( O T R ) 2004 REPORT INJURY HOSPITALIZATIONS

( O T R ) 2004 REPORT INJURY HOSPITALIZATIONS
( O T R )
O N T A R I O
T R A U M A
R E G I S T R Y
2004 REPORT
INJURY HOSPITALIZATIONS
(INCLUDES 2002–2003 DATA)
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 2004 Canadian Institute for Health Information
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
About the Canadian Institute for Health
Information (CIHI)
The Canadian Institute for Health Information (CIHI) is an independent, pan-Canadian,
not-for-profit organization working to improve the health of Canadians and the health care
system by providing quality health information. Committed to safeguarding the privacy and
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identify and promote national health indicators;
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CIHI 2004
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Acknowledgements
This Ontario Trauma Registry (OTR) report is made possible by the contributions of the
Trauma Registry Advisory Committee (TRAC), participating hospitals, and the Ministry of
Health and Long-Term Care.
The OTR is funded by the Emergency Health Services Branch of the Ontario Ministry
of Health and Long-Term Care and managed by the Canadian Institute for Health
Information (CIHI).
This OTR report was developed at CIHI under the direction of Nizar Ladak, Director, Health
Services Information, by:
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Alexandra Moses McKeag, Senior Analyst, Clinical Registries
Cassandra Linton, Senior Analyst, Clinical Registries
Fang Yang, Analyst, Clinical Registries
Nicole de Guia, Consultant, Clinical Registries
Margaret Keresteci, Manager, Clinical Registries
CIHI Productions Systems, Health Services, are thanked for their technical support in the
programming of figures and tables. CIHI Publications team is also thanked for assisting
with formatting and layout.
Questions regarding this report should be directed to:
Nicole de Guia, Consultant, Clinical Registries
Ontario Trauma Registry
Canadian Institute for Health Information
90 Eglinton Avenue East, Suite 300
Toronto, Ontario
M4P 2Y3
Telephone: (416) 481–2002 ext. 3545
Fax: (416) 481-2950
E-mail: [email protected]
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Injury Hospitalizations (includes 2002–2003 data)
Executive Summary
Introduction
The purpose of the 2004 Ontario Trauma Registry Injury Hospitalizations report is to
provide a descriptive analysis of patients hospitalized due to injuries in Ontario for the
2002–2003 fiscal year (April 1, 2002 to March 31, 2003). The source of data for this
report is the Ontario Trauma Registry (OTR) Minimal Data Set (MDS), which is managed by
the Canadian Institute for Health Information (CIHI).
OTR MDS data are downloaded from the Discharge Abstract Database (DAD), also
managed by CIHI. The DAD contains demographic, diagnostic, and procedural information
on all hospitalizations due to injury in Ontario acute care facilities. The inclusion of an
injury or trauma case in the OTR MDS is based on whether the External Cause of Injury
Code (E Code) met the OTR definition of trauma, “injury resulting from the transfer of
energy”. Examples of causes of injury that are excluded from this definition are poisonings
by drugs and gases, adverse effects of drugs, medicinal, and biological substances, and
late effects of injury.
Following the format of the 2003 Ontario Trauma Registry Injury Hospitalizations report,
cases are reported based on fiscal year of discharge allowing for timelier reporting of data.
Prior to 2000–2001, cases were reported based on fiscal year of admission. This change
should be taken into consideration when comparing data across years.
2002–2003 Overview
In 2002–2003, there were 65,891 acute care injury hospitalizations, representing an
age-standardized rate of 50.5 injury hospitalizations per 10,000 population in Ontario.
These injury cases accounted for 647,292 hospital days and had a mean length of stay
(LOS) of 10 days (median = 4 days).
Overall Trends, 1998–1999 through 2002–2003
In the five consecutive years from 1998–1999 to 2002–2003 the number of
hospitalizations has remained stable. However, it is important to note that prior to
2000–2001, cases were defined according to their date of admission, and after that
point cases were defined by their date of discharge. Over the past year the number of
injury hospitalizations decreased by 0.5% from 66,195 in 2001–2002 to 65,891
in 2002–2003.
Males accounted for 50% (n=33,198) of injury hospitalizations in 2002–2003, a
decrease from 51% in 1998–1999. The mean age of injury hospitalizations increased
from 52 years (median=54 years) in 1998–1999 to 54 years (median=58 years) in
2002–2003. The mean LOS increased from 9.6 days in 1998–1999 to 9.8 days
in 2002–2003.
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Demographic Analysis
The majority (44%, n=29,276) of injury hospitalizations occurred among cases
65 years of age and over. The number of injuries among females peaked around the
age of 80 years, while peaks in number of injuries among males were observed in the late
teenaged years, around the age of 40, and around the age of 80.
Causes of Injury
Overall
In 2002–2003, unintentional falls (59%, n=39,201) were the leading cause of injury
hospitalizations, followed by motor vehicle collisions (excluding cycling) (12%, n=8,009),
being struck by objects or persons (4%, n=2,468), homicides and assaults (excluding
poisoning) (3%, n=2,138), and overexertion or strenuous movements (3%, n=1,825).
By Gender and Age Group
Causes of injury hospitalization were similar across both genders and all age groups (<20,
20–34, 35–64, 65+ years). Unintentional falls and motor vehicle collisions (excluding
cycling) were the two leading causes of injury hospitalizations, regardless of age or gender.
Unintentional Falls
In 2002–2003, there were 39,201 injury hospitalizations due to unintentional falls,
accounting for 59% of all injury hospitalizations. Injury hospitalizations due to falls were
the leading cause of injury in-hospital deaths (77%, n=2,030) and accounted for nearly
three-quarters (71%, n=459,969) of all days in hospital due to injury. The mean length
of hospital stay for falls was 12 days (median=5 days). Slipping, tripping and stumbling
(26%, n=10,323), falling on or from stairs (10%, n=3,897) and falls involving ice and
snow (5%, n=1,978) were the most common causes of injury hospitalization due
to unintentional falls.
The majority (60%, n=23,356) of injury hospitalizations due to falls were among females.
Cases aged 65 years and over accounted for 62% (n=24,439) of injury hospitalization due
to falls. For both sexes injury hospitalizations due to unintentional falls peaked around
80 years of age.
Motor Vehicle Collisions
In 2002–2003, there were 8,294 injury hospitalizations due to motor vehicle collisions
(MVC) including cycling, accounting for 13% of all injury hospitalizations and 8% (n=224)
of injury in-hospital deaths. Males accounted for 62% (n=5,172) of all injury
hospitalizations due to motor vehicle collisions. More than one-third (37%, n=3,058) of
motor vehicle collision injury hospitalizations were among those between the ages of 35
and 64 years, although the number of injury hospitalizations peaked in the late teen years
for both males and females.
Intentional Injury
Intentional injuries include both self-inflicted injuries (excluding poisoning) and assault
(excluding poisoning). In 2002–2003, there were 3,169 injury hospitalizations resulting
from intentional injury, accounting for 5% of all injury hospitalizations and 4% (n=24,773)
of patient days in-hospital. Three percent (n=87) of injury in-hospital deaths were due to
intentional injury.
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Suicide and Self-Inflicted Injuries (Excluding Poisoning)
In 2002–2003, there were 1,031 hospitalizations due to suicide and self-inflicted injury
(excluding poisoning), which accounted for 2% of all injury hospitalizations. These
hospitalizations represented 2% (n=12,453) of all days in-hospital due to injury and had a
mean LOS of 12 days (median=5 days). Two percent (n=40) of injury in-hospital deaths
were attributed to suicide. Most (44%, n=451) of suicide and self-inflicted injury
hospitalizations (excluding poisoning) occurred among those between the ages of 35 and
64 years, followed by cases aged 20 to 34 years (34%, n=346).
Homicide and Injury Purposely Inflicted by Another Person (Excluding Poisoning)
In 2002–2003, there were 2,138 injury hospitalizations due to homicide and injury
purposely inflicted by another person (excluding poisoning), accounting for 3% of all
injury hospitalizations. These hospitalizations represented 2% (n=12,320) of all patient
days in hospital due to injury, and had a mean LOS of 6 days (median=2 days). The
majority (42%, n=898) of injury hospitalizations due to homicide and injury purposely
inflicted by another person were between the ages of 20 and 34 years, followed by those
aged 35 to 64 years (33%, n=710).
Cycling
In 2002–2003, there were 1,274 injury hospitalizations due to cycling incidents, which
represented 2% of all injury hospitalizations. These cases accounted for 5,467 patient
days in hospital, and had a mean LOS of 4 days (median=2 days). Nearly one-half
(48%, n=616) of injury hospitalizations due to cycling incidents occurred among those
under the age of 20 years.
Context of Injury
Month and Day of Admission
Month, day, and hour of admission analysis is based upon fiscal admission date from
2001–2002. In 2001, the highest number (9%, n=6,165) of injury admissions in a month
occurred in July, while the most common month of admission for injury cases that died in
hospital was February (9%, n=241). Friday was the most common day of admission for all
injury cases (15%, n=9,707), while Wednesday was the most common admission day for
cases resulting in an in-hospital death (15%, n=397).
Place of Occurrence
Place of occurrence is recorded for injury hospitalizations with E Codes falling between
E880 and E928. In 2002–2003, 52,313 (99.9%) of eligible injury hospitalizations had a
place of occurrence documented. Among these cases, home (38%, n=19,947) was the
most common setting in which an injury took place, followed by other and unspecified
places (27%, n=13,950), residential institutions (10%, n=5,229) and sports and
recreation facilities (5%, n=2,797).
Home was the most common place of injury for both males and females (32% males,
44% females). However, 14% (n=3,893) of females were injured in residential institutions
compared to 6% (n=1,336) of males. For males, 9% (n=2,135) of injuries took place in
sports and recreation facilities, compared to 2% (n=662) of females.
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Injury Hospitalizations (includes 2002–2003 data)
Clinical Aspects of Injury
Diagnoses
A total of 73,285 injury types were documented for the 65,891 injury hospitalizations
in 2002–2003. In 2002–2003, two-thirds (69%, n=45,428) of injury hospitalizations
had orthopaedic injuries reported, 19% (n=12,234) had superficial injuries, and 10%
(n=6,896) had head injuries.
For the 51,140 injury hospitalizations with a Most Responsible Diagnosis Code, 43%
(n=21,761) were due to dislocations and fractures of the lower limbs, 16% (n=8,350)
were caused by dislocations and fractures of upper limbs, and 9% (n=4,355) were due
to intracranial injury.
Complications, Comorbidities, and Interventions
In 2002–2003, 21% (n=13,571) of all injury hospitalizations had at least one
complication documented, 41% (n=26,892) had at least one comorbid condition and 66%
(n=43,799) had at least one intervention.
Injury In-Hospital Deaths
There were 2,655 injury in-hospital deaths, representing 4% of all cases. In-hospital deaths
accounted for 50,764 days in-hospital and had a mean LOS of 19 days (median=8).
Injury hospitalizations 65 years of age and over accounted for 83% (n=2,204) of
in-hospital deaths. Males (n=1,330) and females (n=1,325) each represented 50% of
injury cases that died in hospital. For both sexes there was a peak in the number of injury
deaths around the age of 80 years.
Discharge Disposition
Of the 65,891 acute care hospital injury cases in 2002–2003, the majority (67%,
n=44,363) were discharged home, including 14% (n=6,204) that required home care
services. Seven percent (n=4,694) were discharged to nursing homes or homes for the
aged, 7% (n=4,815) were transferred to another acute care hospital, 8% (n=5,365)
were discharged to rehabilitation facilities, and 4% (n=2,502) were discharged to chronic
care facilities. The remaining 6% (n=4,152) either died in hospital or were discharged to
another facility type.
Length of Stay
The mean length of stay (LOS) in hospital for all injury hospitalizations in 2002–2003 was
10 days (median=4 days). Female injury hospitalizations were characterized by an 11-day
mean LOS (median=6 days) while the mean LOS for males was 8 days (median=3 days).
The mean LOS for injury in-hospital deaths was 19 days (median=8 days). Female injury
in-hospital deaths had a mean LOS of 20 days (median=9 days) and the mean LOS for
males was 19 days (median=8 days).
Hospitalizations due to suicide and self-inflicted injury (excluding poisonings), railway
incidents and unintentional falls had the highest mean LOS (12 days), followed by injuries
due to fire and flames (10 days).
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Injury Hospitalizations (includes 2002–2003 data)
Transfer Patterns
Institutional
In 2002–2003, 23% (n=15,141) of injury hospitalizations were transferred to an acute
care hospital from another setting. The majority of these cases (35%, n=5,371) were
transferred from an outpatient facility, 26% (n=3,895) were transferred from another
acute care setting and 22% (n=3,355) were transferred from a nursing home or home for
the aged.
Regional
In 2002–2003 between 75% and 94% of persons hospitalized due to injury at Ontario
acute care hospitals resided in the same region as the hospital. Toronto region facilities
treated the highest proportion of residents outside of the hospital region (25%, n=3,330)
and treated the greatest number of patients from outside of Canada (n=78). Eastern
region facilities treated the greatest number of Canadians who were residents of other
non-Ontario provinces (4%, n=401).
Regional Summary, 2002–2003
The Toronto region had the highest number of injury hospitalizations (n=11,031) and the
lowest age-standardized injury hospitalization rate (38.2 per 10,000 population). The North
region had the lowest number of injury hospitalizations (n=7,325) and the highest
age-standardized injury hospitalization rate (77.1 per 10,000 population). Mean LOS
ranged from a low of 8 days in the South West region to a high of 13 days in the Toronto
region. The mean age for injury hospitalizations ranged from 52 years in the Central West
region to 58 years in the East region.
Electronic and printed copies of the “Ontario Trauma Registry 2004 Report Injury
Hospitalizations (includes 2002–2003 data)” report can be purchased through the CIHI
Order Desk at www.cihi.ca. Copies of the Executive Summary, media release, and recent
analytical bulletins on special topics can be downloaded free of charge from
www.cihi.ca/otr. Questions regarding this report may be addressed to [email protected]
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Table of Contents
About the Canadian Institute for Health Information (CIHI) ............................................. i
Acknowledgements ................................................................................................. iii
Executive Summary ................................................................................................. v
1. Introduction ........................................................................................................ 1
A. Purpose of Report ........................................................................................... 1
B. About the Ontario Trauma Registry (OTR) .......................................................... 1
2. Methodological Notes ........................................................................................... 3
A. Data Source ................................................................................................... 3
B. Definition of Trauma........................................................................................ 3
C. Reporting Guidelines........................................................................................ 3
3. 2002–2003 Overview .......................................................................................... 5
A. Frequently Asked Questions ............................................................................. 6
4. Trend and Demographic Analyses .......................................................................... 7
A. Trend Analysis, 1998–1999 Through 2002–2003 .............................................. 7
B. Demographic Analysis, 2002–2003 .................................................................. 8
5. Causes of Injury................................................................................................. 10
A. Overall Causes.............................................................................................. 10
B. Causes by Age Group .................................................................................... 11
C. Unintentional Falls......................................................................................... 15
D. Motor Vehicle Collisions................................................................................. 17
E. Intentional Injury ........................................................................................... 20
F. Cycling ........................................................................................................ 21
6. Context of Injury................................................................................................ 22
A. Month, Day, and Hour of Admission ................................................................ 22
B. Place of Occurrence ...................................................................................... 25
7. Clinical Aspects of Injury .................................................................................... 27
A. Diagnoses .................................................................................................... 27
B. Complications, Comorbidities, and Interventions................................................ 34
C. Injury In-Hospital Deaths ................................................................................ 36
D. Discharge Disposition .................................................................................... 40
E. Length of Stay.............................................................................................. 41
F. Transfer Patterns .......................................................................................... 42
8. Regional Summary ............................................................................................. 44
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
List of Appendices
Appendix A—Definition of Terms........................................................................... A–1
Appendix B—Trauma Definition: E Code Inclusions and Exclusions ............................. B–1
Appendix C—External Cause of Injury (E Code) Categories ........................................ C–1
Appendix D—List of Counties by Region ................................................................. D–1
Appendix E—Nature of Injury (N Codes): Inclusions and Exclusions .............................E–1
Appendix F—Summary of Excluded Most Responsible Diagnosis (MRDx) .....................F–1
Appendix G—Injury Types .................................................................................... G–1
Appendix H—Data Tables: 2002–2003 .................................................................. H–1
List of Figures
Figure 1.
Injury Hospitalizations in Ontario—All Cases, 2002–2003 ........................... 7
Figure 2.
Injury Hospitalizations by Age Group—All Cases, 2002–2003...................... 8
Figure 3.
Injury Hospitalizations by Sex and Single Year of Age, 2002–2003 .............. 9
Figure 4.
Causes of Injury Hospitalization—All Cases, 2002–2003........................... 10
Figure 5.
Causes of Injury Hospitalization—Cases Under 20 Years of Age,
2002–2003......................................................................................... 11
Figure 6.
Causes of Injury Hospitalization—Cases Aged 20 to 34 Years,
2002–2003......................................................................................... 12
Figure 7.
Causes of Injury Hospitalization—Cases Aged 35 to 64 Years,
2002–2003......................................................................................... 13
Figure 8.
Causes of Injury Hospitalization—Cases Aged 65 Years and Over,
2002–2003......................................................................................... 14
Figure 9.
Unintentional Falls by Sex and Single Year of Age, 2002–2003 ................. 15
Figure 10.
Motor Vehicle Collision by Age Group, 2002–2003 .................................. 17
Figure 11.
Motor Vehicle Collisions by Sex and Single Year of Age, 2002–2003 ......... 18
Figure 12.
Motor Vehicle Collisions by Injured Person, 2002–2003 ............................ 19
Figure 13.
Injury Hospitalizations by Month of Admission—All Cases, 2001–2002....... 22
Figure 14.
Injury In-Hospital Deaths by Month of Admission, 2001–2002................... 23
Figure 15.
Injury Hospitalizations and In-Hospital Deaths by Day of Admission—
All Cases, 2001–2002.......................................................................... 24
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
List of Figures (cont’d)
Figure 16.
