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A healthier and safer Indiana
ADDENDUM TO INJURY MORBIDITY AND MORTALITY IN INDIANA
Injury Prevention Advisory Council Meeting
June 21, 2012
Julie Wirthwein—Injury Prevention Epidemiologist
DIVISION OF TRAUMA AND INJURY PREVENTION
Overview
Background of State Injury Indicators ReportInjury mortality, hospitalization and emergency department (ED)
dataInjury by intentFall-related injuries by typeFire and hot object/substance injuriesMotor vehicle crash injuries by injured person typeCauses/mechanisms of traumatic brain injuriesLeading causes of injury death by age group
2
Data Sources
Indiana Mortality Reports (http://www.in.gov/isdh/19096.htm)
Published by: Indiana State Department of Health (ISDH), Data Analysis Team (DAT)
Hospital Discharge Datasets (HDD), Inpatient and Emergency Department (ED) Overseen by: ISDH, DAT; Indiana Hospital Association
Web-based Injury Statistics Query and Reporting System (WISQARS) (http://www.cdc.gov/injury/wisqars/index.html)
Centers for Disease Control and Prevention, 2006–2009
3
State Injury Indicators
An injury indicator describes a health outcome of an injury, such as a hospitalization or death, or a factor known to be associated with an injury, such as a risk or protective factor among a specified population
Guidelines for injury surveillance developed by the State and Territorial Injury Prevention Directors Association (STIPDA) and the Council of State and Territorial Epidemiologists (CSTE)
Provides state injury programs with a standardized method for evaluating injury data that is comparable across states, the United States and territories
4
State Injury Indicators—Injury Categories
Causes of InjuryUnintentional Drowning
(Drowning)Unintentional Fall-related (Falls)Unintentional Fire-related (Fire)Firearm-relatedHomicide/AssaultPoisoningMotor Vehicle TrafficSuicide/Suicide Attempt
5
Types of Injury Traumatic Brain Injury (TBI) Hip Fracture Admissions, aged
65 years and older
State Injury Indicators
Overlaps exist among injury categories Example: A firearm-related homicide could be included in the
firearm-related, homicide and traumatic brain injury (TBI) death indicator totals
Mortality data include only Indiana residents whether or not the death occurred in-state
HDD characteristics Restricted to non-federal, non-state, acute care facilities No psychiatric, rehab, or long-term hospitals are included Readmissions, transfers, and in-hospital deaths are included
6
Injury Coding
Mortality Data: International Classification of Disease, Tenth Revision (ICD-10), (See Appendix A)
Hospital Discharge Data: International Classification of Disease, Ninth Revision, Clinical Modification (ICD-9-CM), (See Appendix B) External causes of injury and poisoning codes (E-codes)
• Capture how the injury or poisoning happened (cause), the intent (unintentional, intentional, undetermined), and the place where the event occurred
• Are intended to provide data for injury research and evaluation of injury prevention strategies
