
Injury Trends and Leading Causes in North Carolina
The North Carolina Department of Health and Human Services provides an overview of the leading causes of injury in North Carolina for 2022. The data reveals an increase in injury deaths among residents, with unintentional poisoning identified as the primary cause of injury death. The report emphasizes the importance of updated surveillance methods in capturing accurate injury data and highlights the significant burden of injuries beyond just fatalities, including hospitalizations and emergency department visits.
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NC DEPARTMENT OF HEALTH AND HUMAN SERVICES Leading Causes of Injury in North Carolina, 2022 Division of Public Health Data updated: December 31, 2024
Leading Causes of Injury Technical Notes Surveillance methods have been updated to identify any mention of an injury in our morbidity data sources. Individual records with multiple injuries listed will be included in the total for each of those injuries but counted only once for overall total injury count. Previously, only the first listed injury was counted, which has resulted in an increase in the number of specific injuries identified. For questions or for more information see technical notes document available at: https://injuryfreenc.dph.ncdhhs.gov/DataSurveillance/Technical- Notes.pdf?ver=1.0 NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 2
Injury deaths are just the tip of the iceberg. In 2022, injuries resulted in: 11,580 Deaths 49,534 Hospitalizations Despite NC s extensive reporting systems, the totalburden of injuries in the 843,434 ED Visits ? EMS state is unknown. ? Outpatient Injuries ? Medically Unattended Injuries INJURY ICEBERG INJURY ICEBERG INJURY ICEBURG Limited to NC Residents, 2022 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2022) and Hospital Discharge Data (2022); NC DETECT (2022) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 1
Injury deaths among NC residents continue to rise Number of Injury Deaths among NC Residents, 2018-2022 12,000 11,580 11,000 11,218 10,000 10,028 9,000 39% increase 8,487 8,000 8,324 7,000 6,000 2018 2019 2020 2021 2022 Data limited to NC residents, 2018-2022 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2018-2022) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 5
Leading causes of injury death among NC Residents, 2022 The leading cause of injury death in 2022 was unintentional poisoning. 4,199 Poisoning - Unintentional Fall - Unintentional MVT - Unintentional Firearm - Self-Inflicted Firearm - Assault Suffocation - Self-Inflicted Suffocation - Unintentional Poisoning - Self-Inflicted Unspecified - Unintentional Fire/Burn - Unintentional 1,846 1,796 993 777 Total Deaths = 11,580 331 218 195 165 138 922 Other MVT = Motor Vehicle Traffic; Unintentional poisoning includes both medication/drug overdoses and non-drug poisonings Data limited to NC residents, 2022 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2022) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 6
Percent change in leading causes of injury death among NC residents, 2018-2022 Unintentional poisoning had the largest five-year increase. 88% Poisoning - Unintentional 33% Fall - Unintentional 13% 10% MVT - Unintentional Firearm - Self-Inflicted 54% Firearm - Assault -5% Suffocation - Self-Inflicted -10% -11% Suffocation - Unintentional Poisoning - Self-Inflicted -24% Unspecified - Unintentional 1% Fire/Burn - Unintentional -40% -20% 0% 20% 40% 60% 80% 100% MVT = Motor Vehicle Traffic Data limited to NC residents, 2018 & 2022 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2018 & 2022) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 7
Injury Death Rates among NC Residents by County, 2018-2022 Statewide, the rate of injury deaths from 2018-2022was 23.2per 100,000 people. Data limited to NC residents, 2018-2022 Source: NC State Center for Health Statistics, Vital Statistics Deaths (2018-2022) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 8
Injury Hospitalizations 9
Injury-related hospitalizations increased by 3% over the last five years Number of Injury Hospitalizations among NC Residents, 2018-2022 50,500 50,193 49,995 50,000 49,927 49,500 49,534 49,000 3% increase 48,500 48,255 48,000 47,500 47,000 2018 2019 2020 2021 2022 Data limited to NC residents, 2018-2022 Source: Hospitalization Discharge Data (2018-2022) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 10
