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NTDB ® Pediatric Report 2 006 © American College of Surgeons 2007 . All Rights Reserved Worldwide
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NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

Mar 26, 2015

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Page 1: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Page 2: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Number of Incidents by Age

0

5,000

10,000

15,000

20,000

25,000

30,000

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

Age (years)

Nu

mb

er o

f In

cid

ents

Figure 2A: Number of Incidents by Age

Page 3: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 3A: Number of Incidents by Age and Gender

Number of Incidents by Age and Gender

0

5,000

10,000

15,000

20,000

25,000

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Age (years)

Nu

mb

er o

f In

cid

ents

Female

Male

Page 4: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Number of Incidents by Mechanism of Injury

0

10,000

20,000

30,000

40,000

50,000

60,000

Mot

or ve

hicle

traffic Fall

Struck

by,

again

st

Trans

port,

othe

r

Firearm

Pedal

cycli

st, o

ther

Fire/b

urn

Cut/pier

ce

Other

spec

ified an

d cla

ssifie

d

Mechanism of Injury

Nu

mb

er o

f In

cid

ents

Age 0 -14

Age 15 - 19

Figure 4A: Number of Incidents by Mechanism of Injury

Page 5: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Number of Deaths by Mechanism of Injury

0

500

1,000

1,500

2,000

2,500

Mot

or ve

hicle

traf

fic

Firear

m

Other

spec

ified

and

class

ified

Trans

port,

oth

erFall

Struck

by,

agai

nst

Fire/b

urn

Cut/p

ierc

e

Suffo

catio

n

Mechanism of Injury

Nu

mb

er

of

De

ath

s

Age 0 - 14

Age 15 - 19

Figure 5A: Number of Deaths by Mechanism of Injury

Page 6: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Case Fatality Rate by Age

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

5.00

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Age (years)

Cas

e F

atal

ity

Rat

e

Figure 6A: Case Fatality Rate by Age

Page 7: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 7A: Case Fatality Rate by Age and Gender

Case Fatality by Age and Gender

0.00

1.00

2.00

3.00

4.00

5.00

6.00

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

Age (years)

Cas

e F

atal

ity

Female

Male

Page 8: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Total Hospital Length of Stay by Mechanism of Injury

0

50,000

100,000

150,000

200,000

250,000

300,000

Mot

or ve

hicle

traffic Fall

Fire/b

urn

Trans

port,

othe

r

Other

spec

ified an

d cla

ssifie

d

Struck

by,

again

st

Pedal

cycli

st, o

ther

Cut/pier

ce

Natura

l/env

ironm

ental

Firearm

Mechanism of Injury

Ho

spit

al L

OS

in

Day

s

Age 0 - 14

Age 15 - 19

Figure 8A: Total Hospital Length of Stay by Mechanism of Injury

Page 9: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Average Hopsital Length of Stay by Mechanism of Injury

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

Mot

or ve

hicle

traffic Fall

Fire/b

urn

Trans

port,

othe

r

Other

spec

ified an

d cla

ssifie

d

Struck

by,

again

st

Pedal

cycli

st, o

ther

Cut/pier

ce

Natura

l/env

ironm

ental

Firearm

Mechanism of Injury

Ave

rag

e H

osp

ital

LO

S i

n D

ays

Age 0 - 14

Age 15 - 19

Figure 8B: Average Hospital Length of Stay by Mechanism of Injury

Page 10: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 9A: Total ICU Length of Stay by Mechanism of Injury

Total ICU Length of Stay by Mechanism of Injury

010,00020,00030,00040,00050,00060,00070,00080,00090,000

Mechanism of Injury

To

tal

ICU

LO

S i

n D

ays

Age 0 - 14

Age 15 - 19

Page 11: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Average ICU Length of Stay by Mechanism of Injury