• Quality of data is dependent on the completeness and accuracy of E-codes• Indiana’s E-code percentage (Inpatient HDD) in 2009: 62.44%
Injury Hospitalization and Emergency Department Subsets were produced by searching principal diagnosis field for appropriate codes
7
Overview of Mortality Data—Indiana, 2007–2009
Death rate for all injuries combined was 60.0 deaths per 100,000 from 2007 to 2009, claiming 11,640 lives
Males were 2.4 times more likely than females to be fatally injured (86.2 versus 35.5 per 100,000)
Injury death rates were highest among those aged 85 years and older (286.1 per 100,000)
8
Source: ISDH, Epidemiology Resource Center, DAT
Overview of Mortality Data—Indiana, 2007–2009
Leading causes of injury deaths among both sexes combined were poisonings (15.0 per 100,000), suicides (12.5 per 100,000), and motor vehicle crashes (12.3 per 100,000)
Leading causes of injury deaths among males were suicides (20.8 per 100,000), firearm-related incidents (19.4 per 100,000), and poisonings (18.8 per 100,000)
Leading causes of injury deaths among females were poisonings (11.2 per 100,000), motor vehicle crashes (6.9 per 100,000), and suicides (4.8 per 100,000)
9
Source: ISDH, Epidemiology Resource Center, DAT
Overview of Inpatient Hospital Discharge Data—Indiana, 2007–2009
Leading causes of injury-related hospitalizations among both sexes combined were falls (163.2 per 100,000), poisonings (68.8 per 100,000), and motor vehicle crashes (45.2 per 100,000)
Males were 1.1 times more likely than females to be hospitalized because of an injury (496.8 versus 468.7 per 100,000)
10
Source: ISDH, Epidemiology Resource Center
Overview of Inpatient Hospital Discharge Data—Indiana, 2007–2009
Leading causes of injury-related hospitalizations among males were falls (134.7 per 100,000), poisonings (62.1 per 100,000), and motor vehicle crashes (57.5 per 100,000)
Leading causes of injury-related hospitalizations among females were falls (178.6 per 100,000), poisonings (75.4 per 100,000), and suicides (47.2 per 100,000)
11
Source: ISDH, Epidemiology Resource Center
Overview of ED Hospital Discharge Data—Indiana, 2007–2009
Leading causes of injury-related ED visits among both sexes combined were falls (1,900.5 per 100,000), motor vehicle crashes (604.2 per 100,000), and assaults (248.8 per 100,000)
Males were 1.1 times more likely than females to visit an ED because of an injury (9,407.3 versus 8,204.4 per 100,000)
12
Source: ISDH, Epidemiology Resource Center
Overview of ED Hospital Discharge Data—Indiana, 2007–2009
Leading causes of injury ED visits among males were falls (1,730.3 per 100,000), motor vehicle crashes (566.2 per 100,000), and assaults (302.8 per 100,000)
Leading causes of injury ED visits among females were falls (2,035.3 per 100,000), motor vehicle crashes (643.3 per 100,000), and assaults (193.4 per 100,000)
13
Source: ISDH, Epidemiology Resource Center
Overview of ED Hospital Discharge Data—Indiana, 2007–2009
