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Monthly Report for May 2017 Indiana Trauma Registry
On May 2nd, Ramzi Nimry (Trauma System PI Manager) trained IU Health Bedford on the
ImageTrend (Patient) Registry.
On May 12th, Ramzi Nimry (Trauma System PI Manager) attended the St. Vincent Emergency
Medicine Symposium at the Indianapolis Marriott North as a vendor.
On May 16th, Ramzi Nimry (Trauma System PI Manager), Camry Hess (Data Analyst) and
Katie Hokanson (Director) attended the PI Subcommittee meeting at ISDH.
On May 17th, Ramzi Nimry (Trauma System PI Manager) attended the Pediatric Emergency
Care Coordinator (PECC) Advisory Board meeting at the Indianapolis EMS.
On May 19th, Ramzi Nimry (Trauma System PI Manager) and Camry Hess (Data Analyst)
attended the Traffic Records Coordinating Committee (TRCC) meeting at Government Center
South.
On May 31st, Ramzi Nimry (Trauma System PI Manager) attended the State Health
Assessment (SHA)/State Health Improvement Plan (SHIP) at Government Center South.
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 April 2017 until May 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 May 2017
Uniformity In May we sent out the thirty-seventh monthly quiz for the inter-rater reliability study. Forty-nine registrars
completed the quiz from 30 hospitals. The percent of correct answers was 65% for the entire quiz and the av-
erage free-marginal Kappa (measure of consistency) 0.35. We plan to collect data for four months and track
trends in percent of correct answers by individuals and as a group over time as well as their consistency. Oth-
er 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 2,457 for Q3 2016 data. Trauma data is due on a quarterly
basis.
Indiana Trauma Registry
Accessibility The average time to complete data requests was 1.7 days for aggregate requests (3 total), 1 day for identifiable
requests (1 total), and 2.3 days for self-reports (3 requests).
Monthly Report for May 2017
January 2016 to December 2016 40705 Incidents 1
June 2016 to May 2017 28587 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
June 2016 to May 2017
Cause of Injury (COI)
Not IdentifiedSmokeAnimate Mechanical ForcesInanimate Mechanical ForcesFallsTransport
24
52.2
6.31.7 1
13.6
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
June 2016 to May 2017
0
20
40
60
% o
f MV
C F
requ
ency
COI-Motor Vehicle Collision (MVC)
UnspecifiedBicyclistPedestrianMotorcycleAutomobile
69.9
17.8
6.22.5 3.7
2016
0
20
40
60
% o
f MV
C F
requ
ency
June 2016 to May 2017 4845 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)
12539 22 4 8
Fatal Incidents June 2016 to May 20173263
823
277
115 169
Nonfatal Incidents June 2016 to May 2017
0
1000
2000
3000
Cou
nt o
f In
cide
nts
& F
atal
itie
s
June 2016 to May 2017 4845 Incidents 3
Motor Vehicle Collision
Race
83.8
10.6
1 0.2 2.2 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
Age
9.5
73.9
16.6
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
Gender
61.1
38.9
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
Drug & Alcohol Use
13.2 12.2
2.2
10.9
32.4
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
44.1
30.7
14
8.2
1.1 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
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
41.645.4
0.95.9
61.4
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
June 2016 to May 2017 4845 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
June 2016 to May 2017
83.8
10.6
1 0.2 2.2 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
MotorcycleJune 2016 to May 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
AutomobileJune 2016 to May 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
BicyclistJune 2016 to May 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
PedestrianJune 2016 to May 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
June 2016 to May 2017 4845 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
June 2016 to May 2017
9.5
73.9
16.6
0
20
40
60
80
100
Per
cent
age
of A
ge F
requ
ency
Elderly (>65)AdultPediatric (<18)Age Category
MotorcycleJune 2016 to May 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
AutomobileJune 2016 to May 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
BicyclistJune 2016 to May 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
PedestrianJune 2016 to May 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
June 2016 to May 2017 4845 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
June 2016 to May 2017
61.1
38.9
0
20
40
60
80
100
Per
cent
age
of G
ende
r F
requ
ency
FemaleMaleGender
MotorcycleJune 2016 to May 2017
84.7
15.3
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
AutomobileJune 2016 to May 2017
53.8
46.2
0
20
40
60
80
100P
erce
ntag
e of
Gen
der
FemaleMaleGender
BicyclistJune 2016 to May 2017
75.7
24.3
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
PedestrianJune 2016 to May 2017
67.3
32.7
0
20
40
60
80
100
Per
cent
age
of G
ende
r
FemaleMaleGender
June 2016 to May 2017 4845 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
June 2016 to May 2017
7
19.3
6.1
67.6
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 2016 to May 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
AutomobileJune 2016 to May 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
BicyclistJune 2016 to May 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
PedestrianJune 2016 to May 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
June 2016 to May 2017 4845 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
June 2016 to May 2017
44.1
30.7
148.2
1.1 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
MotorcycleJune 2016 to May 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
AutomobileJune 2016 to May 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
BicyclistJune 2016 to May 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
PedestrianJune 2016 to May 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
June 2016 to May 2017 4845 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
June 2016 to May 2017
41.645.4
0.95.9
38.6
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 2016 to May 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
AutomobileJune 2016 to May 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
BicyclistJune 2016 to May 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
PedestrianJune 2016 to May 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
13.2
22
2.4
10.8
District 10
8.6
5.7 5.7
District 9
17.2
20.4
2.7
10.2
District 8
13.3
18.8
1.8
8.7
District 7
11.7
14.2
1.9
8.5
District 6
1513.1
1.2
11.4
District 5
6.6
10
2.5
10
District 4
7.5
4.8 4
9.8
District 3
10.2
2 2.3
13.3
District 2
17.3
3.92.3
13.9
District 1
13.212.2
2.2
10.9
State Average
0
10
20
30
0
10
20
30
0
10
20
30
