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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.
On May 14th, Ramzi Nimry (Statewide Trauma System Development and Training
Manager) and Camry Hess (Data Analyst) attended the PI Subcommittee meeting.
On May 15th, Ramzi Nimry (Statewide Trauma System Development and Training
Manager) trained Union Co. on the Indiana Coroner Case Management System (INCCMS).
On May 16th, Ramzi Nimry (Statewide Trauma System Development and Training
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.
On May 30th, Ramzi Nimry (Statewide Trauma System Development and Training
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
June 2018 to May 2019
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
June 2018 to May 2019 7191 Incidents 3
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
June 2018 to May 2019 7191 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
June 2018 to May 2019
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
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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
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
Not KnownOther RaceAmerican Indian or Alaska NativeAsianBlack or African AmericanWhite
Race Category
June 2018 to May 2019 7191 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
June 2018 to May 2019
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
MotorcycleJune 2018 to May 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
AutomobileJune 2018 to May 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
BicyclistJune 2018 to May 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
PedestrianJune 2018 to May 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
June 2018 to May 2019 7191 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
June 2018 to May 2019
57.2
42.8
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
MotorcycleJune 2018 to May 2019
85.5
14.5
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
AutomobileJune 2018 to May 2019
53.4
46.6
0
20
40
60
80
100P
erce
ntag
e of
Gen
der
FemaleMaleGender
BicyclistJune 2018 to May 2019
81.3
18.7
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
PedestrianJune 2018 to May 2019
59
41
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
June 2018 to May 2019 7191 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
June 2018 to May 2019
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
No Drugs or Alcohol InvolvedBoth Drugs & Alcohol InvolvedOnly Drugs InvolvedOnly Alcohol Involved
MVC Drug & Alcohol Use
MotorcycleJune 2018 to May 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
AutomobileJune 2018 to May 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
BicyclistJune 2018 to May 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
PedestrianJune 2018 to May 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
June 2018 to May 2019 7191 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
June 2018 to May 2019
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
MotorcycleJune 2018 to May 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
AutomobileJune 2018 to May 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
BicyclistJune 2018 to May 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
PedestrianJune 2018 to May 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
June 2018 to May 2019 7191 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
June 2018 to May 2019
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
MotorcycleJune 2018 to May 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
AutomobileJune 2018 to May 2019
100
0
20
40
60
80
100P
erce
ntag
e of
Pro
tect
ive
Dev
ice
Use
No Safety Equipment UseProtective Devices
BicyclistJune 2018 to May 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
PedestrianJune 2018 to May 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
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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