Leading causes of injury ED visits among males were falls (1,730.3 per 100,000), motor vehicle crashes (566.2 per 100,000), and assaults (302.8 per 100,000)
Leading causes of injury ED visits among females were falls (2,035.3 per 100,000), motor vehicle crashes (643.3 per 100,000), and assaults (193.4 per 100,000)
14
Source: ISDH, Epidemiology Resource Center
Injury Fatality ICD-10 Codes
15
V01–Y36Y85–Y87Y89
Injury and poisoning
Overview of Injury Death Rates—Indiana, 2007–2009
16
<1 1-45-14
15-2425-34
35-4445-54
55-6465-74
75-8485+
050
100150200250300350400
By Age and Sex
Males Females
Age Group (years)
Rate
per
100
,000
Fire
Drowning
Fall
Homicide
Firea
rm
Motor Veh
icle
Suicid
e
Poisoning TB
I02468
1012141618
1.2 1.2
4.9 5.5
11.012.3 12.5
15.016.4
By Cause/Type*
Rate
per
100
,000
Fire
Drowning
Fall
Homicide
Poisoning
Firea
rm
Motor Veh
icle
Suicid
es TBI
0
5
10
15
20
25
30By Cause/Type and Sex*
Males Females
Rate
per
100
,000
Males Females0
102030405060708090
10086.2
35.5
By Sex*
Rate
per
100
,000
*Age-adjusted
Age-Adjusted Injury Death Rates by Cause/Type—Indiana, 2007–2009
17
Fire
Drowning
Fall
Homicide
Firearm
Moto
r Vehicl
e
Suici
de
Poisoning TBI
02468
1012141618
1.2 1.2
4.9 5.5
11.012.3 12.5
15.016.4
Rate
per
100
,000
Source: ISDH, Epidemiology Resource Center, DAT
18
Fire
Drowning
Fall
Homicide
Poisoning
Firearm
Moto
r Vehicl
e
Suici
desTBI
0
5
10
15
20
25
30
1.4 1.9
6.78.1
18.8 19.417.9
20.8
26
0.9 0.5
3.6 2.8
11.2
3.2
6.94.8
7.7
Males Females
Rate
per
100
,000
Source: ISDH, Epidemiology Resource Center, DAT
Age-Adjusted Injury Death Rates by Sex and Cause/Type—Indiana, 2007–2009
19
Males Females0
10
20
30
40
50
60
70
80
90
100
86.2
35.5
Rtae
per
100
,000
Source: ISDH, Epidemiology Resource Center, DAT
Age-Adjusted Injury Death Rates by Sex—Indiana, 2007–2009
20
<1 1-45-14
15-2425-34
35-4445-54
55-6465-74
75-8485+
0
50
100
150
200
250
300
350
400
Males Females
Age Group (years)
Rate
per
100
,000
Source: ISDH, Epidemiology Resource Center, DAT
Injury Death Rates by Sex and Age—Indiana, 2007–2009
Hospitalizations for All Injuries ICD-9-CM Codes
21
800–909.2909.4909.9–994.9995.5–995.59995.80–995.85
Injury and poisoning
Drowning
Fire
Firea
rm
Homicide/A
ssault
Suicid
e
Motor Veh
icle
TBI
Poisoning
Fall
020406080
100120140160180
0.5 3.6 6.0 12.4
40.8 45.264.0 68.8
163.2
By Cause/Type*
Rate
per
100
,000
Fire
Drowning
Fall
Assault
Poisoning
Firea
rm
Motor Veh
icle
Suicid
e TBI
020406080
100120140160180200
By Cause/Type and Sex*
Males Females
Rate
per
100
,000
Males Females0
100
200
300
400
500
600496.8 468.7
By Sex*
Rate
per
100
,000
*Age-adjusted
<1 1-4 5-14 15-24
25-34
35-44
45-54
55-64
65-74
75-84
85+0
1,000
2,000
3,000
4,000
5,000
6,000By Age and Sex
Males Females
Age Group (years)
Rate
per
100
,000
Overview of Injury Hospitalization Rates—Indiana, 2007–2009
22
Drowning
Fire
Firearm
Homicide/A
ssault
Suici
de
Moto
r Vehicl
e TBI
Poisoning
Fall
020406080
100120140160180
0.5 3.6 6.0 12.4
40.8 45.264.0 68.8
163.2
Rate
per
100
,000
