ntdb ® annual report 2010 © american college of surgeons 2010. all rights reserved worldwide...
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NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
National Trauma Data Bank 2010Annual Report
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
67% or greater
34% to 66%
0% to 33%
Percent of Hospitals Submitting Data to NTDB by State and US Territory
Figure1
Percent of hospitals=Number of hospitals in the state that have submitted to the NTDB divided by the number of hospitals identified by the Trauma Exchange Information Program (TIEP) as trauma centers designated by a state of local authority and/or verified by the American College of Surgeons.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Facilities by Bed SizeFigure2
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure3
Facilities by Trauma Level
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure4
Facilities by Region
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure5
Facilities by ICD-9 Inclusion Criteria
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure6
Facilities by Length of Stay Inclusion Criteria
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure7
Facilities by Isolated Hip Fracture Inclusion Criteria by Age
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure8
Facilities by Death on Arrival (DOA) Inclusion Criteria
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure9
Incidents by Age
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure 10 Case Fatality Rate by Age
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
11
Incidents by Age and Gender
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
12
Case Fatality Rate by Age and Gender
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
13
Alcohol Use
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
14
Drug Use
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
15
Primary Payment Source
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
16A
Incidents by Selected Mechanisms of Injury
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
16B
Case Fatality Rate by Selected Mechanisms of Injury
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
17
Incidents by Selected Mechanisms of Injury and Age
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
18
Case Fatality Rate by Selected Mechanisms of Injury and Age
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
19A
Incidents by Selected Mechanisms of Injury and Gender
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
19B
Case Fatality Rate by Selected Mechanisms of Injury and Gender
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
20
Incidents by Comparative Injury Severity Scores
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
21
Case Fatality Rate by Injury Severity Score
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
22
Injury Severity Score by Age
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Figure
23
Case Fatality Rate by Injury Severity Score and Age
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Incidents by Work-Related InjuriesFigure
24A
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate by Work-Related InjuriesFigure
24B
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate by IntentFigure
25
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate by Location E-codeFigure
26
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Incidents by AIS Body Region
Note: An incident may involve multiple organ systems and a patient will then be counted in each of the organ systems in which there is an injury.
Figure
27
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Incidents with AIS ≥ 3 by AIS Body Region
Note: An incident may involve multiple body regions, and, if so, the patient will be counted in each of the categories in which there is an injury.
Figure
28
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate for AIS > 3 AIS Body Region
Note: an incident may involve multiple body regions, and, if so, the patient will be counted in each of the categories in which there is an injury.
Figure
29
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Incidents by Protective DevicesFigure
30
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Median Total Prehospital (in Minutes) by Selected Mechanisms of Injury
Figure
31
MEDIAN TOTAL PREHOSPITAL TIME (IN MINUTES) BY SELECTED MECHANISMS OF INJURY
0
10
20
30
40
50
60
70
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Over
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NUM
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INUTES
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Median Total Prehospital Time (in Minutes) by Injury Severity Score
Figure
32
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Median Length of Stay (in Days) by Selected Mechanisms of Injury
Figure
33
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Median Length of Stay (in Days) by Injury Severity Score
Figure
34
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Median Ventilator Days by Selected Mechanisms of Injury
Figure
35
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Median Ventilator Days by Injury Severity Score
Figure
36
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Median ICU Days by Mechanism of InjuryFigure
37
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Median ICU Days by Injury Severity ScoreFigure
38
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Incidents by ED Discharge DispositionFigure
39
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Reasons for Death in Emergency DepartmentFigure
40
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Incidents by Hospital Discharge DispositionFigure
41
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Incidents by RegionFigure
42
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate by RegionFigure
43
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Mechanism of Injury by RegionFigure
44
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Injury Severity Score by RegionFigure
45
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Incidents by RuralityFigure
46
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate by RuralityFigure
47
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Mechanism of Injury by RuralityFigure
48
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Injury Severity Score by RuralityFigure
49
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Number of Cases Submitted per Facility for Level I Facilities