Injury Hospitalizations by Hour of Admission—All Cases, 2001–2002 ......... 25
Figure 17.
Most Responsible Diagnosis Codes—All Documented Cases, 2002–2003.... 28
Figure 18.
Injury (N Code) Types—All Documented Cases, 2002–2003...................... 29
Figure 19.
Causes of Orthopedic Injury Type—All Documented Cases, 2002–2003 ..... 30
Figure 20.
Causes of Superficial Injury Type—All Documented Cases, 2002–2003 ...... 31
Figure 21.
Causes of Head Injury Type—All Documented Cases, 2002–2003.............. 32
Figure 22.
Causes of Injury for Spinal Cord Injury—All Documented Cases,
2002–2003......................................................................................... 33
Figure 23.
Injury Hospitalizations With at Least One Complication by Sex and Single
Year of Age, 2002–2003 ...................................................................... 34
Figure 24.
Injury Hospitalizations With at Least One Comorbidity by Sex and Single
Year of Age, 2002–2003 ...................................................................... 35
Figure 25.
Injury Hospitalizations With at Least One Intervention by Sex and
Single Year of Age, 2002–2003 ............................................................ 36
Figure 26.
Injury In-Hospital Deaths by Age Group, 2002–2003 ................................ 37
Figure 27.
Injury In-Hospital Deaths by Sex and Single Year of Age, 2002–2003......... 38
Figure 28.
Causes of Injury In-Hospital Deaths, 2002–2003...................................... 39
Figure 29.
Discharge Disposition—All Cases, 2002–2003......................................... 40
Figure 30.
Institution From Which Injury Hospitalizations Were Transferred—
All Documented Cases, 2002–2003 ....................................................... 42
Figure 31.
Institution From Which Injury Hospitalizations Were Transferred—
All Other Institutions, 2002–2003.......................................................... 43
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
1. Introduction
A. Purpose of Report
The purpose of this report is to provide a descriptive analysis of current provincial data
about hospitalizations resulting from trauma in Ontario. This report is based on data from
the Ontario Trauma Registry Minimal Data Set (OTR MDS) which is generated from CIHI’s
Discharge Abstract Database (DAD). This report reflects information downloaded from the
DAD to the OTR MDS as of January 2004.
B. About the Ontario Trauma Registry (OTR)
i)
Goal
The goal of the Ontario Trauma Registry is to facilitate the reduction of trauma injury
hospitalizations and deaths in the province of Ontario by identifying, describing and
quantifying trauma in order to:
1. Permit planning and evaluation of prevention programs, legislative changes and
cost expenditures.
2. Aid in resource allocation decisions and contribute to cost reductions.
ii)
History
The Ontario Trauma Registry (OTR), funded by the Ontario Ministry of Health and Long
Term Care, was established in May 1992. A multidisciplinary advisory committee provides
guidance to the OTR. The Trauma Registry Advisory Committee (TRAC) includes
representatives from the Ministry of Health and Long-Term Care, Ministry of Labour,
Ministry of Transportation, CIHI, epidemiologists, trauma care providers, the Office of the
Chief Coroner of Ontario and the Trauma Association of Canada. The current structure and
implementation of the OTR is based on the data elements, data collection procedures,
report formats and management procedures established and endorsed by TRAC.
The primary users of the OTR are policy makers, planners, public health units, health care
providers, injury prevention specialists, and researchers. Specific users include participating
hospitals, the members of TRAC, Area Emergency Health Services (EHS) Committees,
Ontario Ministries and Smart Risk. The Area EHS Committees are part of regional planning
networks composed of committees at the provincial, regional and local levels involving
health care planners, providers and consumers in emergency health initiatives.
iii)
Structure
For injury prevention programs to be effective, data are needed to clearly define the nature
and scope of injury in the province. The OTR consists of three major sources of data as
listed below. Standard and ad hoc reports from these data sets detail demographic
information, cause and nature of injury hospitalizations and deaths provincially and
regionally. This information is used by policy makers, planners, researchers and injury
prevention specialists to develop and monitor injury prevention programs and to improve
care for trauma patients.
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The Ontario Trauma Registry is composed of 3 datasets:
1. The Minimal Data Set (MDS), the data source for this report, is described in detail in
the next chapter.
2. The Comprehensive Data Set (CDS) consists of detailed information on patients
hospitalized with major trauma in 11 participating hospitals across 14 sites in the
province. These lead/trauma hospitals have been funded by the Ministry of Health and
Long Term Care for hardware, software and dedicated trauma staff including a Medical
Director, Trauma Coordinator, Data Analyst and Administrative Assistant. The definition
of trauma in the Comprehensive Data Set is based on an appropriate External Cause of
Injury (E Code) in the International Classification of Disease (ICD) coding system and an
Injury Severity Score (ISS) greater than 12. ISS is an international scoring system
created to calculate the severity of injury.
Specialized trauma software (COLLECTOR and TRI-CODE from Digital Innovations, Inc.
and Tri-Analytics, Inc.) is used to collect and analyze data on approximately 3,400
cases annually. This software has been customized for the province of Ontario with
input from participating hospitals and TRAC. Detailed data are collected including
demographics, pre-hospital and hospital care, and patient outcomes including a
6-month follow up interview. Data are electronically transmitted to the OTR central site
monthly to compile the Comprehensive Data Set.
3. The Death Data Set (DDS) is provided by the Office of the Chief Coroner of Ontario.
The OTR DDS contains information on all deaths in the province due to trauma injury
(which number over 3,000 annually), including demographics, cause of death and
factors contributing to death such as alcohol use. Reporting on all injury deaths rather
than in-hospital deaths provides a more complete picture of trauma in the province.
This information is indispensable to injury prevention programs because a large
percentage of injured persons die before admission to hospital and are not captured
through in hospital-based statistics.
The Office of the Chief Coroner categorizes deaths using a classification system that
includes death types, death factors and environments and involvements. The OTR has
developed a system to map the classification system used by the Office of the Chief
Coroner to External Cause of Injury (E Codes). This allows standardized reporting across
the data sets of the OTR and comparisons to other sources of data.
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2. Methodological Notes
A. Data Source
The source of data for this report is the Ontario Trauma Registry Minimal Data Set (OTR
MDS). The OTR MDS contains information on all hospitalizations to acute care hospitals in
the province due to trauma, including demographic, diagnostic and procedural information.
These hospitalizations are selected from the Discharge Abstract Database (DAD), which is
also managed by CIHI, and downloaded to the OTR’s data processing system. Selection is
based on specific External Cause of Injury (E Codes) within the International Classification
of Disease (ICD) coding system.
B. Definition of Trauma
Trauma is defined as injury resulting from the transfer of energy, as developed by TRAC
for use in the OTR. The International Classification of Diseases (ICD) External Cause of
Injury (E Code) coding system is used to define trauma hospitalizations in the OTR MDS, as
well as the OTR CDS. E Code categories that are included and excluded from the definition
of trauma are found in Appendix B (Trauma Definition: E Code Inclusions and Exclusions).
C. Reporting Guidelines
In the Ontario Trauma Registry Injury Hospitalizations report:
•
As of 2002–2003, diagnostic information was received coded to the International
Classification of Diseases, 10th Revision, Canada (ICD-10-CA). ICD-10-CA coded data
were converted to ICD-9 for reporting purposes. As a result there may be noticeable
changes, relative to previous years, at the finest level of specificity in reporting External
Causes of Injury (E Codes);
•
Table 15, Table 19, Table 20 and Table 28 are reported in ICD-10-CA;
•
Is based on fiscal year 2002–2003 and contains information on all trauma
hospitalizations discharged during fiscal year 2002–2003, including cases who died inhospital. The fiscal year runs from April 1, 2002 to March 31, 2003;
•
Includes only deaths that occur after admission to hospital and does not include deaths
that occur at the scene, during transport to hospital or in the Emergency Department
before admission to hospital;
•
Refers to number of hospitalizations rather than number of patients;
•
Includes Ontario acute care hospitalizations only;
•
Reports by fiscal year of discharge rather than admission;
•
Reports cause of injury by the first documented External Cause of Injury (E Code) only,
unless specified in a note on the appropriate figures;
•
Data are reported by patient residence code to facilitate the development of injury
prevention strategies, as of 1993. The 1991 and 1992 Minimal Data Set Annual
Reports were reported by location of admitting hospitals within each health
planning region;
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•
Includes all injury hospitalizations to acute care hospitals in Ontario regardless of place
of residence;
•
Is based on the Minimal Data Set, which has undergone edit checks at the source of
the data (DAD);
•
May report percentages that do not add to 100% because of rounding;
•
Provides age-standardized injury hospitalization rates. Prior to 2002, reports provided
unadjusted rates. As a result, historic rates presented in this report may differ slightly
from those previously published;
•
Has changed all references to “accident” according to ICD definitions to “incident”
or “collision” to reinforce injury prevention efforts; “accidental” has been changed
to “unintentional”;
•
Reflects all documented Nature of Injury diagnosis codes (N Codes) unless Most
Responsible Diagnosis is specified in the report title (up to twenty-four injury codes,
plus one E Code, can be documented for each hospitalization);
•
Identifies the number of hospitalizations that do not have an N Code or have an N Code
that is not included in the trauma definition with a note on appropriate figures;
•
Does not include hospitalizations due to self-inflicted injuries or assault resulting from
poisoning; and
•
Uses denominators developed by the Trauma Registry Advisory Committee (TRAC).
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
3. 2002–2003 Overview
Table 1 provides selected statistics for injury hospitalizations in Ontario in 2002–2003.
Table 1.
Overview of Injury Hospitalizations in Ontario, 2002–2003
No. of acute care injury hospitalizations
65,891
*
Age-standardized injury hospitalization rate per 10,000 population
51
Length of Stay (LOS)
Total no. of hospital days
Mean LOS
Median LOS
647,292
10
4
Age (years)
Mean
Median
Std. Deviation
54
58
27
% Male
50%
44,363 (67%)
No. (%) discharged home (including with home care)
**
Leading causes of injury hospitalizations (no./%)
Unintentional falls
Motor vehicle collisions (excluding cycling)
Intentional injury
49,201 (59%)
8,009 (12%)
3,169 (5%)
No. (%) injury in-hospital deaths
2,655 (4%)
**
Leading causes of injury in-hospital deaths (no./%)
Unintentional falls
Motor vehicle collisions (excluding cycling)
Intentional injury
2,030 (77%)
218 (8%)
87 (3%)
Length of Stay (LOS) for injury in-hospital deaths
Total no. of hospital days
Mean LOS
Median LOS
50,764
19
8
% of hospitalizations with
At least one complication
At least one comorbidity
At least one intervention
21%
41%
67%
Most common injury type
Orthopaedic
Most common month of injury hospitalizations†
July
†
Most common month of hospitalizations for injury in-hospital deaths
†
Most common day of hospitalization
February
Friday
†
Most common hour of hospitalization
5 p.m.
* Population based on estimates from Statistics Canada. Age-standardized using Canada 1991 population.
** As defined by ICD E Codes. Intentional injury includes hospitalizations due to suicide and self-inflicted
injury (excluding poisoning) and injury purposely inflicted by another person (excluding poisoning).
† Based on cases admitted in fiscal year 2001–2002.
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
A. Frequently Asked Questions
What age group is most commonly injured?
There were 29,276 injury hospitalizations among those over 65 years of age, accounting
for 44% of all injury hospitalizations.
What are the most common types of injury hospitalizations among children and youth?
There were 10,116 injury hospitalizations in children and youth under the age of 20 years.
The leading specific causes of injury hospitalizations in this age group are unintentional falls
(40%, n=4,011) followed by motor vehicle collisions (excluding cycling) (16%, n=1,622).
How many cyclists were injured in 2002–2003?
A total of 1,274 injury hospitalizations were due to cycling incidents. Forty-eight percent
(n=616) of these injury hospitalizations occurred among those under the age of 20 years.
How many motor vehicle collisions occurred among teenagers in 2002–2003?
Twelve percent (n=1,133) of motor vehicle collision injury hospitalizations occurred
among those between the ages of 16 and 20 years. Males represented 68% (n=768) of
the motor vehicle collision injury hospitalizations in this age group.
How often are the elderly hospitalized due to falls?
In 2002–2003, there were 24,439 injury hospitalizations due to falls among those
65 years of age and over, accounting for 83% of all injuries in this age group. Slipping,
tripping and stumbling was the most common type of fall characterized (31%, n=7,533)
in this age group.
How many hospitalizations due to suicide (excluding poisoning) occurred in Ontario?
In 2002–2003, there were 1,031 injury hospitalizations due to suicide and self-inflicted
injury (excluding poisoning). Forty-four percent (n=451) of these hospitalizations were
among those between the ages of 35 and 64 years.
How many injury hospitalizations in 2002–2003 were due to drowning?
There were 120 injury hospitalizations due to drowning in Ontario.
How often are children hospitalized due to falls from playground equipment?
There were 578 falls from playground equipment among children and youth under 20 years
of age. Falls from playground equipment accounted for 6% of all injury hospitalizations
among those under the age of 20 years.
What percentage of gunshot wound injury hospitalizations are unintentional?
There were a total of 196 gunshot wounds in 2002–2003. Of these, 34% (n=67) were
reported as unintentional injuries. The mean age for all gunshot wound injury
hospitalizations was 32 years and males accounted for 94% of all cases.
How often are pedestrians injured in Ontario?
There were 1,174 injury hospitalizations to pedestrians in 2002–2003.
How many injury hospitalizations are due to head and spinal cord injury?
There were 6,896 injury hospitalizations with at least one head injury diagnosis
documented and 335 with at least one spinal cord injury diagnosis documented.
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
4. Trend and Demographic Analyses
A. Trend Analysis, 1998–1999 Through 2002–2003
Note: As of 2000–2001, cases are defined by fiscal year of discharge. In prior years,
cases were defined by fiscal year of admission.
Over the past five years the number of acute care injury hospitalizations in Ontario has
remained relatively stable increasing from 65,766 in 1998–1999 to 65,891 in 2002–
2003. A 2% increase in injury hospitalizations was observed in 2000–2001 and injury
hospitalizations have decreased in the subsequent years. This changing trend may be due
to a change in case definition (from admission date to discharge date) as of fiscal year
2000–2001. In the one-year period from 2001–2002 to 2002–2003 the number of injury
hospitalizations has decreased by 0.5% from 66,195 to 65,891. Trend analysis for
specific causes of injury hospitalizations and injury in-hospital deaths are located in
Appendix H, Tables 2 and 3.
Figure 1.
Injury Hospitalizations in Ontario—All Cases, 2002–2003*
*Injury hospitalization rates are age-standardized using Canada 1991 population.
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Injury Hospitalizations (includes 2002–2003 data)
Also in the five fiscal years from 1998–1999 through 2002–2003 (Appendix H, Table 1):
• The age-standardized hospitalization rate for injury decreased from 55.4 per
10,000 population in 1998–1999 to 50.5 per 10,000 population in 2002–2003.
This represents a five-year reduction of 8.8% and an average annual decrease of 2.3%.
In order to meaningfully compare injury hospitalization rates over several years,
hospitalization rates were age-standardized to adjust for differences in population
structure. The 1991 Canadian population was used as the standard population.
• Males accounted for 50.4% of injury hospitalizations in 2002–2003, a decrease from
51% in 1998–1999.
• The mean age increased from 52 years in 1998–1999 to 54 years in 2002–2003.
The median age increased from 54 years to 58 years over the same time period.
• The mean length of stay in hospital increased from 9.6 days in 1998–1999 to 9.8 days
in 2002–2003. The median length of stay was 4 days, unchanged over the five-year
time period.
B. Demographic Analysis, 2002–2003
There were 65,891 acute care hospitalizations due to injury in 2002–2003, accounting
for 647,292 days in hospital. The mean age of these injury hospitalizations was 54 years
with a median age of 58 years. As shown in Figure 2 below, the majority of injury
hospitalizations (44%, n=29,276) were among those over the age of 65 years. This age
group also accounted for more than two-thirds (69%, n=445,744) of the total number of
days in-hospital due to injury (Appendix H, Table 5).
Figure 2.
8
Injury Hospitalizations by Age Group—All Cases, 2002–2003
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Males (n=33,198) and females (n=32,691) each represented 50% of all hospitalizations,
while females accounted for the majority of patient days (58%, n=374,014). More than
one-half (60%, n=19,723) of female injury hospitalizations occurred among those
over the age of 65 years, with a peak around the age of 80 years. The majority of male
injury hospitalizations (34%, n=11,225) occurred between the ages of 35 and 64 years,
with another 29% (n=9,552) among those 65 years of age and older. Injury
hospitalizations among males peaked during the late teens, around the age of 40, and
around the age of 80.
Figure 3.
Injury Hospitalizations by Sex and Single Year of Age, 2002–2003
Note: 2 cases have missing sex.
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
5. Causes of Injury
The OTR uses the International Classification of Diseases (ICD) External Cause of Injury
codes (E Codes) to describe injury resulting from the transfer of energy. E Codes are a
mandatory data element in the OTR MDS. Causes of injury are reported by the first
documented E Code unless otherwise specified. A detailed list of included and
excluded E Codes is located in Appendix B.
A. Overall Causes
The majority of specific acute care injury hospitalizations in 2002–2003 were due to
unintentional falls (59%, n=39,201), followed by motor vehicle collisions (excluding
cycling) (12%, n=8,009). Other incidents, an aggregate of several E Codes, accounted for
16% (n=10,805) of all causes of injury admission. The leading specific causes of injury in
this category were being unintentionally struck by other persons or objects (4% of total
hospitalizations, n=2,468), overexertion and strenuous movements (3%, n=1,825) and
cutting and piercing injuries (2%, n=967) (Appendix H, Tables 10 and 16).
Figure 4.