Age-Adjusted Injury Hospitalization Rates by Cause/Type—Indiana, 2007–2009
23
Source: ISDH, Epidemiology Resource Center
Fire
Drowning
Fall
Assault
Poisoning
Firearm
Moto
r Vehicl
e
Suici
de TBI0
20406080
100120140160180200 Males Females
Rate
per
100
,000
Age-Adjusted Injury Hospitalization Rates by Sex and Cause/Type—Indiana, 2007–2009
24
Source: ISDH, Epidemiology Resource Center
Males Females0
100
200
300
400
500
600
496.8468.7
Rate
per
100
,000
Age-Adjusted Injury Hospitalization Rates by Sex—Indiana, 2007–2009
25
Source: ISDH, Epidemiology Resource Center
<1 1-4 5-1415-24
25-3435-44
45-5455-64
65-7475-84 85+
0
1,000
2,000
3,000
4,000
5,000
6,000Males Females
Age Group (years)
Rate
per
100
,000
Injury Hospitalization Rates by Age and Sex—Indiana, 2007–2009
26
Source: ISDH, Epidemiology Resource Center
ED Visits for All Injuries ICD-9-CM Codes
27
800–909.2909.4909.9–994.9995.5–995.59995.80–995.85
Injury and poisoning
Drowning
Firea
rm Fire
Suicid
e
Poisoning
Assault TB
I
Motor Veh
icle
Fall
0250500750
1,0001,2501,5001,7502,000
1.5 11.3 24.2 68.4 140.2248.8
486.4604.2
1,900.5By Cause/Type*
Rate
per
100
,000
Fire
Drowning
Fall
Assault
Poisoning
Firea
rm
Motor Veh
icle
Suicid
es TBI
0250500750
1,0001,2501,5001,7502,0002,250
By Cause/Type and Sex*
Males Females
Rate
per
100
,000
<1 1-4 5-14 15-24
25-34
35-44
45-54
55-64
65-74
75-84
85+0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000By Age and Sex
Males Females
Age Group (years)
Rate
per
100
,000
Overview of Injury ED Visit Rates—Indiana, 2007–2009
28
*Age-adjusted
Drowning
Firearm Fir
e
Suici
de
Poisoning
Assault TBI
Moto
r Vehicl
e Fa
ll0
250
500
750
1,000
1,250
1,500
1,750
2,000
1.5 11.3 24.2 68.4 140.2248.8
486.4604.2
1,900.5
Rate
per
100
,000
Age-Adjusted Injury ED Visit Rates by Cause/Type—Indiana, 2007–2009
29
Source: ISDH, Epidemiology Resource Center
Fire
Drowning Fall
Assault
Poisoning
Firearm
Motor Vehicle
Suicides TBI
0
250
500
750
1,000
1,250
1,500
1,750
2,000
2,250MalesFemales
Rate
per
100
,000
Age-Adjusted Injury ED Visit Rates by Cause/Type and Sex—Indiana, 2007–2009
30
Source: ISDH, Epidemiology Resource Center
<1 1-45-14
15-2425-34
35-4445-54
55-6465-74
75-8485+
0
2,000
4,000
6,000
8,000
10,000
12,000
14,000
16,000 Males Females
Age Group (years)
Rate
per
100
,000
Injury ED Visit Rates by Age and Sex—Indiana, 2007–2009
31
Source: ISDH, Epidemiology Resource Center
Injury Deaths by Intent—Indiana, 2007–2009
32
65.1%
29.6%
5.2%
0.2%
Unintentional
Intentional
Undetermined
Other
N=11,643
Source: ISDH, Epidemiology Resource Center, DAT
Intentional Injury Deaths by Type—Indiana, 2007–2009
33
70.0%
30.0%
Suicide
Assault/Homicide
N=3,447
Source: ISDH, Epidemiology Resource Center, DAT
34
82.2%
14.7%
3.0% 0.1%
Unintentional
Intentional
Undetermined
Other
Injury Hospitalizations by Intent—Indiana, 2007–2009
N=68,041
Source: ISDH, Epidemiology Resource Center
Intentional Injury Hospitalizations by Type—Indiana, 2007–2009
35
76.8%
23.2%
Self-Inflicted
Assault
N=10,009
Source: ISDH, Epidemiology Resource Center