Figure
50
Only cases with valid trauma diagnosis code per the NTDB criteria are included in the analysis. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Number of Cases Submitted per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds
Figure51
Only Cases with valid trauma diagnosis code per the NTDB criteria are included in the analysis. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Number of Cases Submitted per Facility for Level II Facilities with Bed Size Greater than 400 Beds
Figure52
Only cases with valid trauma diagnosis code per the NTDB criteria are included in the analysis. Trauma level is based upon ACS verification and state designation; however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Number of Cases Submitted per Facility for Level III Facilities
Figure
53
Only Cases with valid trauma diagnosis code per the NTDB criteria are included in the analysis. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Number of Cases Submitted per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable
Figure
54
Only Cases with valid trauma diagnosis code per the NTDB criteria are included in the analysis. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate per Facility for Level I Facilities
Figure
55
One facility out of the 194 level I facilities had a case fatality rate of 0% reported and is therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds
Figure
56
Three out of the 137 facilities had a case fatality rate of 0% reported and are therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate per Facility for Level II Facilities with Bed Size Greater than 400 BedsFigur
e57
One facility out of the 80 level II facilities had a case fatality rate of 0% reported and is therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate per Facility for Level III Facilities
Figure
58
Four facilities out of the 121 level II facilities had a case fatality rate of 0% reported and is therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Case Fatality Rate per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable
Figure
59
Thirty-seven facilities out of the 131 facilities had a case fatality rate of 0% reported and is therefore not visible on the graph. All deaths including Dead on Arrival are included in the analysis. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Percentage of Cases with ISS ≥ 16 per Facility for Level I Facilities
Figure
60
The ISS score calculated for all records are based on the ICD-90 map. Trauma level is based upon ACS verification and state designation; however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Percentage of Cases with ISS ≥ 16 per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds
Figure
61
The ISS score calculated for all records are based on the ICD-90 map. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Percentage of Cases with ISS ≥ 16 per Facility for Level II Facilities with Bed Size Greater than 400 Beds
Figure
62
The ISS score calculated for all records are based on the ICD-90 map. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Percentage of Cases with ISS ≥ 16 per Facility for Level III Facilities
Figure
63
The ISS score calculated for all records are based on the ICD-90 map. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Percentage of Cases with ISS ≥ 16 per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable
Figure
64
Thirteen out of 131 facilities had no incidents with ISS ≥16, and are therefore not visible on the graph. The ISS score calculated for all records are based on the ICD-90. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Data Completeness per Facility for Level I Facilities
Figure
65
An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation; however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Data Completeness per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds
Figure
66
One out of 137 facilities had 0% of the incidents complete, and is therefore not visible on the graph. An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Data Completeness per Facility for Level II Facilities with Bed Size Greater than 400 Beds
Figure
67
An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation; however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Data Completeness per Facility for Level III FacilitiesFigure
68
Nine out of 121 facilities had 0% of the incidents complete, and are therefore not visible on the graph. An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Data Completeness per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable
Figure
69
Thirteen out of 131 facilities had 0% of the incidents complete, and are therefore not visible on the graph. An incident was classified as not complete if any of the following key variables were not known/not documented: Age, Gender, Primary E-Code, Locally submitted Injury Severity Score, ED/Hospital Discharge Disposition, and Length of Stay. Trauma level is based upon ACS verification and state designation.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Complications Reported per Facility for Level I FacilitiesFigure
70
Two out of 194 facilities had 0% of the incidents with valid response for hospital complications, including not applicable, and are therefore not visible on the graph. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Complications Reported per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds
Figure
71
Three out of 137 facilities had 0% of the incidents with valid response for hospital complications, including not applicable, and are therefore not visible on the graph. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Complications Reported per Facility for Level II Facilities with Bed Size Greater than or Equal 400 Beds
Figure
72
Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Complications Reported per Facility for Level III Facilities
Figure
73
Three out of 121 facilities had 0% of the incidents with valid response for hospital complications, including not applicable, and are therefore not visible on the graph. Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Complications Reported per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable
Figure
74
Trauma level is based upon ACS verification and state designation, however, pediatric hospitals are not included in the analysis.
NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide
Resources
• www.ntdb.org for more information about NTDB
• www.ntdbdatacenter.com to submit data to NTDB
• www.ntdsdictionary.org for information on the data standard