10
Causes of Injury Hospitalization—All Cases, 2002–2003
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
B. Causes by Age Group
i)
Under 20 Years of Age
In 2002–2003, 15% (n=10,116) of all injury hospitalizations occurred among children and
youth under the age of 20 years. Figure 5 illustrates that the three leading specific causes
of injury among this age group were unintentional falls (40%, n=4,011), motor vehicle
collisions (excluding cycling) (16%, n=1,622) and cycling (6%, n=621).
Other incidents accounted for 23% (n=2,367) of all cases in this age group. The leading
causes of injury in this aggregate category were being unintentionally struck by another
person or objects (11% of total, n=1,074) and cutting and piercing injuries (2%, n=238).
Being struck ranked third among all causes of injury (Appendix H, Tables 12 and 16).
Figure 5.
CIHI 2004
Causes of Injury Hospitalization—Cases Under 20 Years of Age, 2002–2003
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
ii)
20 to 34 Years of Age
In 2002–2003, 12% (n=8,017) of all injury hospitalizations occurred among those
between the ages of 20 and 34 years. Figure 6 shows that motor vehicle collisions
(excluding cycling) (26%, n=2,091) were the leading specific cause of injury followed
by unintentional falls (24%, n=1,956). Eleven percent (n=898) of all injuries among
20 to 34 year olds were homicide and injury purposely inflicted by another person
(excluding poisoning).
Other incidents accounted for 26% (n=2,050) of all cases in this age group. Being
unintentionally struck by other persons and objects (7% of total, n=539) and overexertion
and strenuous movements (5%, n=392) were the leading causes of injury in this category
(Appendix H, Tables 12 and 16).
Figure 6.
12
Causes of Injury Hospitalization—Cases Aged 20 to 34 Years, 2002–2003
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Injury Hospitalizations (includes 2002–2003 data)
iii)
35 to 64 Years of Age
In 2002–2003, more than one-quarter (28%, n=18,482) of all injury hospitalizations were
among those aged 35 to 64 years. Unintentional falls (48%, n=8,795), and motor vehicle
collisions (excluding cycling) (16%, n=2,965) were the major specific causes of injury for
these cases (Figure 7).
Other incidents accounted for 21% (n=3,882) of all cases in this age group. Overexertion
and strenuous movements (4%, n=811) was the leading cause of injury in this category,
followed by being unintentionally struck by another person or object (3%, n=591)
(Appendix H, Tables 12 and 16).
Figure 7.
CIHI 2004
Causes of Injury Hospitalization—Cases Aged 35 to 64 Years, 2002–2003
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
iv) 65 Years of Age and Over
In 2002–2003, 44% (n=29,276) of all injury hospitalizations were among those 65 years
of age and over. Figure 8 illustrates that unintentional falls accounted for 83% (n=24,439)
of all injuries in this age group, followed by motor vehicle collisions (excluding cycling)
(5%, n=1,331) (Appendix H, Tables 12 and 16).
Other incidents accounted for 9% (n=2,506) of all injury cases in this age group.
Overexertion and strenuous movements (1%, n=420) was the leading cause of injury in
this category, ranking third among all specific causes of injury and outnumbering
hospitalization due to foreign bodies. Individually, the remaining specific causes of injury in
the other incidents and all other causes categories accounted for a small percentage (less
than 1%) of the total in this age group.
Figure 8.
14
Causes of Injury Hospitalization—Cases Aged 65 Years and Over, 2002–2003
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
C. Unintentional Falls
ICD External Cause of Injury Codes E880 through E888 define unintentional falls. In 2002–
2003, unintentional falls accounted for 60% (n=39,201) of all injury hospitalizations to
acute care facilities in Ontario and 77% (n=2,030) of injury in-hospital deaths. Nearly
three-quarters (71%, n=459,969) of all days in-hospital due to injury were attributed to
unintentional falls. The mean length of stay was 12 days and the median was 5 days
(Appendix H, Table 10).
i)
Demographic Analysis
The majority (62%, n=24,439) of hospitalizations due to unintentional falls occurred
among cases 65 years of age and over. Twenty-two percent (n=8,795) of fall injury
hospitalizations were among cases 35 to 64 years old, 10% (n=4,011) were among those
under the age of 20 years, and 5% (n=1,956) were to those between the ages of 20 and
34 years (Appendix H, Table 12).
Females represented 60% (n=23,356) of all injury hospitalizations due to falls. Figure 9
shows that nearly three-quarters (73%, n=17,038) of female fall injury hospitalizations
occurred among those over the age of 65 years. The majority of fall injury hospitalizations
attributed to males (47%, n=7,400) occurred among those aged 65 years and over, with
another 29% (n=4,653) among those between the ages of 35 and 64 years. For both
sexes, unintentional fall injury hospitalizations peaked among children and youth under the
age of 20 years, and again around the age of 80 years.
Figure 9.
Unintentional Falls by Sex and Single Year of Age, 2002–2003
Note: 2 cases have missing sex.
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
ii)
Causes of Unintentional Falls
Slipping, tripping and stumbling (26%, n=10,323) was the most common specific
cause of injury for the 39,201 injury hospitalizations due to unintentional falls, followed by
falling on or from stairs and steps (10%, n=3,897) and falling involving ice and snow
(5%, n=1,978). (Appendix H, Table 15).
Under 20 Years of Age
Ten percent (n=4,011) of injury hospitalizations due to falls occurred among those under
the age of 20 years. The majority of hospitalizations in this age group occurred to cases
between the ages of 5 and 9 years (30%, n=1,201) and to cases aged 10 to 14 years
(29%, n=1,161). The leading specific causes of falls in those under 20 years of age were:
•
•
•
•
falling involving skates, skis, sport boards and rollerblades (18%, n=708);
falling from playground equipment (14%, n=578);
slipping, tripping, and stumbling (12%, n=484); and
falling on or from stairs or steps (7%, n=267).
20 to 34 Years of Age
Five percent (n=1,956) of injury hospitalizations due to falls were to those between the
ages of 20 and 34 years. The leading specific causes of falls in this age group were:
•
•
•
slipping, tripping, and stumbling (17%, n=332);
falling on or from stairs and steps (15%, n=293); and
falling involving skates, skis, sport boards and rollerblades (11%, n=221).
35 to 64 Years of Age
Twenty-two percent (n=8,795) of injury hospitalizations due to falls were among 35
to 64 year olds. The leading specific causes of falls in this age group were:
•
•
•
•
slipping, tripping,
falling on or from
falls involving ice
falling on or from
and stumbling (22%, n=1,974);
stairs and steps (15%, n=1,322);
and snow (11%, n=934); and
a ladder (8%, n=730).
65 Years of Age and Over
Sixty-two percent (n=24,439) of injury hospitalizations due to unintentional falls
occurred among persons aged 65 years and over. The leading specific causes of falls in
this age group were:
•
•
•
16
slipping, tripping and stumbling (31%, n=7,533);
falls on or from stairs and steps (8%, n=2,015); and
falls involving a bed or chair (7%, n=1,782).
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
D. Motor Vehicle Collisions
Motor vehicles are defined by the ICD coding system as “any mechanically or electrically
powered device, not operated on rails, upon which any person or property may be
transported or drawn upon a highway”. This definition includes, but is not limited to,
automobiles, trucks, vans, buses, and motorcycles, as well as construction, farm and
industrial machinery while in transport.
For the purposes of this report a motor vehicle collision is defined as a collision involving a
motor vehicle in transport. Motor vehicle traffic collisions (E810–E819) that occur on
public highways and motor vehicle non-traffic collisions (E820–E825) that take place in
locations other than public highways are included.
There were 8,294 injury hospitalizations due to motor vehicle collisions (E810–E825),
accounting for 13% of all injury hospitalizations and 10% (n=67,082) of patient days for
all injury hospitalizations. Eight percent (n=224) of all injury in-hospital deaths were
attributed to motor vehicle collisions (Appendix H, Table 10).
i)
Demographic Analysis
As shown in Figure 10, in 2002–2003 more than one-third (37%, n=3,058) of
motor vehicle collision injury hospitalizations were among those between the ages of
35 and 64 years.
Figure 10. Motor Vehicle Collision by Age Group, 2002–2003
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Injury Hospitalizations (includes 2002–2003 data)
Figure 11 illustrates that males represented 62% (n=5,172) of injury hospitalizations due
to motor vehicle collisions. There was a peak in the number of motor vehicle collision
injuries among both sexes in their late teen years. For both males and females the majority
of motor vehicle collision injuries occurred in the 35 to 64 year age group (38%, n=1,940
for males; 36%, n=1,118 for females).
Figure 11. Motor Vehicle Collisions by Sex and Single Year of Age, 2002–2003
Appendix H, Table 14 shows motor vehicle collision injury hospitalizations by age groups
corresponding to the Ontario Ministry of Transportation’s Road Safety Annual Report.
Motor vehicle collision injury hospitalizations are shown for each single year of age
between 16 and 20 years. Motor vehicle collision injury hospitalizations occurring in this
age group accounted for 13% (n=1,041) of the total.
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ii)
Injured Persons
The ICD coding system allows injured persons to be identified for transport incidents
(E800–E845), which includes motor vehicle collision injuries, through the use of a required
fourth digit. Please refer to ICD documentation for further details on valid fourth digits for
specific E Codes.
Figure 12 shows that drivers represented 51% (n=4,236) of the 8,294 motor vehicle
collision injury hospitalizations, while passengers accounted for 21% (n=1,702).
Figure 12. Motor Vehicle Collisions by Injured Person, 2002–2003
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iii)
Causes of Motor Vehicle Incidents
Of the 8,409 injury hospitalizations due to motor vehicle incidents in 2002–2003
(Appendix H, Table 19):
•
•
•
•
26% (n=2,223) were occupants of a car, pickup or van in collision with another car,
pickup or van;
13% (n=1,047) were occupants of a car, pickup or van in a non-collision;
11% (n=955) involved a pedestrian injured by a car, pickup or van; and
8% (n=647) were occupants of a car, pickup or van in collision with a fixed object.
In addition, 858 injury hospitalizations were due to all terrain vehicle or snowmobile
incidents in 2002–2003:
•
•
54% (n=466) involved all terrain vehicles; and
46% (n=392) involved snowmobiles.
E. Intentional Injury
For the purposes of this report, intentional injuries include suicides and self-inflicted
injuries (excluding poisoning) (E953–E958) and homicides and injuries purposely inflicted
by another person (excluding poisoning) (E960–E961, E963–E968). In 2002–2003, there
were 3,169 injury hospitalizations resulting from intentional injury, accounting for 5% of all
injury hospitalizations and 4% (n=24,773) of patient days in-hospital. Three percent
(n=87) of injury in-hospital deaths were due to intentional injury (Appendix H, Table 10).
i)
Suicide and Self-Inflicted Injury (Excluding Poisoning)
In 2002–2003, there were 1,031 injury hospitalizations due to suicide and self-inflicted
injury (excluding poisoning), representing 2% of all injury hospitalizations, as well as
2% (n=40) of injury in-hospital deaths. Two percent (n=12,453) of patient days were
attributed to suicide and self-inflicted injury (excluding poisoning), with a mean length of
stay of 12 days and the median length of stay of 5 days (Appendix H, Table 10).
Of the suicide and self-inflicted injury (excluding poisoning) hospitalizations in 2002–2003
(Appendix H, Table 12):
•
•
•
•
20
18% (n=183) were under the age of 20 years;
34% (n=346) were between the ages of 20 and 34 years;
44% (n=451) were aged 35 to 64 years; and
5% (n=51) were 65 years of age and over.
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
ii)
Homicide and Injury Purposely Inflicted by Another Person
(Excluding Poisoning)
There were 2,138 hospitalizations due to homicide and injury purposely inflicted by
another person (excluding poisoning) in 2002–2003, accounting for 3% of all
hospitalizations. Two percent (n=12,320) of all hospital days and 2% (n=47) of all injury
in-hospital deaths were attributed to purposely inflicted injuries. The mean length of stay
for these hospitalizations was 6 days and the median length of stay was 2 days
(Appendix H, Table 10).
Of the hospitalizations due to homicide and injury purposely inflicted by another person
(excluding poisoning) in 2002–2003 (Appendix H, Table 12):
•
•
•
•
22% (n=459) were under the age of 20 years;
42% (n=898) were aged 20 to 34 years;
33% (n=710) were between the ages of 35 and 64 years; and
3% (n=71) were 65 years of age and over.
F. Cycling
In the ICD coding system cycling injuries are identified by the E Code E826. They are also
identified with fourth digits identifying the injured person as a cyclist in railway incidents
(E800–E807), motor vehicle incidents (E810–E825), and incidents involving other road
vehicles (E827–E829).
Two percent (n=1,274) of all injury hospitalizations were due to cycling incidents,
corresponding to 5,467 patient days in-hospital and 12 injury in-hospital deaths.
The mean length of stay in-hospital was 4 days and the median length of stay was 2 days
(Appendix H, Table 20).
Of the cycling injury hospitalizations in 2002–2003 (Appendix H, Table 12):
•
•
•
•
48% (n=616) were under the age of 20 years;
13% (n=163) were between the ages of 20 and 34 years;
31% (n=392) were aged 35 to 64 years; and
8% (n=103) were 65 years of age and over.
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Injury Hospitalizations (includes 2002–2003 data)
6. Context of Injury
A. Month, Day, and Hour of Admission
Note: As of 2000–2001, cases are defined by fiscal year of discharge. In all prior years of
data, cases are defined by fiscal year of admission. Although cases are defined by
fiscal year of discharge, TRAC recommended that analyses by month, day and hour
of admission reflect cases defined by fiscal year of admission. However, complete
data for all admissions in fiscal 2002–2003 are not yet available from the Discharge
Abstract Database, the OTR data source. Therefore, admissions from fiscal 2001–
2002 are presented for month, day, and hour of admission analyses in this section.
i)
Month of Admission
Injury Admissions
Figure 13 shows that in 2001–2002 the greatest number of injury admissions
occurred in July (9%, n=6,165) and that the fewest were in April (7%, n=4,870)
(Appendix H, Table 7).
Figure 13. Injury Hospitalizations by Month of Admission—All Cases, 2001–2002*
* Fiscal year based on date of admission
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
The most common months for injury admissions due to unintentional falls were December
and January, while July and August were the most common months for injury admissions
due to motor vehicle collisions. Suicides and self-inflicted injury (excluding poisoning)
admissions were most numerous in July; admissions due to homicide and injury purposely
inflicted also peaked in July (Appendix H, Table 17).
Injury In-Hospital Deaths
Figure 14 illustrates that by month of admission injury in-hospital deaths ranged from a low
of 187 (7%) in April to a high of 241 (9%) in February (Appendix H, Table 7).
Figure 14. Injury In-Hospital Deaths by Month of Admission, 2001–2002*
* Fiscal year based on date of admission.
December and February were the most common months of admission for injury in-hospital
deaths due to unintentional falls, while in-hospital deaths due to motor vehicle collision
injuries were most commonly admitted in October. Suicides and self-inflicted injury
cases (excluding poisoning) that died in-hospital were most frequently admitted in July;
in-hospital death from homicide and injuries purposely inflicted were most often admitted in
October (Appendix H, Table 18).
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Injury Hospitalizations (includes 2002–2003 data)
ii)
Day of Admission
The occurrence of injury admissions ranged from 9,302 (14%) on Sundays to a maximum
of 9,707 (15%) on Fridays. Wednesday (15%, n=397) was the most common day of
admission corresponding to injury in-hospital deaths and Thursday represented the fewest
(13%, n=341) (Figure 15).
Figure 15. Injury Hospitalizations and In-Hospital Deaths by Day of Admission—
All Cases, 2001–2002*
* Fiscal year based on date of admission.
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Injury Hospitalizations (includes 2002–2003 data)
iii)
Hour of Admission
Figure 16 shows that in 2001–2002 injury admissions ranged from a low of 848 (1%) at
6 a.m. to a high of 4,190 (6%) at 5 p.m. for time of admission. Nearly one-half (47%,
n=31,135) of all cases were admitted between the hours of 5 p.m. and 12 midnight.
Figure 16. Injury Hospitalizations by Hour of Admission—All Cases, 2001–2002*
* Fiscal year based on date of admission.
B. Place of Occurrence
Within the ICD coding system an additional code is used with E Codes E850 to E869 and
E880 to E928 to denote the place where an incident occurred. Only the latter group of
E Codes are applicable to the OTR MDS. Included are injuries due to unintentional falls, fire
and flames, natural and environmental factors, drowning, suffocation, foreign bodies and
other incidents. The place of occurrence code specifies homes, farms, industrial premises,
recreation and sport facilities, streets and highways, public buildings, residential
institutions, and other places.
Almost 100% (n=52,313) of injury hospitalizations with E Codes falling between E880
and E928 had a place of occurrence recorded. Thirty-eight percent (n=19,947) of these
took place in the home, while 27% (n=13,950) occurred in other or unspecified places.
Ten percent (n=5,229) took place in residential institutions and 5% (n=2,797) happened
in recreation or sports facilities.
CIHI 2004
25
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Home was the most common specific place of injury documented for both males (32%,
n=7,680) and females (44%, n=12,267). However, the next most common specific
location in which females were injured was residential institutions (14%, n=3,893), while
for males it was in a public building (9%, n=2,253) or a sports/recreation facility (9%),
n=2,135). Industrial settings represented 2% (n=1,201) of all injuries with a place of
occurrence reported, but accounted for 5% (n=1,122) of male cases compared to less
than 1% (n=78) among females (Appendix H, Table 21).
i)
Injury Hospitalizations due to Unintentional Falls
Place of occurrence was documented for nearly all (99.9%, n=39,163) injury
hospitalizations due to unintentional falls. The majority of these, 43% (n=16,845),
occurred in the home and 12% (n=4,862) occurred in residential institutions. For injury
hospitalizations due to unintentional falls (Appendix H, Table 22):
•
•
•
•
26
47% (n=10,977) of females were injured in their homes compared to 37% (n=5,868)
of males;
16% (n=3,661) of females were injured in residential institutions compared to
8% (n=1,201) of males;
5% (n=769) of males were injured at recreational and sporting locations compared
to 2% (n=390) of females; and
3% (n=390) of males were injured at industrial locations compared to less than
1% (n=43) of females.