Unintentional Fall-Related Deaths by Type—Indiana, 2007–2009
36
54.8%
17.2%
9.7%
7.1%
3.5%
3.1% 2.4% 2.3%Unspecified falls
Other slipping, tripping and stumbling
Stairs or steps
Other, specified
Out of or through building or structure
Ladder or scaffolding
Other fall from one level to another
Same level from slipping, tripping and stumbling
N=1,008
Source: ISDH, Epidemiology Resource Center, DAT
37
42.3%
33.6%
10.8%
7.8%
3.4% 1.4% 0.3% 0.3%
Other and unspecified
Same level from slipping, tripping, or stumbling
One level to another
Stairs or steps
Ladders or scaffolding
Building or other structure
Hole or other opening in surface
Same level from collision, pushing, or shoving
Unintentional Fall-Related Hospitalizations by Type—Indiana, 2007–2009
N=32,912Source: ISDH, Epidemiology Resource Center
38
38.2%
32.7%
14.7%
10.1%
2.3% 0.9% 0.7% 0.4%
Other and unspecified
Same level from slipping, tripping, or stumbling
One level to another
Stairs or steps
Ladders or scaffolding
Same level from collision, push-ing, or shoving
Hole or other opening in surface
Building or other structure
Unintentional Fall-Related ED Visits by Type—Indiana, 2007–2009
N=364,498
Source: ISDH, Epidemiology Resource Center
Fire/Burn* Hospitalizations—Indiana, 2007–2009
39
50.1%49.9% Fire/flame
Hot object/substance*
*Hot object/substance burns excluded from State Injury Indicators Report
N=1,370
Source: ISDH, Epidemiology Resource Center
40
*Hot object/substance burns excluded from State Injury Indicators Report
Fire/Burn* ED Visits—Indiana, 2007–2009
N=20,267
77.5%
22.5%
Hot object/substance*
Fire/flame
Source: ISDH, Epidemiology Resource Center
Motor Vehicle Crash Deaths by Injured Person Type—Indiana, 2007–2009
41
N=2,364
Source: ISDH, Epidemiology Resource Center, DAT
51.0%
23.9%
12.3%
7.3%
3.7% 1.4% <1%
Unspecified, other land transport
Car occupant
Motorcyclist
Pedestrian
Occupant of pick-up truck or van
Pedal Cyclist
Occupant of heavy transport vehicle
Bus occupant
42
Motor Vehicle Crash Hospitalizations by Injured Person Type—Indiana, 2007–2009
N=8,639
48.4%
19.1%
17.8%
7.1%
4.2%2.0% 1.4%
Driver
Passenger
Motorcyclist
Pedestrian
Unspecified
Pedal Cyclist
Passenger on Motorcycle
Source: ISDH, Epidemiology Resource Center
43
Motor Vehicle Crash ED Visits by Injured Person Type—Indiana, 2007–2009
N=113,553
55.9%
24.4%
8.5%
6.2%
3.3%1.4%<1%
Driver
Passenger
Unspecified
Motorcyclist
Pedestrian
Pedal Cyclist
Passenger on Motorcycle
Source: ISDH, Epidemiology Resource Center
Causes/Mechanisms of TBI Deaths—Indiana, 2009
44
Cause/Mechanism* TBI (N=1,012)
Falls 209
Fire 1
Firearms 453
Homicide 111
MVT 202
Poisoning 2
Suicide 360
Cause/Mechanism* TBI (%)
Falls 20.7%
Fire 0.1%
Firearms 44.8%
Homicide 11.0%
MVT 20.0%
Poisoning 0.2%
Suicide 35.6%
*Causes/mechanisms not mutually exclusive
Source: ISDH, Epidemiology Resource Center, DAT
45
Firearm-Related TBI Deaths by Selected Cause—Indiana, 2009
Source: ISDH, Epidemiology Resource Center, DAT
Cause
Firearm-Related TBI
(N=452)Suicide by Discharge of Firearms 355