Leading causes of injury hospitalization among NC Residents, 2022 The leading cause of injury hospitalization in 2022 was unintentional falls. 25,727 Fall - Unintentional MVT - Unintentional Poisoning - Unintentional Poisoning - Self-Inflicted Unspecified - Unintentional Struck By/Against - Unintentional Fire/Burn - Unintentional Other Specified/Classifiable - Unintentional No Mech Or Intent Determined Firearm - Unintentional 7,161 5,283 2,520 1,794 1,058 967 874 854 842 2,454 Total Hospitalizations = 49,534 Other MVT = Motor Vehicle Traffic; Unintentional poisoning includes both medication/drug overdoses and non-drug poisonings Data limited to NC residents, 2022 Source: Hospital Discharge Data (2022) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 11
Percent change in leading causes of injury hospitalization among NC residents, 2018-2022 Unintentional firearm injuries had the largest five-year increase. 4% Fall - Unintentional MVT - Unintentional Poisoning - Unintentional Poisoning - Self-Inflicted Unspecified - Unintentional Struck By/Against - Unintentional Fire/Burn - Unintentional Other Specified/Classifiable - Unintentional No Mech Or Intent Determined Firearm - Unintentional 10% 3% -18% 3% 3% -31% 13% -51% 64% -70% -50% -30% -10% 10% 30% 50% 70% MVT = Motor Vehicle Traffic Data limited to NC residents, 2018 & 2022 Source: Hospital Discharge Data (2018 & 2022) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 12
Injury Hospitalization Rates among NC Residents by County, 2018-2022 Statewide, the rate of injury hospitalizations from 2018-2022was 100.8per 100,000 people. Data limited to NC Residents, 2018-2022 Source: Hospital Discharge Data (2018-2022) Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 13
Injury Emergency Department (ED) Visits 14
Injury-related ED visits remain high, but decreased 10% over the last five years Number of Injury ED Visits among NC Residents, 2018-2022 935,097 950,000 922,123 900,000 843,434 850,000 10% decrease 800,000 776,352 750,000 746,586 700,000 2018 2019 2020 2021 2022 Data limited to NC residents, 2018-2022 Source: NC DETECT, 2018-2022 Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 15
Leading causes of injury ED Visits among NC Residents, 2022 The leading cause of injury ED visits in 2022 was unintentional falls. 239,881 221,168 No Mech Or Intent Determined Fall - Unintentional MVT - Unintentional Unspecified - Unintentional Struck By/Against - Unintentional Natural/Environmental - Unintentional Other Specified/Classifiable - Unintentional Poisoning - Unintentional Overexertion - Unintentional Cut/Pierce - Unintentional 111,991 58,680 41,493 35,296 26,567 23,941 23,908 23,532 36,977 Total ED Visits = 843,434 Other Data limited to NC residents, 2022 Source: NC DETECT, 2022 Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 16
Percent change in leading causes of injury ED visits among NC residents, 2018-2022 Unintentional poisoning had the largest five-year increase. 3% No Mech Or Intent Determined -5% Fall - Unintentional -16% MVT - Unintentional -34% -32% Unspecified - Unintentional Struck By/Against - Unintentional -22% Natural/Environmental - Unintentional -13% Other Specified/Classifiable - Unintentional 19% Poisoning - Unintentional -23% Overexertion - Unintentional -30% Cut/Pierce - Unintentional -40% -30% -20% -10% 0% 10% 20% 30% Data limited to NC residents, 2018 & 2022 Source: NC DETECT, 2018 & 2022 Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 17
Injury ED Visit Rates among NC Residents by County, 2018-2022 Statewide, the rate of injury Ed visits from 2018-2022was 1,739.3per 100,000 people. Data limited to NC residents, 2022 For more information on these data, see the Injury Surveillance Technical Notes: https://www.injuryfreenc.ncdhhs.gov/DataSurveillance/Technical-Notes.pdf Source: NC DETECT, 2022 Analysis by the DPH, Injury and Violence Prevention Branch, Injury Epidemiology, Surveillance and Informatics Unit NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 18
IVPB Data Support now available! Book time with an IVPB epidemiologist to discuss available data products, to talk through custom data requests, or for general data questions. IVPB Data Request Policy IVPB Data Support Bookings NCDHHS, Division of Public Health | Leading Causes of Injury, 2022 | December 2024 19
Questions? InjuryData@dhhs.nc.gov Injury and Violence Prevention Branch NCDHHS Division of Public Health www.dph.ncdhhs.gov/programs/chronic- disease-and-injury/injury-and-violence- prevention-branch