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
7. Clinical Aspects of Injury
A. Diagnoses
In the ICD coding system diagnoses are specified by Nature of Injury Diagnosis Codes
(N Codes). In the Discharge Abstract Database, the OTR data source, all acute care
hospital patient abstracts that document an External Cause of Injury Code (E Code) are to
include at least one N Code. Up to twenty-four N Codes may be documented.
N Codes were included for most (94%, n=61,947) of the 2002–2003 injury
hospitalizations in this report. The remaining cases (6%, n=3,944) either lacked an
N Code or had an N Code that did not meet the definition of trauma used by the OTR.
A list of N Codes included in the OTR is located in Appendix E—N Code Inclusions
and Exclusions.
i)
All Injury Diagnoses
As indicated above, up to 24 N Codes may be documented for each injury
hospitalization. For reporting purposes similar individual N Codes have been grouped.
Examples include facial injuries (N802 and N830) and fractures and dislocations of the
upper limb (N810–819 and N831–834). A complete list of these categories can be found
in Appendix E.
The majority (71%, n=44,231) of injury hospitalizations with injury diagnoses had only
one documented, 17% (n=10,636) had two injuries and 11% (n=7,080) had three or
more injuries documented. A total of 96,055 diagnosis codes were documented for all
injury hospitalizations with a mean number of documented injuries of 1.5 per
hospitalization (Appendix H, Tables 1 and 8).
The leading five injury diagnosis codes documented for trauma injury hospitalizations in
2002–2003 were (Appendix H, Tables 25 and 26):
•
•
•
•
•
Fractures and dislocations of the lower limbs (43%, n=28,147)
Fractures and dislocations of the upper limbs (21%, n=13,657)
Intracranial injury (12%, n=7,841)
Superficial injuries and contusions (12%, n=7,693)
Open wounds of the head, neck and trunk (7%, n=4,575)
The denominator for percentages reported here is the total number of injury
hospitalizations, rather than total number of injury diagnosis codes, to better reflect the
proportion of injury diagnosis codes among injury hospitalizations.
ii)
Most Responsible Diagnosis
The Most Responsible Diagnosis is the one diagnosis that describes the most significant
condition relating to a patient’s length of stay in hospital. Seventy-eight percent
(n=51,140) of all injury hospitalizations included a Most Responsible Diagnosis that fell
within the relevant N Code range used by the OTR. Appendix F summarises the 22%
(n=14,751) of cases with excluded Most Responsible Diagnosis N Codes in 2002–2003.
CIHI 2004
27
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Figure 17 shows that fractures and dislocations of the lower limb (43%, n=21,761) were
the leading Most Responsible Diagnosis codes for injury hospitalizations in 2002–2003.
These injuries accounted for 53% (n=215,523) of the total number of patient days
in-hospital for cases with a Most Responsible Diagnosis, and 46% (n=645) of injury
in-hospital deaths (Appendix H, Table 23).
Figure 17. Most Responsible Diagnosis Codes—All Documented Cases, 2002–2003*
*Note: 14,751 injury hospitalizations had an invalid Most Responsible Diagnosis Code.
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
iii)
Injury Types
All documented N Codes may be categorized into injury types to group injury
hospitalizations into major categories such as head, spinal cord and orthopaedic cases.
For the purposes of this report, if an injury hospitalization has multiple N Codes that fall
into several different injury types, each is counted once; an injury hospitalization with
several N Codes falling into the same injury type are counted only once. For example, a
hospitalization with several head injury N Codes is included once, in the head injury
type category. A hospitalization with both spinal cord and head injury N Codes is
included twice, once in the head injury type category and once in the spinal cord injury
type category.
In 2002–2003, a total of 73,285 injury types were documented for all injury
hospitalizations. Figure 18 shows that two-thirds (69%, n=45,428) of these were
orthopaedic, followed by superficial (19%, n=12,234) and head (10%, n=6,896) injury
types (Appendix H, Tables 24 and 27).
Orthopaedics
Superficial
Head
Internal
Burns
Nerves
Blood Vessels
Spinal Cord
Other Injury Type
Figure 18. Injury (N Code) Types—All Documented Cases, 2002–2003*
*Note: To better reflect the proportion of injury types among injury hospitalizations, the denominator for
percentages reported is the total number of injury hospitalizations.
CIHI 2004
29
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Orthopaedic Injury Type
Figure 19 shows that in 2002–2003 unintentional falls (67%, n=30,547) were the leading
cause of injury (E Code) among the 45,428 hospitalizations with an orthopaedic injury type
documented (Appendix H, Table 27).
Figure 19. Causes of Orthopaedic Injury Type—All Documented Cases, 2002–2003
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Superficial Injury Type
Figure 20 illustrates that in 2002–2003 unintentional falls (39%, n=4,748) and motor
vehicle collisions (excluding cycling) (22%, n=2,649) were the leading specific causes of
injury (E Code) among the 12,234 hospitalizations with a superficial injury type
documented (Appendix H, Table 27).
Figure 20.
CIHI 2004
Causes of Superficial Injury Type—All Documented Cases, 2002–2003
31
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Head Injury Type
Figure 21 shows that in 2002–2003 over half (52%, n=3,582) of the 6,896 head injury
types documented were due to unintentional falls, followed by motor vehicle collisions
(excluding cycling) (26%, n=1,797) (Appendix H, Table 27).
Figure 21.
Causes of Head Injury Type—All Documented Cases, 2002–2003
In 2002–2003, there were 9,319 specific injury diagnosis codes documented for
the 6,896 head injury type hospitalizations. The leading head injury diagnoses were
(Appendix H, Table 32):
•
•
•
•
32
intracranial injury of other and unspecified nature (N854) (44%, n=2,999);
subarachnoid, subdural and extradural hemorrhage (N852) (36%, n=2,495);
concussion (N850) (18%, n=1,249); and
fracture of the base of the skull (N801) (13%, n=867).
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Spinal Cord Injury Type
Figure 22 illustrates that in 2002–2003 unintentional falls (50%, n=166) and motor
vehicle collisions (excluding cycling) (32%, n=106) were the leading causes of injury
(E Code) among the 335 spinal cord injury types documented (Appendix H, Table 27).
Figure 22.
Causes of Spinal Cord Injury Type—All Documented Cases, 2002–2003
In 2002–2003, there were 353 specific injury codes documented for the 335 spinal cord
injury types documented. There is no equivalent code for fracture of the vertebral column
with spinal cord injury (N806), in the ICD-10-CA coding system, thus all spinal cord injuries
appear as spinal cord injury without evidence of spinal bone injury (N952). In ICD-10-CA
spinal cord and spinal column injuries are coded separately (Appendix H, Table 35).
CIHI 2004
33
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
B. Complications, Comorbidities, and Interventions
i)
Complications
Complications are ICD diagnosis codes that describe a condition arising after the beginning
of hospitalization and that usually have a significant influence on the patient’s length of
stay and/or on the treatment of the patient. In 2002–2003, 21% (n=13,571) of all injury
hospitalizations had at least one complication documented. Twenty four percent
(n=7,891) of female cases had at least one complication compared to 17% (n=5,679) of
males (Appendix H, Table 9).
Figure 23.
Injury Hospitalizations With at Least One Complication by Sex and Single
Year of Age, 2002–2003
Note: 1 case has missing sex.
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
ii)
Comorbid Factors
Comorbid factors are ICD diagnosis codes that describe important patient conditions
other than the most responsible diagnosis that usually have a significant influence on
the patient’s length of stay and/or the management or treatment of the patient. In 2002–
2003, 41% (n=26,892) of injury hospitalizations had at least one comorbid condition
documented. More than one-third (35%, n=11,629) of male injury hospitalizations and
47% (n=15,261) of female injury hospitalizations had at least one documented comorbid
condition (Appendix H, Table 9).
Figure 24.
Injury Hospitalizations With at Least One Comorbidity by Sex and Single
Year of Age, 2002–2003
Note: 2 cases have missing sex.
CIHI 2004
35
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
iii)
Interventions
An intervention is a service performed for or on behalf of a client whose purpose is to
improve health, to alter or diagnose the course of a disease (health condition), or to
promote wellness. Of all injury hospitalizations in 2002–2003, 66% (n=43,799) had at
least one intervention documented. Females (65%, n=21,235) had slightly fewer
interventions than males (68%, n=22,562) (Appendix H, Table 9).
Male = 22,562
Figure 25.
Female = 21,235
Injury Hospitalizations With at Least One Intervention by Sex and Single Year
of Age, 2002–2003
Note: 2 cases have missing sex.
C. Injury In-Hospital Deaths
Injury in-hospital deaths do not include deaths that take place before admission to hospital,
such as those that occur at the scene of the incident or those that are pronounced dead
upon arrival at the hospital.
In 2002–2003, there were 2,655 injury in-hospital deaths in Ontario, representing 4% of
all injury hospitalizations. Injury in-hospital deaths accounted for 50,764 days in-hospitals.
The mean and median lengths of stay in hospital before death were 19 days and 8 days,
respectively, which were greater than the comparable values of 10 days and 4 days
characterizing all injury hospitalizations (Appendix H, Table 6).
The mean and median lengths of stay for in-hospital deaths for females were 20 days and
9 days, respectively, as compared to 19 days and 8 days for males (Appendix H, Table 6).
36
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
i)
Demographic Analysis
As shown in Figure 26, in 2002–2003, 83% (n=2,204) of injury in-hospital deaths were
among those 65 years of age and over (Appendix H, Table 6).
Figure 26.
CIHI 2004
Injury In-Hospital Deaths by Age Group, 2002–2003
37
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Figure 27 shows that males (n=1,330) and females (n=1,325) each represented 50% of
injury in-hospital deaths. There was a peak in the number of injury in-hospital deaths in
both sexes around the age of 80 years.
Figure 27.
38
Injury In-Hospital Deaths by Sex and Single Year of Age, 2002 –2003
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
ii)
Causes of Injury In-Hospital Deaths
Figure 28 illustrates that the majority (77%, n=2,030) of injury in-hospital deaths were
due to unintentional falls (Appendix H, Table 13).
Figure 28.
CIHI 2004
Causes of Injury In-Hospital Deaths, 2002–2003
39
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
D. Discharge Disposition
Figure 29 shows that in 2002–2003 the majority (68%, n=44,363) of the 65,201 injury
hospitalizations to acute care hospitals in Ontario with discharge information were
discharged home, 14% (n=6,204) of which required home care services. Thirty-two
percent (n=20,979) of all injury hospitalizations either were discharged to other facilities
(28%, n=18,186) or died in-hospital (4%, n=2,655) (Appendix H, Table 4).
Figure 29.
Discharge Disposition—All Cases, 2002–2003
Note: 687 cases have missing discharge information.
40
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
E. Length of Stay
For all injury hospitalizations in 2002–2003 the mean length of hospital stay (LOS) was
10 days. Among females the mean LOS was 11 days and among males it was 8 days.
The median length of hospital stay for all injury hospitalizations was 4 days, corresponding
to a median LOS of 6 days for females and 3 days for males (Appendix H, Table 5).
The mean length of hospital stay for all injury in-hospital deaths was 19 days. The mean
LOS for these cases was 20 days for females and 19 days for males. The median length of
stay for all injury in-hospital deaths was 8 days, 9 days for females and 8 days for males
(Appendix H, Table 6).
In general, there was a trend toward increased mean and median LOS with increased
age. The mean LOS for injury hospitalizations under the age of 20 years was 3 days,
compared to 15 days for hospitalizations 65 years of age and over. Mean LOS for female
hospitalizations ranged from 3 to 17 days, while for males mean LOS ranged from
3 to 18 days across the 4 age groups (<20, 20–34, 35–64, 65+).
In 2002–2003, injury hospitalizations due suicide and self-inflicted injury (excluding
poisoning) had the highest mean length of hospital stay (12 days), followed by railway
incidents (12 days), unintentional falls (12 days), and fire and flames (10 days)
(Appendix H, Table 10).
CIHI 2004
41
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
F. Transfer Patterns
i)
Institutional
When a patient is transferred from one health care facility to another for further treatment
or hospitalization, the institution from which the admission was transferred is documented
in the OTR MDS.
Twenty-three percent (n=15,141) of all injury hospitalizations were transferred to an acute
care hospital from another setting. Figure 30 illustrates that 35% (n=5,371) were
transferred from an outpatient facility, 26% (n=3,895) were transferred from another
acute care facility, and that 22% (n=3,355) were transferred from a nursing home or
home for the aged. Figure 31 provides the distribution of transfers from facilities classified
as all other institutions.
Figure 30.
42
Institution From Which Injury Hospitalizations Were Transferred—
All Documented Cases, 2002–2003
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Figure 31.
*Note:
ii)
Institution From Which Injury Hospitalizations Were Transferred—
All Other Institutions, 2002–2003*
The denominator for percentages is the total number of transferred injury hospitalizations.
Regional
Patient transfer patterns can be ascertained by comparing the patient’s county of residence
to the county within which the admitting hospital is located. According to Ministry of
Health and Long-Term Care residence codes, in 2002–2003, 98% (n=64,780) of acute
care injury hospitalizations in Ontario were permanent residents of the province. Between
75% and 94% of injury hospitalizations at Ontario acute care hospitals resided in the same
region as the hospital. Toronto region facilities treated the lowest proportion of residents of
that same region (75%, n=9,960) while South West region facilities treated the greatest
proportion (94%, n=10,503). Eastern region facilities treated the greatest number of
Canadians who were residents of a province other than Ontario (4%, n=401). Although
injury hospitalizations from outside of Canada accounted for less than 1% of cases in all
regions, Toronto region facilities hospitalized the largest number of these injury cases
(n=78) (Appendix H, Table 29).
CIHI 2004
43
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
8. Regional Summary
The Ministry of Health and Long-Term Care defines seven health planning regions in
Ontario. These regions are South West (SW), Central South (CS), Central West (CW),
Central East (CE), Toronto (T), East (E) and North (N).
Table 2 provides summary statistics for each of these 7 provincial regions.
Table 2.
Overview of Injury Hospitalizations by Region of Ontario, 2002–2003
SW
CE
T
9,236
10,333
11,031
8,460
7,325
56.6
43.3
49.3
38.2
46.8
77.1
87,522
8
4
70,367
9
4
83,211
9
3
87,886 141,902 103,398
12
13
9
5
5
4
69,093
9
4
56
61
27.3
54
59
27.5
52
54
27.9
54
57
27.4
56
61
27.6
58
63
26.3
53
54
26.6
Injury hospitalizations by age
groups (%)
<20 years
20–34 years
35–64 years
65+ years
14
11
27
47
16
11
27
45
18
13
29
40
17
11
29
43
14
13
26
48
12
11
28
49
16
13
30
41
% Male
50
52
52
50
50
47
52
Leading causes** of injury
hospitalization (%)
Unintentional falls
MVC (excl. cycling)
Intentional injury
59
13
5
59
11
5
58
12
4
59
14
3
62
9
6
64
11
4
56
13
7
423
(4%)
270
(4%)
323
(4%)
375
(4%)
652
(6%)
384
(5%)
204
(3%)
78
9
3
77
6
3
74
10
4
74
11
1
74
9
5
84
4
2
77
8
4
5,576
13
7
4,550
17
7
5,887
18
9
7,579
20
9
14,564
22
9
7,991
21
9
4,241
21
9
No. injury hospitalizations
Age-standardized injury
hospitalization rate*
Length of stay (LOS)
Total no. of hospital days
Mean LOS (days)
Median LOS (days)
Age (Years)
Mean
Median
Std. Deviation
No. (%) injury in-hospital
deaths
Leading causes** of injury
in-hospital deaths (%)
Unintentional falls
MVC (excl. cycling)
Intentional injury
Length of stay (LOS) for
injury in-hospital deaths
Total no. of hospital days
Mean LOS (days)
Median LOS (days)
CS
CW
10,900
7,495
62.3
E
N
*
Rates per 10,000 population based on regional population estimates from Statistics Canada. Rates are
age-standardized using Canada 1991 population.
** As defined by ICD E Codes. Intentional injury includes hospitalizations due to suicide and
self-inflicted injury (excluding poisoning) and homicide and injury purposely inflicted by another person
(excluding poisoning).
44
CIHI 2004
Appendix A
Definition of Terms
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Acute Care Hospital
A hospital in which active treatment is received.
Admission
An admission to an acute care hospital in Ontario as a result of injury defined by specific
ICD External Cause of Injury codes. Admissions include in-hospital deaths.
Admission Day
The day of the week the patient is admitted to hospital.
Admission Hour
A mandatory field on the CIHI abstract to describe the time of the patient’s admission to
hospital. A 24 hour clock is used and times are rounded up (e.g. 11:01 a.m. is grouped
under 1200 hours).
Age Groups
The age groups used by the Ontario Trauma Registry for reporting have been selected for
comparability to other sources of information and to report on specific trends such as
injury in children, young adults and in the elderly. Generally, the age groups reported on are
<1, 1–4, 5–9, 10–14, 15–19, 20–24, 25–34, 35–44, 45–54, 55–64, 65–74, 75–84
and 85 years of age or greater. Age groups have been changed in Table 14 to match the
Ontario Road Safety Annual Report from the Ministry of Transportation.
Aircraft
Any device for transporting passengers or goods in the air including airplanes, balloons,
bombers, gliders, parachutes and military aircraft.
Chronic Care
The level of care that is required by a person who is chronically ill or has a functional
disability (physical or mental) whose acute phase of illness is over, whose vital processes
may or may not be stable, whose potential for rehabilitation may be limited and who
requires a range of therapeutic services, medical management and/or skilled nursing care
plus provision for meeting psychosocial needs. The period of time during which care is
required is unpredictable but usually consists of months or years.
CIHI
Canadian Institute for Health Information
Comorbidities (Comorbid Diagnoses)
An ICD diagnosis describing an important condition of the patient other than the Most
Responsible Diagnosis which usually has a significant influence on the patient’s
hospitalization and/or significantly influences the management or treatment of the patient.
