Comparative Analysis of Injury Statistics Between Colorado and National Data

This study compares injury statistics between Colorado and national data, focusing on injury deaths, hospitalizations, and diagnosis codes. The purpose is to analyze NHDS and HCUPNet data for national estimates, highlighting differences in hospital discharges for various injury categories. The analysis includes percentages of hospital discharges for injury and poisoning, fractures, and complications of medical/surgical care. Additionally, the study examines hospital discharges for poisoning rates per 10,000 population by age group in Colorado.

• Injury Statistics
• Comparative Analysis
• Colorado
• National Data
• Hospitalization

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1. Comparing State and National Injury Statistics Examples from Colorado Holly Hedegaard, MD, MSPH EMS and Trauma Data Program Emergency Medical and Trauma Services Section 8/17/10

2. Injury Deaths and Hospitalizations Deaths National Vital Statistics System www.cdc.gov/nchs/nvss.htm WONDER, WISQARS Hospitalizations National Hospital Discharge Survey www.cdc.gov/nchs/nhds.htm AHRQ HCUPNet (Nationwide Inpatient Sample, NIS) hcupnet.ahrq.gov/

3. Purpose of the Study Compare NHDS and HCUPNet for national estimates of injury hospitalizations Compare Colorado to national estimates

4. National Estimates for Injury Hospitalizations

5. ICD-9-CM Diagnosis Codes ICD-9-CM 800-999 All Injury and Poisoning Injury Poisoning Complications of med/surg care 800-959, 990-995 960-989 996-999 800-829 Fractures, all sites Fracture, neck of femur 820 First listed diagnosis only

6. Comparison of National Estimates Injury Discharges in 2006 NHDS (Number in Thousands) 2,968 HCUPNet* (Number in Thousands) 2,873 All Injury and Poisoning Injury Poisoning 1,785 271 1,632 270 Complications of med/surg care 912 970 Fractures, all sites 1,074 1,032 Fracture, neck of femur 330 304 First listed diagnosis only

7. Percent of All Hospital Discharges for Injury and Poisoning in 2006 60% 60% 57% 34% 31% 31% 9% 9% 9% Injury Poisoning Complication of med/surg care NHDS HCUPNet Colorado

8. Percent of All Hospital Discharges for Injury and Poisoning in 2006 39% 36% 36% 11% 11% 10% Fractures, all sites Fracture, Neck of Femur NHDS HCUPNet Colorado

9. Hospital Discharges for Poisoning Rate per 10,000 population by Age Group 12.5 9.8 9.3 9.1 8.7 8.5 7.4 6.9 2.6 1.4 All Ages 0-14 15-44 45-64 65+ NHDS Colorado

10. Hospital Discharges for Femoral Neck Fracture, Patients Age 65+ Rate per 10,000 population 78.7 76.7 71.5 NHDS HCUPNet Colorado

11. Average Hospital Length of Stay (days) for Femoral Neck Fracture, Patients Age 65+ 6.2 6.2 5.3 NHDS HCUPNet Colorado

12. These results suggest that Similar estimates for injury and poisoning hospital discharges can be obtained from NHDS and the HCUP National Inpatient Sample States can use these tools to compare their injury hospitalization rates with national estimates

13. Thank You! Holly Hedegaard, MD, MSPH EMS and Trauma Data Program Colorado Department of Public Health & Environment holly.hedegaard@state.co.us (303) 692-3005