0.00

0.50

1.00

1.50

2.00

2.50

3.00

3.50

Mot

or ve

hicle

traffic

Fire/b

urnFall

Other

spec

ified an

d cla

ssifie

d

Trans

port,

othe

r

Struck

by,

again

st

Pedal

cycli

st, o

ther

Firearm

Natura

l/env

ironm

ental

Cut/pier

ce

Mechanism of Injury

Ave

rag

e IC

U L

OS

in

Day

s

Age 0 - 14

Age 15 - 19

Figure 9B: Average ICU Length of Stay by Mechanism of Injury

Page 12: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 10A: Percent of Incidents by Injury Type

Percent of Incidents by Type of Injury

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

Blunt Burn Penetrating

Type of Injury

Per

cen

tag

e o

f In

cid

ents

Age 0 - 14

Age 15 - 19

Page 13: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 11A: Percent of Deaths by Injury Type

Percent of Deaths by Type of Injury

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

100.00

Blunt Burn Penetrating

Type of Injury

Per

cen

tag

e o

f D

eath

s

Age 0 -14

Age 15 - 19

Page 14: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 12A: Percent of Incidents by ISS

Percent of Incidents by Injury Severity Score

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

1 to 8 9 to 15 16 to 24 >24

Injury Severity Score

Per

cen

tag

e o

f In

cid

ents

Age 0 - 14

Age 15 - 19

Page 15: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 13A: Case Fatality Rate by ISS

Case Fatality Rate by Injury Severity Score

0.00

5.00

10.00

15.00

20.00

25.00

30.00

1 to 8 9 to 15 16 to 24 >24

Injury Severity Score

Cas

e F

atal

ity

Rat

e

Age 0 - 14

Age 15 - 19

Page 16: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 14A: Total Hospital Length of Stay by ISS

Total Hospital Length of Stay by Injury Severity Score

0

20,000

40,000

60,000

80,000

100,000

120,000

140,000

160,000

180,000

1 to 8 9 to 15 16 to 24 >24

Injury Severity Score

To

tal

Ho

spit

al L

OS

in

Day

s

Age 0 - 14

Age 15 - 19

Page 17: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 14B: Average Hospital Length of Stay by ISS

Average Hospital Length of Stay by Injury Severity Score

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

1 to 8 9 to 15 16 to 24 >24

Injury Severity Score

Ave

rag

e H

osp

ital

LO

S i

n D

ays

Age 0 - 14

Age 15 - 19

Page 18: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 15A: Total ICU Length of Stay by ISS

Total ICU Length of Stay by Injury Severity Score

0

10,000

20,000

30,000

40,000

50,000

60,000

70,000

80,000

1 to 8 9 to 15 16 to 24 >24

Injury Severity Score

To

tal I

CU

LO

S in

Day

s

Age 0 - 14

Age 15 - 19

Page 19: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 15B: Average ICU Length of Stay by ISS

Average Hospital Length of Stay by Injury Severity Score

0.00

2.00

4.00

6.00

8.00

10.00

12.00

14.00

1 to 8 9 to 15 16 to 24 >24

Injury Severity Score

Ave

rag

e H

osp

ital

LO

S i

n D

ays

Age 0 - 14

Age 15 - 19

Page 20: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 16A: Percent of Incidents by Intent

Percent of Incidents by Intent

0.00

10.00

20.00

30.00

40.00

50.00

60.00

70.00

80.00

90.00

100.00

Unintentional Assault Undetermined Self–inflicted Other

Intent

Per

cen

tag

e o

f In

cid

ents

Age 0 - 14

Age 15 - 19

Page 21: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Case Fatality Rate by Intent

0.00

5.00

10.00

15.00

20.00

25.00

Unintentional Assault Self-inflicted Undetermined Other

Intent

Cas

e F

atal

ity

Rat

e

Age 0 - 14

Age 15 - 19

Figure 17A: Case Fatality Rate by Intent

Page 22: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 18A: Number of Incidents by Organ System