Complications (Complicating Diagnoses)
An ICD diagnosis describing a condition arising after the beginning of hospital observation
and/or treatment which usually has a significant influence on the patient’s hospitalization
and/or significantly influences the management or treatment of the patient.
CIHI 2004
A–1
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Comprehensive Data Set
One of three major datasets of the Ontario Trauma Registry that includes data on severely
injured patients admitted to trauma hospitals in the province. Inclusion in the
Comprehensive Data Set is based on injury severity.
Death Data Set
One of three major data sets of the Ontario Trauma Registry that includes data on all injury
deaths in the province of Ontario, provided by the Office of the Chief Coroner of Ontario.
Deaths
This report includes only those deaths that occur after admission to hospital. Not included
are deaths that occur at the scene, en route to hospital or in the Emergency Department
before admission to hospital.
Discharge Disposition
A mandatory field on the CIHI abstract indicating to where a patient has been discharged.
Other than death, patients may be discharged home or to one of the following types
of institutions:
•
•
•
•
•
•
•
•
•
•
•
Organized Out-patient Department
Active Treatment Hospital (Acute)
General Rehabilitation Hospital
Chronic Hospital
Nursing Home
Psychiatric Hospital
Special Rehabilitation
Home Care Program
Home for the Aged
Same Day Surgery
Unclassified Health Institution
Discharged Alive
An admitted patient that is discharged from hospital alive, including those patients that
sign themselves out against medical advice.
Driver
A driver of a motor vehicle is the occupant of the motor vehicle operating it or intending to
operate it.
A–2
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
E Codes (External Cause of Injury)
The External Cause of Injury chapter of the ICD coding system allows the classification and
analysis of environmental events, circumstances, and conditions as the cause of injury.
Examples include Falls (E880–888) and Motor Vehicle Traffic Incidents (E810–819).
Where a code from this section is applicable, it is intended that it shall be used in addition
to an ICD diagnosis code indicating the nature of the condition. At least one E Code must
be recorded on an abstract that has a Nature of Injury Diagnosis Code (N Code). All reports
are based on the first documented E Code recorded unless otherwise specified. E Codes
that are included and excluded from the definition of trauma are found in Appendix B.
General Rehabilitation
See Rehabilitation definition. General rehabilitation involves less intensive rehabilitation of
shorter duration than special rehabilitation.
Homicide and Injury Purposely Inflicted
Injuries inflicted by another person(s) with intent to injure or kill, by any means.
Hospitalization
A discharge from an acute care hospital in Ontario as a result of injury defined by specific
ICD External Cause of Injury codes. Hospitalizations include in-hospital deaths.
ICD (International Classification of Diseases)
The International Classification of Diseases is a World Health Organization (WHO)
publication that classifies morbidity and mortality information for statistical purposes,
and for the indexing of hospital records by disease and operations, for data storage
and retrieval. ICD manuals may be found in hospital Health Record Departments or in
public libraries.
ICD-9
The International Classification of Diseases, 9th Revision is based on the official version of
the World Health Organization’s 9th revision.
ICD-9-CM
In 1977, a Steering Committee was convened by the National Centre for Health
Statistics to provide advice on the development of a clinical modification of the ICD-9
with increased detail necessary for medical research. ICD-9-CM is compatible with
ICD-9, meeting the need for comparability of morbidity and mortality statistics at the
international level.
ICD-10-CA
The International Statistical Classification of Diseases and Related Health Problems,
Tenth Revision, Canada is based on the World Health Organization ICD-10 and is
wholly comparable with that classification. ICD-10 is the official classification used for
reporting mortality data in Canada: ICD-10-CA is the national standard for reporting
morbidity statistics.
CIHI 2004
A–3
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Injury Hospitalizations (includes 2002–2003 data)
In-Hospital Deaths
An admitted patient who dies during his/her hospital stay (including stillbirths) excluding
those patients who are dead on arrival (DOA) or who die in the Emergency Department
before admission (DIE).
The OTR MDS includes only in-hospital deaths and does not include deaths occurring
before admission to hospital.
Injured Person
An injured person is identified by a subdivision of the External Causes of Injury Codes for
all transport E Codes (E800–E845).
Injury
Chapter 17 of the ICD outlines Nature of Injury Diagnosis Codes (N Codes) used by Health
Records professionals. The terms “injury” and “trauma” are used synonymously. E Codes
that are included and excluded from the definition of trauma are found in Appendix B.
Injury Admissions
Admissions to acute care hospitals in Ontario as the result of injury as defined by selected
ICD 9 External Cause of Injury Codes (E Codes). As a result, it is possible for the same
patient to be represented more than once in the OTR MDS.
Injury Resulting from Operations of War
An E Code category used to classify injuries to military personnel and civilians caused by
war and civil insurrection and occurring during times of war and insurrection.
Injury Type
Nature of Injury Diagnosis Codes (N Codes) have been divided into the following broad
categories of injuries for reporting purposes: superficial, orthopaedic, burns, head, spinal
cord, internal, blood vessels, nerves, other. N Codes included in each injury type are listed
in Appendix G.
Injury Undetermined Whether Unintentionally or Purposely Inflicted
An E Code category used when, after a thorough investigation by the medical examiner,
coroner, or other legal authority, it cannot be determined whether the injuries are
unintentional, suicidal or intentional.
Institution Transferred From
A mandatory Discharge Abstract Database data element that indicates the institution
number of the location of the trauma patient before admission to an acute care hospital
according to the Ministry of Health Master Numbering System.
Institution Type
The type of institution to which and from which patients are admitted is classified on the
CIHI abstract in the categories listed in the definition for Discharge Disposition.
A–4
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Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Intentional Injury
Injury inflicted by another person(s) or by the patient with intent to kill or injure.
Intervention
A service performed for or on behalf of a client whose purpose is to improve heath,
to alter or diagnose the cause of a disease (health condition), or to promote wellness.
Up to 20 interventions may be coded on an abstract that is submitted to CIHI.
Late Effects
Conditions reported as such or occurring as sequelae one year or more after injury.
Legal Intervention
An E Code category used to classify injuries inflicted by the police or other law enforcing
agents, including military on duty, in the course of arresting or attempting to arrest
lawbreakers, suppressing disturbances, maintaining order and other legal action.
Length of Stay (LOS)
Total number of hospital days as calculated from date of admission to date of discharge
or death.
Master Numbering System
A system developed for the purpose of bringing together all Health Facilities and Programs
under one system of identification. Included are health and health related units, facilities,
clinics, programs and services. Each organization has been assigned a unique four digit
identifying code. A two digit alpha code is used to identify the type of institution.
Mean
A measure of central tendency of a set of observations; the average.
Mean Length of Stay
Average hospital length of stay for acute care days.
Median
A measure of central tendency of a set of observations; 50th percentile (the point above
and below which 50% of data fall).
Minimal Data Set
One of three data sets of the Ontario Trauma Registry that includes data on all injury
hospitalizations to acute care hospitals in Ontario. Data are downloaded from the Discharge
Abstract Database.
Month of Admission
Reports are generated by the month in which a patient was admitted to hospital rather
than discharge date.
CIHI 2004
A–5
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Most Responsible Diagnosis
This is a mandatory field on the CIHI abstract used to record the one diagnosis which
describes the most significant condition of a patient which relates to length of stay in
the hospital.
Motor Vehicle
Any mechanically or electrically powered device, not operated on rails, upon which any
person or property may be transported or drawn upon a highway. Any object such as a
trailer, coaster, sled, or wagon being towed by a motor vehicle is considered a part of the
motor vehicle. This category includes automobiles, buses, fire engines, motorcycles,
mopeds or scooters, vans, trucks, and construction machinery, farm and industrial
machinery, steam rollers, tractors, army tanks, highway graders, or similar vehicles on
wheels or treads, while in transport under its own power.
Motor Vehicle Incident
A transport incident involving a motor vehicle. It is defined as a motor vehicle traffic
incident or as a motor vehicle nontraffic incident according to whether the incident occurs
on a public highway or elsewhere.
Motor Vehicle Nontraffic Incident
Any motor vehicle incident which occurs entirely in any place other than a public highway.
Motor Vehicle Traffic Incident
Any motor vehicle incident occurring on a public highway (e.g. originating, terminating, or
involving a vehicle partially on the highway). A motor vehicle incident is assumed to have
occurred on the highway unless another place is specified, except in the case of incidents
involving only off-road motor vehicles which are classified as nontraffic incidents unless
the contrary is stated.
Motorcycle
A two wheeled motor vehicle having one or two riding saddles and sometimes having a
third wheel for the support of a sidecar. The sidecar is considered part of the motorcycle.
N Codes (Nature of Injury Diagnosis Codes)
The Nature of Injury section (Chapter 17) of the ICD coding system is used to describe in
detail the specific results of an injury. Examples include fractures, dislocations, sprains and
strains, intracranial injuries, internal injuries and open wounds.
Number of Injuries
The number of injuries are determined from the Nature of Injury (N Codes) describing
specific injuries that are recorded on the CIHI abstract for each admission. Up to 24 injuries
may be documented per abstract.
A–6
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Off Road Motor Vehicle
A motor vehicle of special design, to enable it to negotiate rough or soft terrain or snow.
Examples of special design are high construction, special wheels and tires, driven by
treads, or support on a cushion of air. This category includes all terrain vehicles, army
tanks, hovercrafts, and snowmobiles.
Other Incidents
Refers to the “Other Accidents” category as described in the ICD-9 manual for the E Code
range of E916–E928.
Other Road Vehicle
Any device, except a motor vehicle in, on, or by which any person or property may be
transported on a highway. This category includes pedal cycles, animals carrying persons or
goods, animal drawn vehicles, animals harnessed to conveyances and streetcars.
Pedal Cycle
Any road transport vehicle operated solely by pedals including bicycles, pedal cycles
and tricycles.
Pedal Cyclist
Any person riding on a pedal cycle or in a sidecar attached to such a vehicle.
Pedestrian
Any person involved in an incident who was not at the time of the incident riding in or
on a motor vehicle, railroad train, streetcar, animal-drawn or other vehicle, or on a bicycle
or animal. The pedestrian category includes a person changing a tire on a vehicle, in
or operating a pedestrian conveyance, making adjustments to the motor of a vehicle or
on foot.
Pedestrian Conveyance
Any human powered device by which a pedestrian may move other than by walking or by
which a walking person may move another pedestrian including baby carriages, wagons,
ice skates, roller skates, scooters, skateboards, skis, sleds and wheelchairs.
Place of Occurrence
Place of Occurrence is an ICD code that can be used with a particular range of E Codes
to denote the place where the incident occurred. Place of Occurrence categories are:
Home, Farm, Mine and Quarry, Industrial Place and Premises, Place for Recreation and
Sport, Street and Highway, Public Building, Residential Institution, Other Specified Place,
and Unspecified Place.
ICD-9 offers a fifth digit subclassification with E850–E869 and E880–E928 to denote the
place where the incident occurred.
ICD-9-CM offers E849 for use with E850–E869 and E880–E928 to denote where the
incident occurred.
CIHI 2004
A–7
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Public Highway
A public highway or trafficway is the entire width between property lines of every way or
place, of which any part is open to the use of the public for purposes of vehicular traffic as
a matter of right or custom. This category excludes private driveways, parking lots, and
roads in airfields, farms industrial premises, mines, private grounds or quarries.
Railway Incident
A transport incident involving a railway train or other railway vehicle operated on rails,
whether in motion or not.
Region
Seven Ontario health planning regions as defined by the Ministry of Health and Long Term
Care according to residence codes are reported. These regions are: South West, Central
South, Central West, Central East, East, Toronto, and North.
Rehabilitation
That required by a person whose condition is relatively stable but unlikely to be resolved
through convalescence or the normal healing process and who requires a specialized
rehabilitation program to restore or improve functional ability. The intensity and duration of
the type of care is dependent on the nature of the disability and the patient progress, but
maximum benefits usually can be expected within a period of several months.
Also see Special Rehabilitation or General Rehabilitation.
Residence Code
Unique four digit numbers have been assigned to each municipality and populated Indian
Reserve or settlement in the province to classify patient residence information. The first
two digits represent the county, district or regional municipality in which the place is
located. Digits three and four identify municipalities within the county.
Roadway
That part of the public highway designed, improved, and ordinarily used, for vehicular
travel. This excludes driveways, parking lots, ramps, roads on farms, airfields, industrial
premises, private grounds, mines and quarries.
Single Year of Age
Individual values for ages less than 1 year through 100 years that may be used rather than
age groups.
Small Boat
Any watercraft propelled by paddle, oars, or a small motor, with a passenger capacity of
less than ten.
Special Rehabilitation
See Rehabilitation definition. Special rehabilitation involves more intensive rehabilitation of
longer duration than general rehabilitation.
A–8
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Suicide and Self-Inflicted Injuries
Intentional self-inflicted injuries. Hospitalizations resulting from poisonings are excluding for
the purposes of this report.
Total Admissions
Total number of patients admitted to hospital excluding those who are Dead on
Arrival (DOA), Died in Emergency (DIE) and have been discharged from the
Emergency Department.
Total Patient Days
Sum of length of stay for all hospitalizations.
Transport Incident
Any incident (E800–E848) involving a device designed primarily for, or being used at the
time primarily for, conveying persons or goods from one place to another. In classifying
incidents which involve more than one kind of transport, the following order of precedence
of transport incidents should be used: aircraft and spacecraft, watercraft, motor vehicle,
railway, other road vehicles.
Incidents involving agricultural and construction machines, such as tractors, cranes, and
bulldozers, are regarded as transport incidents only when these vehicles are under their
own power on a highway, otherwise the vehicles are regarded as machinery. Vehicles that
can travel on land or water, such as hovercraft and other amphibious vehicles, are
regarded as watercraft when on the water, as motor vehicles when on the highway, and
as off road vehicles when on land, but off the highway.
Trauma
Injury resulting from the transfer of energy e.g. kinetic, thermal. See Appendix B for
External Causes of Injury (E Codes) used to define trauma.
Trauma Registry Advisory Committee (TRAC)
The multidisciplinary group responsible for guiding the implementation and operation of
the OTR.
Watercraft
Any device for transporting passengers or goods on the water.
CIHI 2004
A–9
Appendix B
Trauma Definition:
E Code Inclusions and Exclusions
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Trauma Definition: E Code Inclusions
The definition of trauma as injury resulting from the transfer of energy has been approved
by the Ontario Trauma Registry Advisory Committee (TRAC).
The following table lists the E Code categories used for reporting purposes based on the
trauma definition. For more detailed information on the specific E Codes within each
category, please refer to Appendix C—External Cause of Injury (E Code) Categories.
“Incident” and “unintentional” have been substituted for the terms “accidents” and
“accidental” used in the ICD definitions.
E Code Inclusions
E Code Category
Definition
E800–E807
Railway incidents
E810–E819
Motor vehicle traffic incidents
E820–E825
Motor vehicle nontraffic incidents
E826
Pedal cycles
E827–E829
Other road vehicle incidents
E830–E838
Water transport incidents
E840–E845
Air and space transport incidents
E846–E848
Vehicle incidents not elsewhere classifiable
E880–E888
Unintentional falls
E890–E899
Incidents caused by fire and flame
E900–E902, E906–E909
Incidents due to natural and environmental factors
E910 and E913
Incidents caused by drowning and suffocation
E914–E915
Foreign bodies (excluding choking)
E916–E928
Other incidents
E953–E958
Suicide and self-inflicted injury (excluding poisoning)
E960–E961, E963–E968
Homicide and injury purposely inflicted by other persons
E970–E976, E978
Legal intervention
E983–E988
Injury undetermined whether unintentionally or purposely inflicted
E990–E998
Injury resulting from operations of war
CIHI 2004
B–1
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Trauma Definition: E Code Exclusions
The following table lists E Code categories that are excluded from the OTR definition
of trauma.
E Code Exclusions
E Codes
Definition
E850–E858
Poisonings by drugs
E860–E869
Poisoning by gases
E870–E876
Misadventures
E878–E879
Complications
E903
Travel and motion
E904
Hunger, thirst, exposure, neglect
E905
Venomous animals and plants
E911
Inhalation and ingestion of food causing obstruction
E912
Inhalation and ingestion of other objects causing obstruction
E929
Late effects
E930–E949
Drugs, medicinal and biological substances causing adverse effects
E950–E952
Suicide and self-inflicted injury (poisonings)
E959
Late effects of self-inflicted injury
E962
Assault by poisoning
E969
Late effects of injury purposely inflicted by other person
E977
Injury due to legal intervention
E980–E982
Poisoning undetermined whether unintentionally or purposefully inflicted
E989
Late effects intentionality undetermined
E999
Late effects due to war
B–2
CIHI 2004
Appendix C
External Cause of Injury (E Code) Categories
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
External Cause of Injury (E Code) Categories
The following table provides detail on the specific E Codes within the External Cause
of Injury categories reported on by the OTR. Further information can be found in the
ICD manuals.