Homicide by Discharge of Firearms 78
Accidental Discharge of Firearms 14
Undetermined Discharge of Firearms 5
Cause
Firearm-Related TBI
(%)Suicide by Discharge of Firearms 78.4%
Homicide by Discharge of Firearms 17.2%
Accidental Discharge of Firearms 3.1%
Undetermined Discharge of Firearms 1.1%
Causes/Mechanisms of TBI Hospitalizations—Indiana, 2009
46
Cause/Mechanism* TBI (N=4,245)
Falls 1,618
Fire 4
Firearms 59
Homicide 230
MVT 935
Poisoning 27
Suicide 33
Cause/Mechanism* TBI (%) †
Falls 38.1%
Fire 0.1%
Firearms 1.4%
Homicide 5.4%
MVT 22.0%
Poisoning 0.6%
Suicide 0.8%
Source: ISDH, Epidemiology Resource Center
*Causes/mechanisms not mutually exclusive† Total less than 100% due to lack of e-codes and other unlisted causes/mechanisms (TBI e-code percentage: 76.1%)
47
Source: WISQARS
*Note change in years
Death Rates among Children Under Age One Year by Mechanism of Injury—Indiana and United States, 2000–2009*
Drowning
Poisoning
Motor Vehicle
Homicide
Unintentional Suffocation
0 10 20 30 40 50 60
1.4
0.9
3.2
8.0
18.6
1.7
1.4
2.4
10.1
40.4
IN US
Rate per 100,000
48
Source: WISQARS
Death Rates among Children Ages 1–4 Years by Mechanism of Injury—Indiana and United States, 2000–2009
Unintentional Suffocation
Fire
Motor Vehicle
Drowning
Homicide
0 1 2 3 4 5
0.9
1.3
3.0
2.8
2.4
1.4
2.0
3.2
3.0
3.9
INUS
Rate per 100,000
49
Firearm
Suicide
Fire
Homicide
Motor Vehicle
0 1 2 3 4 5
0.8
0.6
0.5
0.8
3.2
0.8
0.7
0.7
1.1
3.3
INUS
Rate per 100,000
Source: WISQARS
Death Rates among Children Ages 5–14 Years by Mechanism of Injury—Indiana and United States, 2000–2009
50
Homicide
Suicide
Poisoning
Firearm
Motor Vehicle
0 5 10 15 20 25 30
12.2
9.9
8.9
15.4
20.5
9.6
10.8
12.3
14.5
19.6
INUS
Rate per 100,000
Source: WISQARS
Death Rates among 15–24 Year Olds by Mechanism of Injury—Indiana and United States, 2007–2009
*Note change in years
51
Homicide
Suicide
Motor Vehicle
Firearm
Poisoning
0 5 10 15 20 25 30
11.1
12.9
15.3
15.0
18.0
11.9
15.3
16.2
17.7
24.1
IN
US
Rate per 100,000
Source: WISQARS
Death Rates among Adults Ages 25–34 Years by Mechanism of Injury—Indiana and United States, 2007–2009
52
Homicide
Firearm
Motor Vehicle
Suicide
Poisoning
0 5 10 15 20 25 30
6.9
11.9
13.0
15.9
23.2
6.4
13.1
13.3
18.9
27.0
IN US
Rate per 100,000
Source: WISQARS
Death Rates among Adults Ages 35–44 Years by Mechanism of Injury—Indiana and United States, 2007–2009
53
Homicide
Motor Vehicle
Firearm
Suicide
Poisoning
0 5 10 15 20 25 30
4.8
13.3
11.5
18.6
28.3
4.2
13.6
13.4
19.2
27.9
IN US
Rate per 100,000
Source: WISQARS
Death Rates among Adults Ages 45–54 Years by Mechanism of Injury—Indiana and United States, 2007–2009
54
Fall
Firearm
Motor Vehicle
Poisoning
Suicide
0 2 4 6 8 10 12 14 16 18 20
5.4
10.7
12.1
15.3
16.2
4.2
11.4
11.9
14.3
16.0
IN
US
Rate per 100,000
Source: WISQARS
Death Rates among Adults Ages 55–64 Years by Mechanism of Injury—Indiana and United States, 2007–2009
55
Poison-ing
Fall
Firearm
Motor Vehicle
Suicide
0 5 10 15 20 25 30
5.7
13.6
10.7
13.2
13.5
5.4
10.6
12.0