Number of Incidents by Organ System

0

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

Abdomen Brain/Skull Extremity Pelvic Spine Thorax

Organ System

Nu

mb

er o

f In

cid

ents

Age 0 -14

Age 15 - 19

Page 23: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 19A: Number of incidents by organ system in patients who died

Number of Incidents by Organ System in Patients Who Died

0

500

1,000

1,500

2,000

2,500

Abdomen Brain/Skull Extremity Pelvic Spine Thorax

Organ System

Nu

mb

er o

f In

cid

ents

Age 0 - 14

Age 15 - 19

Page 24: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 20A: Number of incidents with brain/skull injuries

Number of Incidents with Brain/Skull Injuries

0

5,000

10,000

15,000

20,000

25,000

30,000

Brain Only Brain and Skull Skull Only

Nu

mb

er o

f In

cid

ents

Age 0 - 14

Age 15 - 19

Page 25: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 21A: Number of patients with brain/skull injuries among those who died

Number of Patients with Brain/Skull Injuries Among Those Who Died

0

200

400

600

800

1,000

1,200

1,400

1,600

Brain Only Brain and Skull Skull Only

Nu

mb

er

of

Pati

en

ts

Age 0 - 14

Age 15 - 19

Page 26: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 22A: Number of incidents with brain-only injuries by subdural/extradural hemorrhage and other

Number of Incidents with Brain-Only Injuries by Subdural/Extradural Hemorrhage and Other

0

5,000

10,000

15,000

20,000

25,000

Other Brain Injury Only Subdural/ExtraduralHemorrhage Only

Subdural/ExtraduralHemorrhage and Other

Brain Injury

Nu

mb

er o

f In

cid

ents Age 0 - 14

Age 15 - 19

Page 27: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 23A: Number of patients with brain-only injuries by subdural/extradural hemorrhage and other among those who died

Number of Patients with Brain-Only Injuries by Subdural/Extradural Hemorrhage and Other Among Those Who Died

0

100

200

300

400

500

600

700

800

900

1,000

Other Brain Injury Only Subdural/ExtraduralHemorrhage Only

Subdural/ExtraduralHemorrhage and Other

Brain Injury

Nu

mb

er o

f P

atie

nts

Age 0 - 14

Age 15 - 19

Page 28: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 24A: Number of Incidents with Thoracic Injuries

Number of Incidents with Thoracic Injuries

0

2,000

4,000

6,000

8,000

10,000

12,000

14,000

ChestWall/Diaphragm

Heart Lungs TracheobronchialTree/Esophagus

Nu

mb

er

of

Inc

ide

nts

Age 0 - 14

Age 15 - 19

Page 29: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 25A: Number of patients with thoracic injuries among those who died

Number of Patients with Thoracic Injuries Among Those Who Died

0

200

400

600

800

1,000

1,200

1,400

ChestWall/Diaphragm

Heart Lungs TracheobronchialTree/Esophagus

Nu

mb

er o

f P

atie

nts

Age 0 - 14

Age 15 - 19

Page 30: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 26A: Number of incidents with abdominal injuries

Number of Incidents of Abdominal Injuries

0

1,000

2,000

3,000

4,000

5,000

6,000

GI Tract GenitourinaryTract

Liver Spleen

Nu

mb

er o

f In

cid

ents

Age 0 - 14

Age 15 - 19

Page 31: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Figure 27A: Number of incidents with abdominal injuries among those who died

Number of Patients with Abdominal Injuries Among Those Who Died

0

100

200

300

400

500

600

GI Tract GenitourinaryTract

Liver Spleen

Nu

mb

er o

f P

atie

nts

Age 0 -14

Age 15 - 19

Page 32: NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide.

NTDB ® Pediatric Report 2006 © American College of Surgeons 2007. All Rights Reserved Worldwide

Resources

• www.ntdb.org for more information about NTDB

• www.ntdbdatacenter.com to transmit data to NTDB

• www.ntdsdictionary.org for information on the new data standard