E Codes Categories
E Code Category
E Code Range
Specific Codes
Railway
E800–E807
E800
E801
E802
E803
E804
E805
E806
E807
Motor vehicle traffic
E810–E819
E810
E811
Involving collision with rolling stock
Involving collision with other object
Involving derailment without antecedent
collision
Involving explosion, fire, or burning
Fall in, on, or from railway train
Hit by rolling stock
Other specified
Unspecified nature
E817
E818
E819
Involving collision with train
Involving re-entrant collision with another
motor vehicle
Involving collision with motor vehicle
Involving collision with other vehicle
Involving collision with pedestrian
Involving collision on the highway
Due to loss of control, without collision on
the highway
Noncollision while boarding or alighting
Other noncollision
Unspecified nature
E812
E813
E814
E815
E816
Motor vehicle
nontraffic
E820–E825
E820
E821
E822
E823
E824
E825
Involving motor vehicle driven snow vehicle
Involving other off-road motor vehicle
Involving collision with moving object
Involving collision with stationary object
While boarding and alighting
Other and unspecified nature
Pedal cycle
E826
E826
Pedal cycle incident
Other road vehicle
E827–E829
E827
E828
E829
Animal drawn vehicle incident
Incident involving animal being ridden
Other road vehicle incidents
CIHI 2004
C–1
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
E Codes Categories
E Code Category
E Code Range
Specific Codes
Water transport
E830–E838
E830
E831
E832
E833
E834
E835
E836
E837
E838
Air and space
transport
E840–E845
E840
E841
E842
E843
E844
E845
Vehicle incidents not
elsewhere classified
E846–E848
E846
E847
E848
Unintentional falls
E880–E888
E880
E881
E882
E883
E884
E885
E886
E887
E888
C–2
Incident to watercraft causing submersion
Incident to watercraft causing other injury
Other unintentional submersion or drowning
Fall on stairs or ladders in water transport
Other fall from one level to another in
water transport
Other and unspecified fall in water transport
Machinery incident in water transport
Explosion, fire, or burning in watercraft
Other and unspecified
Incident to powered aircraft at takeoff
or landing
Incident to powered aircraft, other and
unspecified
Incident to unpowered aircraft
Fall in, on or from aircraft
Other specified air transport incidents
Incident involving spacecraft
Involving powered vehicles used solely within
the buildings and premises of industrial or
commercial establishment
Involving cable cars not running on rails
Involving other vehicles, not elsewhere
classifiable
Fall on or from stairs or steps
Fall on or from ladders or scaffolding
Fall from or out of building or other structure
Fall into hole or other opening in surface
Other fall from one level to another
Fall on same level from slipping, tripping, or
stumbling
Fall on same level from collision, pushing, or
shoving, by or with other person
Fracture, unspecified
Other and unspecified fall
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
E Codes Categories
E Code Category
E Code Range
Specific Codes
Fire and flames
E890–E899
E890
E891
E892
E893
E894
E895
E896
E897
E898
E899
Natural and
environmental
factors
E900–E902 and
E906–E909
E900
E901
E902
E906
E907
E908
E909
Conflagration in private dwelling
Conflagration in other and unspecified building
or structure
Conflagration not in building or structure
Incident caused by ignition of clothing
Ignition of highly inflammable material
Caused by controlled fire in private dwelling
Caused by controlled fire in other and
unspecified building or structure
Caused by controlled fire not in building
or structure
Caused by other specified fire and flames
Caused by unspecified fire
Excessive heat
Excessive cold
High and low air pressure and changes in
air pressure
Other injury caused by animals
Lightning
Cataclysmic storms, and floods resulting
from storms
Cataclysmic earth surface movements
and eruptions
Drowning,
suffocation
E910 and E913
E910
E913
Unintentional drowning and submersion
Unintentional mechanical suffocation
Foreign bodies
(excluding choking)
E914–E915
E914
Foreign body unintentionally entering eye
and adnexa
Foreign body unintentionally entering
other orifice
CIHI 2004
E915
C–3
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
E Codes Categories
E Code Category
E Code Range
Specific Codes
Other incidents
E916–E928
E916
E917
E918
E919
E920
E921
E922
E923
E924
E925
E926
E927
E928
Struck unintentionally by falling object
Striking against or struck unintentionally by
objects or persons
Caught unintentionally in or between objects
Caused by machinery
Caused by cutting and piercing instruments or
objects
Caused by explosion of pressure vessel
Caused by firearm missile
Caused by explosive material
Caused by hot substance or object, caustic or
corrosive material, and steam
Caused by electric current
Exposure to radiation
Overexertion and strenuous movements
Other and unspecified environmental and
unintentional causes
Suicide and selfinflicted injury
(excluding
poisonings)
E953–E958
E953
E954
E955
E956
E957
E958
Hanging, strangulation, and suffocation
Submersion
Firearms and explosives
Cutting and piercing instrument
Jumping from high place
Other and unspecified means
Homicide and injury
purposely inflicted
(excluding
poisonings)
E960–E961 and
E963–E968
E960
E961
E963
E964
E965
E966
E967
E968
Fight, brawl, rape
Assault by corrosive or caustic substance,
except poisoning
Assault by hanging and strangulation
Assault by submersion
Assault by firearms and explosives
Assault by cutting and piercing instrument
Child battering and other maltreatment
Assault by other and unspecified means
Legal intervention
E970–E976 and
E978
E970
E971
E972
E973
E974
E975
E976
E978
Legal
Legal
Legal
Legal
Legal
Legal
Legal
Legal
C–4
intervention
intervention
intervention
intervention
intervention
intervention
intervention
execution
by
by
by
by
by
by
by
firearms
explosives
gas
blunt object
cutting and piercing
other specified means
unspecified means
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
E Codes Categories
E Code Category
E Code Range
Specific Codes
Undetermined
whether
unintentionally or
purposely inflicted
E983–E988
E983
E984
E985
E986
E987
E988
Hanging, strangulation, or suffocation
Submersion
Firearms and explosives
Cutting and piercing instruments
Falling from high place
Other and unspecified means
Operations of war
E990–E998
E990
E991
E992
E993
E994
E995
Fires and conflagrations
Bullets and fragments
Explosion of marine weapons
Other explosion
Destruction of aircraft
Other and unspecified forms of
conventional warfare
Nuclear weapons
Other forms of unconventional warfare
Occurring after cessation of hostilities
E996
E997
E998
CIHI 2004
C–5
Appendix D
List of Counties by Region
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Regions of Ontario
Seven Ontario health planning regions as defined by the Ministry of Health and Long Term
Care according to residence codes are identified in this report. The following table provides
information on the specific counties that comprise these regions.
Region Name
County/District/Regional Municipality Name
South West
•
•
•
•
•
Bruce
Elgin
Essex
Grey
Huron
•
•
•
•
•
Kent
Lambton
Middlesex
Oxford
Perth
Central South
•
•
Brant
Haldimand-Norfolk
•
•
Hamilton
Niagara R.M.
Central West
•
•
•
Dufferin
Halton R.M.
Peel R.M.
•
•
Waterloo R.M.
Wellington
Central East
•
•
•
•
Durham R.M.
Haliburton
Northumberland
Peterborough
•
•
•
Simcoe
Victoria
York R.M.
Toronto
•
Toronto
East
•
•
•
•
•
•
Frontenac
Hastings
Lanarck
Leeds and Grenville
Lennox and Addington
Ottawa
•
•
•
•
Prescott and Russell
Prince Edward
Renfrew
Stormont, Dundas and
Glengarry
North
•
•
•
•
•
•
Algoma District
Cochrane District
Kenora District
Manitoulin District
Muskoka D.M.
Nipissing District
•
•
•
•
•
•
Parry Sound District
Rainy River District
Sudbury District
Sudbury Region
Thunder Bay District
Timiskaming District
CIHI 2004
D–1
Appendix E
Nature of Injury (N Codes):
Inclusions and Exclusions
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Nature of Injury (N Codes) Categories—Inclusions
The following Nature of Injury Code (N Codes) categories are included in this report. For
further information, please refer to the ICD manuals.
Nature of Injury Categories
N Code Category
N Code Range
N Code Definition
Fractured skull
N800–N801
and
N803-804
N800
N801
N803
N804
Fracture of vault of skull
Fracture of base of skull
Other and unqualified skull fractures
Multiple fractures involving skull or face
with other bones
Facial injuries
N802 and N830
N802
N830
Fracture of face bones
Dislocation of jaw
Fractured vertebrae
N805
N805
Fracture of vertebral column without
mention of spinal cord injury
Fracture vertebrae
with spinal cord
injury
N806
N806
Fracture of vertebral column with mention
of spinal cord injury
Dislocations of
vertebrae
N839.0-.5
N839.0
N839.1
N839.2
N839.3
N839.4
N839.5
Cervical vertebra, closed
Cervical vertebra, open
Thoracic and lumbar vertebra, closed
Thoracic and lumbar vertebra, open
Other vertebra, closed
Other vertebra, open
Fractured
ribs/sternum
N807.0-.4
N807.0
N807.1
N807.2
N807.3
N807.4
Rib(s), closed
Rib(s), open
Sternum, closed
Sternum, open
Flail chest
Fractured
larynx/trachea
N807.5-.6
N807.5
N807.6
Larynx and trachea, closed
Larynx and trachea, open
Fractured pelvis
N808
N808
Fracture of pelvis
Other bones of trunk
N809
N809
Ill defined fractures of bones of trunk
CIHI 2004
E–1
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Nature of Injury Categories
N Code Category
N Code Range
N Code Definition
Fractures,
dislocations of upper
limb
N810–N819
and
N831–N834
N810
N811
N812
N813
N814
N815
N816
N817
N818
N819
N831
N832
N833
N834
Fractures,
dislocations of lower
limb
N820–N829
N835–N838
N820
N821
N822
N823
N824
N825
N826
N827
N829
N835
N836
N837
N838
Neck of femur
Other and unspecified parts of femur
Patella
Tibia and fibula
Ankle
One or more tarsal and metatarsal bones
One or more phalanges of foot
Other, multiple, and ill defined fractures of
lower limb
Multiple fractures involving both lower
limb(s), lower with upper limb, and lower
limb(s) with rib(s) and sternum
Unspecified bones
Dislocation of hip
Dislocation of knee
Dislocation of ankle
Dislocation of foot
N839.6
N839.7
N839.8
N839.9
Other location, closed
Other location, open
Multiple and ill defined, closed
Multiple and ill defined, open
N828
Other dislocations
E–2
N839.6-.9
Fracture of clavicle
Fracture of scapula
Fracture of humerus
Fracture of radius and ulna
Fracture of carpal bone(s)
Fracture of metacarpal bone(s)
Fracture of phalange(s) of hand
Multiple fracture of hand bones
Ill defined fractures of upper limb
Multiple fractures involving both
upper limbs, and upper limb with rib(s)
and sternum
Dislocation of shoulder
Dislocation of elbow
Dislocation of wrist
Dislocation of finger
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Nature of Injury Categories
N Code Category
N Code Range
N Code Definition
Sprains, strains
N840–N848
N840
N841
N842
N843
N844
N845
N846
N847
N848
Shoulder and upper arm
Elbow and forearm
Wrist and hand
Hip and thigh
Knee and leg
Ankle and foot
Sacroiliac region
Other and unspecified parts of back
Other and ill defined
Intracranial injury
N850–N854
N850
N851
N852
Concussion
Cerebral laceration and contusion
Subarachnoid, subdural, and
extradural hemorrhage
Other and unspecified intracranial
hemorrhage
Other and unspecified nature
N853
N854
Internal injuries to
chest, abdomen,
pelvic organs
N860–N869
N860
N861
N862
N863
N864
N865
N866
N867
N868
N869
CIHI 2004
Traumatic pneumothorax and hemothorax
Injury to heart and lung
Injury to other and unspecified
intrathoracic organs
Injury to gastrointestinal tract
Injury to liver
Injury to spleen
Injury to kidney
Injury to pelvic organs
Injury to other intra-abdominal organs
Internal injury to unspecified or ill
defined organs
E–3
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Nature of Injury Categories
N Code Category
N Code Range
N Code Definition
Open wounds of
head, neck and trunk
N870–N879
N870
N871
N872
N873
N874
N875
N876
N877
N878
N879
Open wounds of
limbs, excluding
amputations
N880–N884
N890–N894
N880
N881
N882
N883
N884
N890
N891
N892
N893
N894
Ocular adnexa
Eyeball
Ear
Head
Neck
Chest (wall)
Back
Buttock
Genital organs (external), including
traumatic amputation
Other and unspecified sites, except limbs
Shoulder and upper arm
Elbow, forearm, and wrist
Hand except finger(s)
Finger(s)
Multiple and unspecified open wound of
upper limb
Hip and thigh
Knee, leg, and ankle
Foot
Toe(s)
Multiple and unspecified open wound of
lower limb
Traumatic
amputation of digits
N885–N886
and N895
N885
N886
N895
Traumatic amputation of thumb
Traumatic amputation of finger(s)
Traumatic amputation of toe(s)
Traumatic
amputation of upper
limb
N887
N887
Traumatic amputation of arm and hand
Traumatic
amputation of lower
limb
N896–N897
N896
N897
Traumatic amputation of foot
Traumatic amputation of leg(s)
Vascular injuries
N900–N904
N900
N901
N902
Injury to blood vessels
Injury to blood vessels
Injury to blood vessels
and pelvis
Injury to blood vessels
Injury to blood vessels
and unspecified
N903
N904
E–4
of head and neck
of thorax
of abdomen
of upper extremity
of lower extremity
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Nature of Injury Categories
N Code Category
N Code Range
N Code Definition
Superficial injuries,
contusions
N910–N919
N920–N924
N910
N911
N912
N913
N914
N915
N916
N917
N918
N919
N920
N921
N922
N923
N924
Superficial injury to face, neck, and scalp
except eye
Superficial injury to trunk
Superficial injury to shoulder and upper arm
Superficial injury to elbow, forearm,
and wrist
Superficial injury to hand(s)
Superficial injury to finger(s)
Superficial injury to hip, thigh, leg,
and ankle
Superficial injury to foot and toe(s)
Superficial injury to eye and adnexa
Superficial injury to other multiple and
unspecified sites
Contusion of face, scalp, and neck
Contusion of eye and adnexa
Contusion of trunk
Contusion of upper limb
Contusion of lower limb and other
unspecified sites
Crushing injuries
N925 and N929
N925
N926
N927
N928
N929
Crushing injury of
Crushing injury of
Crushing injury of
Crushing injury of
Crushing injury of
unspecified sites
Foreign bodies
N930–N939
(excluding
N933.1)
N930
N931
N932
N933.0
N934
Foreign body
Foreign body
Foreign body
Foreign body
Foreign body
and lung
Foreign body
and stomach
Foreign body
Foreign body
Foreign body
unspecified
Foreign body
N935
N936
N937
N938
N939
CIHI 2004
face, scalp, and neck
trunk
upper limb
lower limb
multiple and
on external eye
in ear
in nose
in pharynx and larynx
in trachea, bronchus,
in mouth, esophagus,
in intestine and colon
in anus and rectum
in digestive system,
in genitourinary tract
E–5
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Nature of Injury (N Code) Categories
N Code Category
N Code Range
N Code Definition
Burns
N940–N949
N940
N941
N942
N943
N944
N945
N946
N947
N948
N949
Burn of eye
Burn of face, head, and neck
Burn of trunk
Burn of upper limb
Burn of wrist and hand
Burn of lower limb
Burn of multiple specified sites
Burn of internal organs
Burn classified according to extent of body
surface involved
Burn unspecified
Spinal cord injury
with no bony
abnormality
N952
N952
Spinal cord injury without evidence of
spinal bone injury
Other nerve injuries
N950–N951
N953–N957
N950
N951
N953
N954
Injury to optic nerve and pathways
Injury to other cranial nerve(s)
Injury to nerve roots and spinal plexus
Injury to other nerve(s) of trunk, excluding
shoulder and pelvic girdle
Injury to peripheral nerve(s) of shoulder
girdle and upper limb
Injury to peripheral nerve(s) of pelvic girdle
and lower limb
Injury to other and unspecified nerves
N955
N956
N957
Other and
unspecified injuries
N990–N993
and
N994.0,.1,.4,.5,
.7, .8,.9 and
N959
N959
N990
N991
N992
N993
N994.0
N994.1
N994.4
N994.5
N994.7
N994.8
N994.9
E–6
Injury, other and unspecified
Effects of radiation
Effects of reduced temperature
Effects of heat and light
Effects of air pressure
Effects of lightning
Drowning and nonfatal submersion
Exhaustion due to exposure
Exhaustion due to excessive exertion
Asphyxiation and strangulation
Electrocution and nonfatal effects of
electric current causes
Other effects of external causes
CIHI 2004
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Nature of Injury (N Codes) Codes—Exclusions
The following Nature of Injury Codes (N Codes) do not correspond to the definition of
trauma and therefore are not reported on by OTR. For further information, please refer
to the ICD manuals.
N Codes Not Included in Reports
N Codes
N Code Description
N905–N909
Late effects of injuries, poisonings, toxic effects and other external
causes
N933.1
Foreign body in larynx (choking)
N958
Certain early complications of trauma
N960–N979
Poisoning by drugs, medicinal and biological substances
N980–N989
Toxic effects of substances chiefly nonmedicinal as to source
N994.2, .3, .6
Effects of other external causes (hunger, thirst, motion sickness)
N995
Certain adverse effects not elsewhere classified
N996–N999
Complications of surgical and medical care, not elsewhere classified
CIHI 2004
E–7
Appendix F
Summary of Excluded Most Responsible
Diagnoses (MRDx)
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Summary of Excluded Most Responsible
Diagnoses (MRDx), 2002–2003
The following table summarizes the ICD categories into which the 14,751 Most
Responsible Diagnoses (MRDx) excluded from the definition of trauma fell.
Hospitalizations
%
N Code
Diagnosis Description
212
1.4%
N001–139
Infectious and Parasitic Diseases
588
4.0%
N140–239
Neoplasms
448
3.0%
N240–279
Endocrine, Nutrition, Metabolic, Immunity
128
0.9%
N280–289
Blood and Blood-Forming Organs
1,966
13.3%
N290–319
Mental Disorders
606
4.1%
N320–389
Nervous System and Sense Organs
2,096
14.2%
N390–459
Circulatory System
1,034
7.0%
N460–519
Respiratory System
679
4.6%
N520–579
Digestive System
326
2.2%
N580–629
Genitourinary System
193
1.3%
N630–676
Pregnancy, Childbirth, Puerperium
597
4.0%
N680–709
Skin and Subcutaneous Tissue
985
6.7%
N710–739
Musculoskeletal System and Connective Tissue
17
0.1%
N740–759
Congenital Anomalies
15
0.1%
N760–779
Conditions In the Perinatal Period
1,475
10.0%
N780–799
Symptoms, Signs and Ill-Defined Conditions
125
0.8%
N800–999
Injuries—Excluded From OTR
1,763
12.0%
V01–82
V Codes
1,498
10.2%
No MRDx
No Most Responsible Diagnosis Documented
14,751
100.0%
CIHI 2004
F–1
Appendix G
Injury Types
Ontario Trauma Registry 2004 Report
Injury Hospitalizations (includes 2002–2003 data)
Injury Types
The following provides information on the specific diagnosis codes for the injury types
described in this report.