12.4
14.5
IN US
Rate per 100,000Source: WISQARS
Death Rates among Adults Ages 65–74 Years by Mechanism of Injury—Indiana and United States, 2007–2009
56
Poisoning
Firearm
Suicide
Motor Vehicle
Fall
0 10 20 30 40 50 60
4.7
13.1
15.9
18.5
51.9
5.1
14.5
16.5
20.0
35.7
INUS
Rate per 100,000
Source: WISQARS
Death Rates among Adults Ages 75–84 Years by Mechanism of Injury—Indiana and United States, 2007–2009*
57
Fire
Firearm
Suicide
Motor Vehicle
Fall
0 20 40 60 80 100 120 140 160 180 200
4.4
12.0
15.8
20.6
182.1
4.4
10.2
12.0
18.7
116.2
INUS
Rate per 100,000
Source: WISQARS
Death Rates among Adults Ages 85+ Years by Mechanism of Injury—Indiana and United States, 2007–2009
58
59
Unintentional Poisoning
Unintentional MV Traffic
Suicide Firearm
Unintentional Fall
Homicide Firearm
-100% 0% 100% 200% 300% 400% 500% 600%
501.5%
-30.8%
13.9%
22.5%
-11.1%
*Age-adjusted rates
Source: WISQARS
Percent Change in Leading Causes of Injury Death*— Indiana, 1999–2009
Leading Causes of Injury Death*—Indiana, 1999–2009
60
0
2
4
6
8
10
12
14
16
18
2.06
12.39
15.47
10.71
6.1
6.95
4.355.33
4.4 3.91
Unintentional Poisoning
Unintentional MV Traffic
Suicide Firearm
Unintentional Fall
Homicide Firearm
Year
Rate
per
100
,000
*Age-adjusted rates
Source: WISQARS
61
Conclusions
Leading causes of injury mortality among all ages combined: Unintentional Poisoning Suicide Motor Vehicle Crashes
Leading causes of injury hospitalization and ED visits among all ages combined: Falls Unintentional Poisoning Motor Vehicle Crashes Assault
62
Diagnosis Code
V01–Y36, Y85–Y87, Y89 All Injury and Poisoning
W65–W74, V90, V92 Unintentional Drowning
S01.0–S01.9, S02.0, S02.1, S02.3, S02.7-S02.9, S04.0, S06.0–S06.9, S07.0, S07.1, S07.8, S07.9, S09.7–S09.9, T90.1, T90.2, T90.4, T90.5, T90.8, T90.9
Traumatic Brain Injury (TBI)
X40–X49, X60–X69, X85–X90, Y10–Y19, Y35.2 Poisoning
V02–V04 (.1, .9), V09.2, V12–V14 (.3–.9), V19 (.4–.6), V20–V28 (.3–.9), V29 (.4–.9), V30–V39 (.4–.9), V40–V49 (.4–.9), V50–V59 (.4–.9), V60–V69 (.4–.9), V70–V79 (.4–.9), V80 (.3-.5), V81.1, V82.1, V83–V86 (.0-.3), V87 (.0–.8), V89.2
Motor Vehicle Traffic
X60–X84, Y87.0 Suicide
W32–W34, X72–X74, X93–X95, Y22–Y24, Y35.0 Firearm-related
X85–Y09, Y87.1 Homicide
W00–W19 Unintentional Falls
X00–X09 Unintentional Fire
Appendix AInjury Fatality ICD-10 Codes
Appendix BInjury Hospitalization and ED Visit Codes
Principal Diagnosis
800–909.2, 909.4, 909.9–994.9, 995.5–995.59, 995.80–995.85
All Injury and Poisoning
994.1 Drowning
820 Hip Fracture
800.00–801.99, 803.00–804.99, 850.0–850.9, 851.00–854.19, 950.1–950.3, 959.01, 995.55
Traumatic Brain Injury (TBI)
E-Code
E850–E858, E860–E869, E950–E952, E962, E972, E980–E982, E979 (.6–.7)
Poisoning
E810–E819 Motor Vehicle Traffic
E950–E959 Suicide Attempt
E922.0–E922.3, E922.8, E922.9, E955.0–E955.4, E965.0–E965.4, E985.0–E985.4, E970, E979.4
Firearm-related
E960–E969, E979, E999.1 Assault
E880–E886, E888 Unintentional Falls
E890–E899 Unintentional Fire
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