National Trauma Data Bank 2010 NTDB Annual Report

Figure 1 Percent of Hospitals Submitting Data to NTDB by State and US Territory 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. 67% or greater 34% to 66% 0% to 33% NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide

Figure 2 NTDB ® Annual Report 2010 Facilities by Bed Size © American College

Figure 3 Facilities by Trauma Level NTDB ® Annual Report 2010 © American College

Figure 4 Facilities by Region NTDB ® Annual Report 2010 © American College of

Figure 5 Facilities by ICD-9 Inclusion Criteria NTDB ® Annual Report 2010 © American

Figure 6 Facilities by Length of Stay Inclusion Criteria NTDB ® Annual Report 2010

Figure 7 Facilities by Isolated Hip Fracture Inclusion Criteria by Age NTDB ® Annual

Figure 8 Facilities by Death on Arrival (DOA) Inclusion Criteria NTDB ® Annual Report

Figure 9 Incidents by Age NTDB ® Annual Report 2010 © American College of

Figure 10 Case Fatality Rate by Age NTDB ® Annual Report 2010 © American

Figure 11 Incidents by Age and Gender NTDB ® Annual Report 2010 © American

Figure 12 Case Fatality Rate by Age and Gender NTDB ® Annual Report 2010

Figure 13 Alcohol Use NTDB ® Annual Report 2010 © American College of Surgeons

Figure 14 Drug Use NTDB ® Annual Report 2010 © American College of Surgeons

Figure 15 Primary Payment Source NTDB ® Annual Report 2010 © American College of

Figure 16 A Incidents by Selected Mechanisms of Injury NTDB ® Annual Report 2010

Figure 16 B Case Fatality Rate by Selected Mechanisms of Injury NTDB ® Annual

Figure 17 Incidents by Selected Mechanisms of Injury and Age NTDB ® Annual Report

Figure 18 Case Fatality Rate by Selected Mechanisms of Injury and Age NTDB ®

Figure 19 A Incidents by Selected Mechanisms of Injury and Gender NTDB ® Annual

Figure 19 B Case Fatality Rate by Selected Mechanisms of Injury and Gender NTDB

Figure 20 Incidents by Comparative Injury Severity Scores NTDB ® Annual Report 2010 ©

Figure 21 Case Fatality Rate by Injury Severity Score NTDB ® Annual Report 2010

Figure 22 Injury Severity Score by Age NTDB ® Annual Report 2010 © American

Figure 23 Case Fatality Rate by Injury Severity Score and Age NTDB ® Annual

Figure 24 A Incidents by Work-Related Injuries NTDB ® Annual Report 2010 © American

Figure 24 B Case Fatality Rate by Work-Related Injuries NTDB ® Annual Report 2010

Figure 25 Case Fatality Rate by Intent NTDB ® Annual Report 2010 © American

Figure 26 Case Fatality Rate by Location E-code NTDB ® Annual Report 2010 ©

Figure 27 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. NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide

Figure 28 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. NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide

Figure 29 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. NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide

Figure 30 Incidents by Protective Devices NTDB ® Annual Report 2010 © American College

Figure 31 Median Total Prehospital (in Minutes) by Selected Mechanisms of Injury NTDB ®

Figure 32 NTDB ® Annual Report 2010 Median Total Prehospital Time (in Minutes) by

Figure 33 Median Length of Stay (in Days) by Selected Mechanisms of Injury NTDB

Figure 34 Median Length of Stay (in Days) by Injury Severity Score NTDB ®

Figure 35 Median Ventilator Days by Selected Mechanisms of Injury NTDB ® Annual Report

Figure 36 Median Ventilator Days by Injury Severity Score NTDB ® Annual Report 2010

Figure 37 Median ICU Days by Mechanism of Injury NTDB ® Annual Report 2010

Figure 38 Median ICU Days by Injury Severity Score NTDB ® Annual Report 2010

Figure 39 Incidents by ED Discharge Disposition NTDB ® Annual Report 2010 © American

Figure 40 Reasons for Death in Emergency Department NTDB ® Annual Report 2010 ©

Figure 41 Incidents by Hospital Discharge Disposition NTDB ® Annual Report 2010 © American

Figure 42 Incidents by Region NTDB ® Annual Report 2010 © American College of

Figure 43 Case Fatality Rate by Region NTDB ® Annual Report 2010 © American

Figure 44 Mechanism of Injury by Region NTDB ® Annual Report 2010 © American

Figure 45 Injury Severity Score by Region NTDB ® Annual Report 2010 © American

Figure 46 Incidents by Rurality NTDB ® Annual Report 2010 © American College of

Figure 47 Case Fatality Rate by Rurality NTDB ® Annual Report 2010 © American

Figure 48 Mechanism of Injury by Rurality NTDB ® Annual Report 2010 © American

Figure 49 Injury Severity Score by Rurality NTDB ® Annual Report 2010 © American

Figure 50 Number of Cases Submitted per Facility for Level I Facilities 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

Figure 51 Number of Cases Submitted per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds 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

Figure 52 Number of Cases Submitted per Facility for Level II Facilities with Bed Size Greater than 400 Beds 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

Figure 53 Number of Cases Submitted per Facility for Level III Facilities 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

Figure 54 Number of Cases Submitted per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable 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

Figure 55 Case Fatality Rate per Facility for Level I Facilities 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

Figure 56 Case Fatality Rate per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds 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

Figure 57 Case Fatality Rate per Facility for Level II Facilities with Bed Size Greater than 400 Beds 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

Figure 58 Case Fatality Rate per Facility for Level III Facilities 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

Figure 59 Case Fatality Rate per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable 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

Figure 60 Percentage of Cases with ISS ≥ 16 per Facility for Level I Facilities 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

Figure 61 Percentage of Cases with ISS ≥ 16 per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds 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

Figure 62 Percentage of Cases with ISS ≥ 16 per Facility for Level II Facilities with Bed Size Greater than 400 Beds 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

Figure 63 Percentage of Cases with ISS ≥ 16 per Facility for Level III Facilities 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

Figure 64 Percentage of Cases with ISS ≥ 16 per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable 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

Figure 65 Data Completeness per Facility for Level I Facilities 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

Figure 66 Data Completeness per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds 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 ECode, 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

Figure 67 Data Completeness per Facility for Level II Facilities with Bed Size Greater than 400 Beds 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

Figure 68 Data Completeness per Facility for Level III Facilities 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

Figure 69 Data Completeness per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable 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

Figure 70 Complications Reported per Facility for Level I Facilities 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

Figure 71 Complications Reported per Facility for Level II Facilities with Bed Size Less than or Equal to 400 Beds 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

Figure 72 Complications Reported per Facility for Level II Facilities with Bed Size Greater than or Equal 400 Beds 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

Figure 73 Complications Reported per Facility for Level III Facilities 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

Figure 74 Complications Reported per Facility for Level IV Facilities and Facilities with Designation Other or Not Applicable 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 NTDB ® Annual Report 2010 © American College of Surgeons 2010. All Rights Reserved Worldwide