Injury Types
Injury Type
N Code Range
N Code Descriptions
Superficial
N910–N919
N920–N924
N870–N879
N880–N884
N890–N894
Superficial injuries
Contusion with intact skin surfaces
Open wound of head, neck and trunk
Open wound of upper limb
Open wound of lower limb
Orthopaedic
N802
N805 and N807–N829
Fractures of facial bones
Fractures (excluding fractured skull and
fractures of vertebral column with spinal
cord injury)
Dislocations
Crushing injury
Amputations of upper limb
Amputations of lower limb
Sprains and strains of joints and
adjacent muscles
N830–N839
N925–N929
N885–N887
N895–N897
N840–N848
Burns
N940–N949
Burns
Head injury
N800–N801 and N803–
N804
N850–N854
Fractured skull
Intracranial injury excluding those with
skull fracture
Spinal cord
injury
N806
N952
Fractures of vertebral column with spinal
cord injury
Spinal cord injury without spinal bone injury
Internal injury
N860–N869
Internal injury of chest, abdomen and pelvis
Blood Vessels
N900–N904
Injury to blood vessels
Nerves
N950
N951
N953–N957
Injury to optic nerve
Injury to other cranial nerves
Injury to other nerves
Other
N930–N939 (excluding
N933.1)
N990–N993 and N994
(excluding N994.2, .3, .6)
N959
Foreign body (excluding choking—N933.1)
CIHI 2004
Other and unspecified effects of
external causes
Injury, other and unspecified
G–1
Appendix H
Data Tables:
2002–2003
Note: Tables may differ from previous years’ reports because
of differences in the classification coding systems.
Appendix H—Data Tables
Table of Contents
Table 1.
Trend Analysis Report for Injury Hospitalizations ....................................... H–1
Table 2.
Trend Analysis Report—External Causes of Injury (E Codes) by Year
for All Injury Hospitalizations .................................................................. H–2
Table 3.
Trend Analysis Report—External Causes of Injury (E Codes) by Year
for All Injury In-Hospital Deaths .............................................................. H–7
Table 4.
Trend Analysis Report, Discharge Disposition by Year for
All Injury Hospitalizations ..................................................................... H–12
Table 5.
Patient Days, Mean and Median LOS by Sex and Age for All Injury
Hospitalizations, 2002–2003 ............................................................... H–13
Table 6.
Patient Days, Mean and Median LOS by Sex and Age for All Injury
In-Hospital Deaths, 2002–2003............................................................ H–14
Table 7.
Patient Days, Mean LOS by Month of Admission for Injury
Hospitalizations and In-Hospital Deaths, 2001–2002............................... H–15
Table 8.
Number of Injuries Per Hospitalizations by Age Group and Sex,
2002–2003 ....................................................................................... H–16
Table 9.
Injury Hospitalizations with at Least One Complication, Comorbidity or
Intervention by Sex and Age Group, 2002–2003 .................................... H–17
Table 10. Injury Hospitalizations, Patient Days, Mean and Median LOS, In-Hospital
Deaths by External Causes of Injury (E Codes), 2002–2003 ..................... H–18
Table 11. Injury Case Summary by External Causes of Injury (E Codes)
and Sex, 2002–2003 .......................................................................... H–21
Table 12. External Causes of Injury (E Codes) by Age Group for All Injury
Hospitalizations, 2002–2003 ............................................................... H–24
Table 13. External Causes of Injury (E Codes) by Age Group for All Injury
In-Hospital Deaths, 2002–2003............................................................ H–27
Table 14. External Causes of Injury (E Codes) by Age Group for Traffic, Non-Traffic
and Other Road Vehicle Incidents (E810-829), 2002–2003...................... H–30
Table 15. External Causes of Injury (E codes) by Age Group for Falls,
2002-2003 (ICD-10-CA W00-W19) ...................................................... H–32
Table 16. External Causes of Injury (E Codes) by Age Group for Other Incidents
(E916-928), 2002–2003 ..................................................................... H–34
Table 17. External Causes of Injury (E Codes) by Month of Admission for All Injury
Hospitalizations, 2001–2002 ............................................................... H–37
Table 18. External Causes of Injury (E Codes) by Month of Admission for All Injury
In-Hospital Deaths, 2001–2002............................................................ H–40
Table 19. Traffic, Non-Traffic and Other Road Vehicle Incidents: Victim and Mode
of Transport by Collision Involvement, 2002-2003 (ICD-10-CA V01-V89).. H–43
Appendix H—Data Tables
Table of Contents (cont’d)
Table 20. Injury Hospitalizations, Patient Days, Mean And Median Los,
In-Hospital Deaths By External Causes Of Injury For Pedal Cyclists,
2002-2003 (ICD-10-CA) ...................................................................... H–44
Table 21. ICD Place of Occurrence by Sex for Injury Hospitalizations
(E880-928), 2002–2003 ..................................................................... H–45
Table 22. ICD Place of Occurrence by Sex for Falls (E880-888), 2002–2003 ........... H–46
Table 23. Injury Hospitalizations, Patient Days, Mean and Median LOS, In-Hospital
Deaths by Most Responsible Injury Code (N Code), 2002–2003 ............... H–47
Table 24. Injury (N Code) Type by Age Group for All Injury
Hospitalizations, 2002–2003 ............................................................... H–50
Table 25. Nature of Injury (N Codes) by Age Group, 2002–2003 ............................ H–51
Table 26. Nature of Injury (N Codes) by Month of Admission, 2001–2002 ............... H–53
Table 27. External Causes of Injury (E Codes) by Injury (N Code)
Type, 2002–2003 .............................................................................. H–55
Table 28. External Causes of Injury By Injury (N Code) Type For Falls,
2002-2003 (ICD-10-CA W00-W19) ...................................................... H–59
Table 29. Residence Code (Region) by Admitting Hospital Region, 2002–2003 ......... H–61
Table 30. Residence Code (DHC) by Admitting Hospital Region, 2002–2003 ............ H–62
Table 31. Residence Code (County) by Admitting Hospital Region, 2002–2003 ........ H–64
Table 32. External Causes of Injury (E Codes) by Injury N Codes, for Head
Injuries Only, 2002–2003 .................................................................... H–69
Table 33. External Causes of Injury (E Codes) by Age Group for Head
Injuries Only, 2002–2003 .................................................................... H–72
Table 34. External Causes of Injury (E Codes) by Age Group for Spinal Cord
Injuries Only, 2002–2003 .................................................................... H–76
Table 35. External Causes of Injury (E Codes) by Injury N Codes, for Spinal Cord
Injuries Only, 2002–2003 .................................................................... H–80
Table 36. Patient Days, Mean and Median LOS by Sex and Age for Drowning
Related Hospitalizations, 2002–2003 .................................................... H–83
Table 37. Summary of Gunshot Wound Hospitalizations by Method, 2002–2003...... H–84
Table 38. Discharge Disposition by Age Group for All Injury Hospitalizations,
2002–2003 ....................................................................................... H–85
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 1
TREND ANALYSIS REPORT FOR INJURY HOSPITALIZATIONS**
1998-1999
2001-2002
66,422
66,195
65,891
55.4
53.5
53.4
51.9
50.5
2,574
2,568
2,535
2,566
2,655
51.0
50.7
50.7
50.4
50.4
MEAN
52.4
53.2
53.6
54.5
54.3
MEDIAN
54.0
56.0
57.0
58.0
58.0
STANDARD DEVIATION
27.2
27.6
27.4
27.1
27.3
MEAN
9.6
9.7
9.6
9.5
9.8
MEDIAN
4.0
4.0
4.0
4.0
4.0
18.3
18.6
19.0
18.7
18.9
94,719
92,910
93,740
94,883
96,055
1.4
1.4
1.4
1.4
1.5
90,611
90,800
91,081
90,665
80,283
1.4
1.4
1.4
1.4
1.2
No. of INHOSPITAL DEATHS
% MALE
STANDARD DEVIATION
TOTAL NUMBER OF DOCUMENTED INJURIES
MEAN NUMBER OF DOCUMENTED INJURIES
TOTAL NUMBER OF INTERVENTIONS
MEAN NUMBER OF INTERVENTIONS
* Population based on estimates from Statistics Canada. Rates have been directly age standardized using Canada 1991 as the standard
population.
** Data for fiscal year 2000-2001 and beyond report on fiscal year discharges, whereas earlier years report on fiscal year admissions.
Table 1
2002-2003
64,925
HOSPITALIZATION RATE PER 10,000* POP.
LOS
2000-2001
65,766
No. of HOSPITALIZATIONS
AGE
1999-2000
Appendix H - Page 1
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 2
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY HOSPITALIZATIONS
1998-1999
2002-2003
66,422
66,195
65,891
- PEDESTRIANS
7
15
10
11
14
- PEDAL CYCLISTS
0
1
1
1
0
- OCCUPANTS AND OTHER
19
29
18
22
11
SUBTOTAL
26
45
29
34
25
0.0
0.1
0.0
0.1
0.0
- DRIVERS
3,120
3,369
2,995
2,989
2,439
- PASSENGERS
1,853
1,910
1,801
1,813
1,349
445
421
501
520
364
- MOTORCYCLE
PASSENGERS
55
47
52
51
34
- PEDESTRIANS
927
1,080
1,021
1,030
973
- PEDAL CYCLISTS
243
248
165
217
245
- OTHER
320
359
375
332
660
6,963
7,434
6,910
6,952
6,064
10.6
11.5
10.4
10.5
9.2
RAILWAY
MOTOR VEHICLE TRAFFIC
- MOTORCYCLE DRIVERS
SUBTOTAL
%
Table 2
2001-2002
64,925
%
E810-819
2000-2001
65,766
No. of HOSPITALIZATIONS
E800-807
1999-2000
Appendix H - Page 2
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 2
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY HOSPITALIZATIONS
1998-1999
2002-2003
66,422
66,195
65,891
- DRIVERS
629
689
743
768
1,134
- PASSENGERS
145
145
178
147
314
- MOTORCYCLE DRIVERS
134
145
147
146
299
- MOTORCYCLE
PASSENGERS
4
5
6
2
5
- PEDESTRIANS
71
84
77
74
172
- PEDAL CYCLISTS
15
12
11
9
40
165
155
182
161
266
1,163
1,235
1,344
1,307
2,230
1.8
1.9
2.0
2.0
3.4
40
44
50
47
18
929
1,059
1,006
1,065
989
11
3
20
20
1
SUBTOTAL
980
1,106
1,076
1,132
1,008
%
1.5
1.7
1.6
1.7
1.5
MOTOR VEHICLE NON
TRAFFIC
SUBTOTAL
%
PEDAL CYCLE
- PEDESTRIANS
- PEDAL CYCLISTS
- OTHER
Table 2
2001-2002
64,925
- OTHER
E826
2000-2001
65,766
No. of HOSPITALIZATIONS
E820-825
1999-2000
Appendix H - Page 3
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 2
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY HOSPITALIZATIONS
1998-1999
66,195
65,891
25
25
17
22
11
0
2
2
2
0
- OTHER
273
302
273
287
271
SUBTOTAL
298
329
292
311
282
%
0.5
0.5
0.4
0.5
0.4
WATER TRANSPORT
147
147
127
166
129
%
0.2
0.2
0.2
0.3
0.2
- OCCUPANTS
35
33
33
25
4
- PARACHUTIST
32
33
25
27
16
8
14
10
7
12
75
80
68
59
32
%
0.1
0.1
0.1
0.1
0.0
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
158
164
125
101
102
%
0.2
0.3
0.2
0.2
0.2
28,562
38,513
40,431
40,331
39,201
43.4
59.3
60.9
60.9
59.5
OTHER ROAD VEHICLE
AIR AND SPACE
TRANSPORT
- OTHER
SUBTOTAL
E846-848
E880-888
UNINTENTIONAL FALLS
%
Table 2
2002-2003
66,422
- PEDAL CYCLISTS
E840-845
2001-2002
64,925
- PEDESTRIANS
E830-838
2000-2001
65,766
No. of HOSPITALIZATIONS
E827-829
1999-2000
Appendix H - Page 4
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 2
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY HOSPITALIZATIONS
1998-1999
66,195
65,891
FIRE AND FLAMES
364
454
411
419
424
%
0.6
0.7
0.6
0.6
0.6
741
917
870
799
899
1.1
1.4
1.3
1.2
1.4
59
88
71
89
101
0.1
0.1
0.1
0.1
0.2
13
10
13
5
28
%
0.0
0.0
0.0
0.0
0.0
FOREIGN BODIES
(EXCLUDING CHOKING)
649
801
915
934
948
%
1.0
1.2
1.4
1.4
1.4
7,349
9,785
10,064
9,911
10,805
11.2
15.1
15.2
15.0
16.4
1,364
1,337
1,283
1,234
1,031
2.1
2.1
1.9
1.9
1.6
2,320
2,238
2,144
2,178
2,138
3.5
3.4
3.2
3.3
3.2
13
15
25
21
24
0.0
0.0
0.0
0.0
0.0
DROWNING
%
E914-915
E916-928
SUFFOCATION
OTHER INCIDENTS
%
E953-958
SUICIDE & SELF INFLICTED
INJURY (EXCL. POISONINGS)
%
E960-961 & HOMICIDE AND INJURY
PURPOSELY INFLICTED
E963-968
%
E970-976 & LEGAL INTERVENTION
E978
%
Table 2
2002-2003
66,422
%
E913
2001-2002
64,925
E900-902 & NATURAL AND
ENVIRONMENTAL FACTORS
E906-909
E910
2000-2001
65,766
No. of HOSPITALIZATIONS
E890-899
1999-2000
Appendix H - Page 5
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 2
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY HOSPITALIZATIONS
1998-1999
E990-998
2000-2001
2001-2002
2002-2003
65,766
64,925
66,422
66,195
65,891
UNDETERMINED WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
189
222
215
207
418
%
0.3
0.3
0.3
0.3
0.6
7
5
9
2
2
0.0
0.0
0.0
0.0
0.0
No. of HOSPITALIZATIONS
E983-988
1999-2000
OPERATIONS OF WAR
%
* Data for fiscal year 2000-2001 and beyond report on fiscal year discharges, whereas earlier years report on fiscal year admissions.
Table 2
Appendix H - Page 6
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 3
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY INHOSPITAL DEATHS
1998-1999
2002-2003
2,535
2,566
2,655
- PEDESTRIANS
0
0
1
0
2
- PEDAL CYCLISTS
0
0
0
0
0
- OCCUPANTS AND OTHER
0
2
0
2
0
SUBTOTAL
0
2
1
2
2
0.0
0.1
0.0
0.1
0.1
- DRIVERS
81
89
77
99
72
- PASSENGERS
50
46
53
49
38
- MOTORCYCLE DRIVERS
11
5
7
9
8
- MOTORCYCLE
PASSENGERS
2
1
0
0
1
- PEDESTRIANS
55
53
36
42
48
- PEDAL CYCLISTS
14
9
6
9
6
7
13
10
8
20
SUBTOTAL
220
216
189
216
193
%
8.5
8.4
7.5
8.4
7.3
RAILWAY
MOTOR VEHICLE TRAFFIC
- OTHER
Table 3
2001-2002
2,568
%
E810-819
2000-2001
2,574
No. of INHOSPITAL DEATHS
E800-807
1999-2000
Appendix H - Page 7
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 3
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY INHOSPITAL DEATHS
1998-1999
2002-2003
2,535
2,566
2,655
- DRIVERS
5
5
6
3
20
- PASSENGERS
1
3
3
1
6
- MOTORCYCLE DRIVERS
0
2
3
1
0
- MOTORCYCLE
PASSENGERS
0
0
0
0
0
- PEDESTRIANS
2
1
4
3
3
- PEDAL CYCLISTS
0
0
0
0
0
- OTHER
2
1
1
0
2
10
12
17
8
31
0.4
0.5
0.7
0.3
1.2
- PEDESTRIANS
0
0
0
1
1
- PEDAL CYCLISTS
5
7
3
5
6
- OTHER
0
0
0
0
0
SUBTOTAL
5
7
3
6
7
0.2
0.3
0.1
0.2
0.3
MOTOR VEHICLE NON
TRAFFIC
%
PEDAL CYCLE
%
Table 3
2001-2002
2,568
SUBTOTAL
E826
2000-2001
2,574
No. of INHOSPITAL DEATHS
E820-825
1999-2000
Appendix H - Page 8
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 3
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY INHOSPITAL DEATHS
1998-1999
2,566
2,655
- PEDESTRIANS
0
1
0
0
0
- PEDAL CYCLISTS
0
0
0
0
0
- OTHER
0
0
1
1
3
SUBTOTAL
0
1
1
1
3
0.0
0.0
0.0
0.0
0.1
2
4
3
3
1
0.1
0.2
0.1
0.1
0.0
- OCCUPANTS
4
2
0
2
0
- PARACHUTIST
0
0
0
0
0
- OTHER
0
0
0
0
0
SUBTOTAL
4
2
0
2
0
0.2
0.1
0.0
0.1
0.0
0
0
0
1
0
0.0
0.0
0.0
0.0
0.0
1,410
2,031
2,043
2,061
2,030
54.8
79.1
80.6
80.3
76.5
OTHER ROAD VEHICLE
WATER TRANSPORT
AIR AND SPACE
TRANSPORT
%
E846-848
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
%
E880-888
UNINTENTIONAL FALLS
%
Table 3
2002-2003
2,535
%
E840-845
2001-2002
2,568
%
E830-838
2000-2001
2,574
No. of INHOSPITAL DEATHS
E827-829
1999-2000
Appendix H - Page 9
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 3
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY INHOSPITAL DEATHS
1998-1999
No. of INHOSPITAL DEATHS
E890-899
FIRE AND FLAMES
%
E900-902 & NATURAL AND
E906-909
ENVIRONMENTAL
FACTORS
%
E910
DROWNING
%
E913
SUFFOCATION
%
E914-915
FOREIGN BODIES
(EXCLUDING CHOKING)
%
E916-928
OTHER INCIDENTS
%
E953-958
SUICIDE & SELF INFLICTED
INJURY (EXCL.
