172977
598
225
60122
Nonfatal Incidents December 2016 to November 2...
0
500
1000
1500
2000
2500
3000
Cou
nt o
f In
cide
nts
& F
atal
itie
s
December 2016 to November 2017 4159 Incidents 3
Motor Vehicle Collision
Race
84
11.2
0.8 0.2 1.7 2.1
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
Age
11.3
73.2
15.5
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
Gender
60.5
39.5
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
Drug & Alcohol Use
2.2 1.9 0.2 1.54.9
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
42.3
32.3
14.1
7.9
1.1 0.4 1.9
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
44.8 47
1.14.6
62.8
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
December 2016 to November 2017 4159 Incidents 4
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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
December 2016 to November 2017
84
11.2
0.8 0.2 1.7 2.10
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
MotorcycleDecember 2016 to November 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
AutomobileDecember 2016 to November 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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
BicyclistDecember 2016 to November 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
PedestrianDecember 2016 to November 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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
December 2016 to November 2017 4159 Incidents 5
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
Elderly (>65)AdultPediatric (<18)Age Category
December 2016 to November 2017
11.3
73.2
15.5
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
MotorcycleDecember 2016 to November 2017
4.2
87.3
8.5
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
AutomobileDecember 2016 to November 2017
10.2
71.4
18.5
0
20
40
60
80
100P
erce
ntag
e of
Age
Cat
egor
y
Elderly (>65)AdultPediatric (<18)Age Category
BicyclistDecember 2016 to November 2017
24.3
61.2
14.5
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
PedestrianDecember 2016 to November 2017
19.9
71
9
0
20
40
60
80
100
Per
cent
age
of A
ge C
ateg
ory
Elderly (>65)AdultPediatric (<18)Age Category
December 2016 to November 2017 4159 Incidents 6
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
December 2016 to November 2017
60.5
39.5
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
MotorcycleDecember 2016 to November 2017
84.7
15.3
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
AutomobileDecember 2016 to November 2017
53.8
46.2
0
20
40
60
80
100P
erce
ntag
e of
Gen
der
FemaleMaleGender
BicyclistDecember 2016 to November 2017
75.7
24.3
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
PedestrianDecember 2016 to November 2017
67.3
32.7
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
December 2016 to November 2017 4159 Incidents 7
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
December 2016 to November 2017
0.9 3.2 0.9
95.1
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
MotorcycleDecember 2016 to November 2017
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
No Drugs or Alcohol InvolvedBoth Drugs & Alcohol InvolvedOnly Drugs InvolvedOnly Alcohol Involved
Drug & Alcohol Use
AutomobileDecember 2016 to November 2017
7.2
21.3
6.4
65
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
BicyclistDecember 2016 to November 2017
8.6
14.5
3.9
73
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
PedestrianDecember 2016 to November 2017
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
No Drugs or Alcohol InvolvedBoth Drugs & Alcohol InvolvedOnly Drugs InvolvedOnly Alcohol Involved
Drug & Alcohol Use
December 2016 to November 2017 4159 Incidents 8
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
NO ISS7545-7425-4415-249-141-8ISS Category
December 2016 to November 2017
42.3
32.3
14.1
7.9
1.1 0.4 1.9
0
20
40
60
80
100
Per
cent
age
of I
SS
Fre
quen
cy
NO ISS7545-7425-4415-249-141-8ISS Category
MotorcycleDecember 2016 to November 2017
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
NO ISS7545-7425-4415-249-141-8ISS Category
AutomobileDecember 2016 to November 2017
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
NO ISS7545-7425-4415-249-141-8ISS Category
BicyclistDecember 2016 to November 2017
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
NO ISS45-7425-4415-249-141-8ISS Category
PedestrianDecember 2016 to November 2017
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
NO ISS7545-7425-4415-249-141-8ISS Category
December 2016 to November 2017 4159 Incidents 9
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
December 2016 to November 2017
44.8 47
1.14.6
37.2
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
MotorcycleDecember 2016 to November 2017
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
AutomobileDecember 2016 to November 2017
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
No Safety Equipment UseHelmet UseChild Restraint UseSeatbelt UseAirbag Use
Protective Devices
BicyclistDecember 2016 to November 2017
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
PedestrianDecember 2016 to November 2017
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
2.71.7
0.31.7
District 10
3.9
1.3
District 9
2.13.6
District 8
0.7 0.72
District 7
1.4 1.2 1.2
District 6
2.2 1.8 1.2
District 5
0.61.9 1.9
District 4
1.2 1.50.2
1.9
District 3
2.4 1.6 0.82.8
District 2
4.4
0.92.4
District 1
2.2 1.90.2
1.5
State Average
0
10
20
30
0
10
20
30
0
10
20
30
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