POISONINGS)
%
E960-961 & HOMICIDE AND INJURY
E963-968
PURPOSELY INFLICTED
%
E970-976 & LEGAL INTERVENTION
E978
%
Table 3
1999-2000
2000-2001
2001-2002
2002-2003
2,574
2,568
2,535
2,566
2,655
35
32
25
27
24
1.4
1.2
1.0
1.1
0.9
21
25
22
20
19
0.8
1.0
0.9
0.8
0.7
8
7
7
8
9
0.3
0.3
0.3
0.3
0.3
3
0
4
1
8
0.1
0.0
0.2
0.0
0.3
10
21
19
20
19
0.4
0.8
0.7
0.8
0.7
91
121
126
123
208
3.5
4.7
5.0
4.8
7.8
60
47
44
38
40
2.3
1.8
1.7
1.5
1.5
18
25
22
21
47
0.7
1.0
0.9
0.8
1.8
1
0
4
0
1
0.0
0.2
0.0
0.0
0.0
Appendix H - Page 10
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 3
TREND ANALYSIS REPORT
EXTERNAL CAUSES OF INJURY (E CODES) BY YEAR*
FOR ALL INJURY INHOSPITAL DEATHS
1998-1999
No. of INHOSPITAL DEATHS
E983-988
UNDETERMINED WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
%
E990-998
OPERATIONS OF WAR
%
1999-2000
2000-2001
2001-2002
2002-2003
2,574
2,568
2,535
2,566
2,655
7
15
5
8
13
0.3
0.6
0.2
0.3
0.5
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
* Data for fiscal year 2000-2001 and beyond report on fiscal year discharges, whereas earlier years report on fiscal year admissions.
Table 3
Appendix H - Page 11
Table 4
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
TREND ANALYSIS REPORT, DISCHARGE DISPOSITION
BY YEAR * FOR ALL INJURY HOSPITALIZATIONS
No. of HOSPITALIZATIONS
No. of INHOSPITAL DEATHS
No. DISCHARGED ALIVE
- DISCHARGED HOME
- OUTPATIENTS
- ACUTE CARE
- GENERAL REHAB.
- CHRONIC
- NURSING HOME
- PSYCHIATRIC
- SPECIAL REHAB.
- HOME CARE
- HOME FOR THE AGED
- SAME DAY SURGERY
- UNCLASSIFIED
Missing Discharge Information
1998-1999
65,766
2,574
63,192
39,894
265
4,561
3,292
2,263
2,479
127
529
7,247
1,709
16
810
0
1999-2000
64,925
2,568
62,357
38,058
313
4,412
3,274
2,307
3,201
120
492
7,298
1,867
10
1,005
0
2000-2001
66,422
2,535
63,887
38,625
449
4,719
3,848
2,260
3,291
113
560
7,206
1,839
28
949
0
2001-2002
66,195
2,566
63,629
38,688
119
4,976
4,840
2,444
2,703
105
548
6,470
2,007
29
700
0
2002-2003
65,891
2,655
62,549
38,159
123
4,815
4,819
2,502
2,931
108
546
6,204
1,763
25
554
687
* Data for fiscal year 2000-2001 and beyond report on fiscal year discharges, whereas earlier years report on fiscal year admissions.
Table 4
Appendix H - Page 12
Table 5
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
PATIENT DAYS, MEAN & MEDIAN LOS BY SEX AND AGE FOR ALL INJURY HOSPITALIZATIONS, 2002-2003
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unk
Total
412
1,542
2,187
2,725
3,250
2,853
5,164
6,575
6,125
5,782
0.6
2.3
3.3
4.1
4.9
4.3
7.8
10.0
9.3
8.8
7,425
12,536
9,315
0
65,891
11.3
19.0
14.1
0.0
100.0
1,635
4,340
5,246
8,091
14,993
13,939
25,534
37,452
39,511
50,807
0.3
0.7
0.8
1.2
2.3
2.2
3.9
5.8
6.1
7.8
14.5
29.5
24.8
0
647,292
0.0
100.0
4.0
2.8
2.4
3.0
4.6
4.9
4.9
5.7
6.5
8.8
12.6
15.2
17.2
0.0
9.8
1.0
1.0
1.0
1.0
2.0
2.0
2.0
2.0
3.0
4.0
6.0
9.0
10.0
0.0
4.0
182
642
873
820
926
735
1,533
2,114
2,403
2,740
4,204
8,411
7,108
0
32,691
12.9
25.7
21.7
0.0
100.0
51,282 125,873 120,914
0
374,014
TOTAL
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
MEDIAN LOS
93,890 191,173 160,681
FEMALES
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
MEDIAN LOS
0.6
2.0
2.7
2.5
2.8
2.2
4.7
6.5
7.4
8.4
673
1,619
2,066
2,662
5,420
3,782
7,368
12,285
15,346
24,724
0.2
0.4
0.6
0.7
1.4
1.0
2.0
3.3
4.1
6.6
13.7
33.7
32.3
0.0
100.0
3.7
2.5
2.4
3.2
5.9
5.1
4.8
5.8
6.4
9.0
12.2
15.0
17.0
0.0
11.4
1.0
1.0
1.0
1.0
2.0
2.0
2.0
3.0
3.0
4.0
6.0
9.0
10.0
0.0
6.0
230
900
1,314
1,905
2,324
2,118
3,630
4,461
3,722
3,042
3,221
4,124
2,207
0
33,198
0.7
2.7
4.0
5.7
7.0
6.4
10.9
13.4
11.2
9.2
9.7
12.4
6.6
0.0
100.0
962
2,721
3,180
5,429
9,573
10,157
18,163
25,167
24,165
26,083
42,608
65,291
39,767
0
273,266
0.4
1.0
1.2
2.0
3.5
3.7
6.6
9.2
8.8
9.5
15.6
23.9
14.6
0.0
100.0
4.2
3.0
2.4
2.8
4.1
4.8
5.0
5.6
6.5
8.6
13.2
15.8
18.0
0.0
8.2
1.0
1.0
1.0
1.0
2.0
2.0
2.0
2.0
3.0
4.0
6.0
8.0
9.0
0.0
3.0
MALES
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
MEDIAN LOS
2 cases have missing sex.
Table 5
Appendix H - Page 13
Table 6
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
PATIENT DAYS, MEAN & MEDIAN LOS BY SEX AND AGE FOR ALL INJURY INHOSPITAL DEATHS, 2002-2003
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unk
Total
TOTAL
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
MEDIAN LOS
2
8
9
8
30
33
57
62
84
158
363
878
963
0
2,655
0.1
0.3
0.3
0.3
1.1
1.2
2.1
2.3
3.2
6.0
13.7
33.1
36.3
0.0
100.0
2
19
44
12
71
122
1,214
441
1,454
2,949
8,020
17,778
18,638
0
50,764
0.0
0.0
0.1
0.0
0.1
0.2
2.4
0.9
2.9
5.8
15.8
35.0
36.7
0.0
100.0
1.0
2.4
4.9
1.5
2.4
3.7
21.3
7.1
17.3
18.7
22.1
20.2
19.4
0.0
19.1
1.0
1.5
1.0
1.0
1.0
1.0
1.0
3.0
2.0
8.0
10.0
10.0
9.0
0.0
8.0
1
3
7
4
9
6
14
14
23
55
161
442
591
0
1,330
0.1
0.2
0.5
0.3
0.7
0.5
1.1
1.1
1.7
4.1
12.1
33.2
44.4
0.0
100.0
1
5
40
4
12
6
51
173
932
1,138
3,737
8,633
11,263
0
25,995
0.0
0.0
0.2
0.0
0.0
0.0
0.2
0.7
3.6
4.4
14.4
33.2
43.3
0.0
100.0
1.0
1.7
5.7
1.0
1.3
1.0
3.6
12.4
40.5
20.7
23.2
19.5
19.1
0.0
19.5
1.0
2.0
1.0
1.0
1.0
1.0
1.0
8.0
5.0
14.0
11.0
9.0
9.0
0.0
9.0
FEMALES
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
MEDIAN LOS
MALES
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
MEDIAN LOS
Table 6
1
5
2
4
21
27
43
48
61
103
202
436
372
0
1,325
0.1
0.4
0.2
0.3
1.6
2.0
3.2
3.6
4.6
7.8
15.2
32.9
28.1
0.0
100.0
1
14
4
8
59
116
1,163
268
522
1,811
4,283
9,145
7,375
0
24,769
0.0
0.1
0.0
0.0
0.2
0.5
4.7
1.1
2.1
7.3
17.3
36.9
29.8
0.0
100.0
1.0
2.8
2.0
2.0
2.8
4.3
27.0
5.6
8.6
17.6
21.2
21.0
19.8
0.0
18.7
1.0
1.0
2.0
2.0
1.0
1.0
1.0
2.0
2.0
6.0
10.0
11.0
10.0
0.0
8.0
Appendix H - Page 14
Table 7
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
PATIENT DAYS, MEAN LOS BY MONTH OF ADMISSION FOR INJURY HOSPITALIZATIONS AND INHOSPITAL DEATHS, 2001-2002*
APR
MAY
JUN
JUL
AUG
SEP
OCT
NOV
DEC
JAN
FEB
MAR
Total
4,870
5,775
5,858
6,165
6,096
5,553
5,590
5,110
5,468
5,516
5,073
5,287
66,361
7.3
8.7
8.8
9.3
9.2
8.4
8.4
7.7
8.2
8.3
7.6
8.0
100.0
48,331
55,730
50,742
54,884
55,493
54,408
55,944
50,748
54,635
51,521
51,759
52,285
636,480
% of PATIENT DAYS
7.6
8.8
8.0
8.6
8.7
8.5
8.8
8.0
8.6
8.1
8.1
8.2
100.0
MEAN LOS
9.9
9.7
8.7
8.9
9.1
9.8
10.0
9.9
10.0
9.3
10.2
9.9
9.6
No. of INHOSPITAL DEATHS
187
232
211
217
227
216
219
196
240
215
241
211
2,612
% of INHOSPITAL DEATHS
7.2
8.9
8.1
8.3
8.7
8.3
8.4
7.5
9.2
8.2
9.2
8.1
100.0
3,250
4,105
3,462
3,773
4,357
4,279
4,690
3,102
3,505
3,399
4,918
3,556
46,396
7.0
8.8
7.5
8.1
9.4
9.2
10.1
6.7
7.6
7.3
10.6
7.7
100.0
17.4
17.7
16.4
17.4
19.2
19.8
21.4
15.8
14.6
15.8
20.4
16.9
17.8
4,683
5,543
5,647
5,948
5,869
5,337
5,371
4,914
5,228
5,301
4,832
5,076
63,749
7.3
8.7
8.9
9.3
9.2
8.4
8.4
7.7
8.2
8.3
7.6
8.0
100.0
45,081
51,625
47,280
51,111
51,136
50,129
51,254
47,646
51,130
48,122
46,841
48,729
590,084
% of PATIENT DAYS
7.6
8.7
8.0
8.7
8.7
8.5
8.7
8.1
8.7
8.2
7.9
8.3
100.0
MEAN LOS
9.6
9.3
8.4
8.6
8.7
9.4
9.5
9.7
9.8
9.1
9.7
9.6
9.3
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
PATIENT DAYS
PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
No. DISCHARGED ALIVE
% of DISCH. ALIVE
PATIENT DAYS
* Fiscal year based on date of admission in order to capture 1,742 cases that were admitted in 2001–2002 and discharged in 2002–2003.
Table 7
Appendix H - Page 15
Table 8
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
NUMBER OF INJURIES PER HOSPITALIZATION BY AGE GROUP AND SEX, 2002-2003
No. of HOSPITALIZATION
WITH INJURY CODES
% of HOSP. W/ N CODES
No. of INJURY CODES
PER HOSPITALIZATION
1 INJURY
2 INJURIES
3+ INJURIES
TOTAL
% of TOTAL
FEMALES
- NUMBER OF INJURIES
1 INJURY
2 INJURIES
3+ INJURIES
TOTAL
% of TOTAL
MALES
- NUMBER OF INJURIES
<1
345
1-4
1,348
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
2,042
2,598
3,093
2,715
4,853
6,189
5,787
5,418
6,930 11,749
0.6
2.2
3.3
4.2
5.0
4.4
7.8
10.0
9.3
8.7
11.2
19.0
226
959
1,554
1,942
1,887
1,593
2,970
4,034
3,789
3,831
5,155
71
195
308
373
583
521
971
1,134
1,096
935
1,167
48
194
180
283
623
601
912
1,021
902
652
345
0.6
1,348
2.2
2,042
3.3
2,598
4.2
3,093
5.0
2,715
4.4
4,853
7.8
6,189
10.0
5,787
9.3
99
415
614
572
510
423
937
1,393
31
70
119
107
159
113
237
336
26
71
74
91
173
126
194
156
45.2
556
41.2
807
39.5
770
29.6
842
27.2
662
24.4
127
544
940
1,370
1,377
40
125
189
266
424
85+
8,880
Unk
0
Total*
61,947
14.3
0.0
100.0
9,154
7,137
0
44,231
71.4
1,912
1,370
0
10,636
17.2
608
683
373
0
7,080
11.4
5,418
8.7
6,930
11.2
11,749
19.0
8,880
14.3
0
0.0
1,612
1,919
3,056
6,251
5,478
0
23,279
75.8
363
423
640
1,296
1,064
0
4,958
16.1
235
286
240
286
405
269
0
2,476
8.1
1,368
28.2
1,964
31.7
2,261
39.1
2,582
47.7
3,982
57.5
7,952
67.7
6,811
76.7
0
0.0
1,170
2,033
2,641
2,177
1,912
2,099
2,902
1,659
0
20,951
67.1
408
734
798
733
512
527
616
306
0
5,678
18.2
4,603
14.7
1 INJURY
2 INJURIES
3+ INJURIES
TOTAL
22
123
106
192
450
475
717
786
616
412
322
278
104
0
189
% of TOTAL
54.8
792
58.8
1,235
60.5
1,828
70.4
2,251
72.8
2,053
75.6
3,484
71.8
4,225
68.3
3,526
60.9
2,836
52.3
2,948
42.5
3,796
32.3
2,069
23.3
0
0.0
61,947 100.0
100.0
30,713 100.0
31,232 100.0
* This report reflects hospitalizations that have trauma-related Nature of Injury Codes (N Codes), which include, but are not limited to, the Most Responsible Diagnosis.
There are 3,944 hospitalizations that do not have an N Code or that have an inappropriate N Code.
2 cases have missing sex.
Table 8
Appendix H - Page 16
%
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 9
INJURY HOSPITALIZATIONS WITH AT LEAST ONE COMPLICATION, COMORBIDITY OR
INTERVENTION BY SEX AND AGE GROUP, 2002-2003
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
TOTAL*
%**
TOTAL*
%**
TOTAL*
%**
412
0.6
22
5.3
83
20.1
125
30.3
1,542
2.3
56
3.6
212
13.7
910
59.0
2,187
3.3
81
3.7
214
9.8
1,561
71.4
2,725
4.1
92
3.4
325
11.9
1,862
68.3
3,250
4.9
264
8.1
595
18.3
2,149
66.1
2,853
4.3
278
9.7
576
20.2
1,998
70.0
5,164
7.8
459
8.9
1,092
21.1
3,698
71.6
6,575
10.0
666
10.1
1,758
26.7
4,662
70.9
6,125
9.3
766
12.5
1,893
30.9
4,312
70.4
5,782
8.8
1,046
18.1
2,298
39.7
4,037
69.8
7,425 12,536
11.3
19.0
1,980 4,296
26.7
34.3
3,974 7,834
53.5
62.5
4,868 7,932
65.6
63.3
9,315
14.1
3,565
38.3
6,038
64.8
5,685
61.0
0
0.0
0
0.0
0
0.0
0
0.0
65,891
100.0
13,571
20.6
26,892
40.8
43,799
66.5
TOTAL*
%**
TOTAL*
%**
TOTAL*
%**
182
10
5.5
39
21.4
63
34.6
642
20
3.1
91
14.2
384
59.8
873
27
3.1
79
9.0
628
71.9
820
34
4.1
112
13.7
535
65.2
926
91
9.8
224
24.2
520
56.2
735
75
10.2
191
26.0
477
64.9
1,533
133
8.7
379
24.7
1,006
65.6
2,114
222
10.5
596
28.2
1,436
67.9
2,403
280
11.7
745
31.0
1,696
70.6
2,740
503
18.4
1,067
38.9
1,971
71.9
4,204
1,077
25.6
2,139
50.9
2,803
66.7
8,411
2,791
33.2
5,063
60.2
5,386
64.0
7,108
2,628
37.0
4,536
63.8
4,330
60.9
0
0
0.0
0
0.0
0
0.0
32,691
7,891
24.1
15,261
46.7
21,235
65.0
TOTAL*
%**
TOTAL*
%**
TOTAL*
%**
230
12
5.2
44
19.1
62
27.0
900
36
4.0
121
13.4
526
58.4
1,314
54
4.1
135
10.3
933
71.0
1,905
58
3.0
213
11.2
1,327
69.7
2,324
173
7.4
371
16.0
1,629
70.1
2,118
203
9.6
385
18.2
1,521
71.8
3,630
326
9.0
712
19.6
2,691
74.1
4,461
444
10.0
1,162
26.0
3,226
72.3
3,722
486
13.1
1,148
30.8
2,616
70.3
3,042
543
17.9
1,231
40.5
2,066
67.9
3,221
903
28.0
1,835
57.0
2,065
64.1
4,124
1,504
36.5
2,770
67.2
2,545
61.7
2,207
937
42.5
1,502
68.1
1,355
61.4
0
0
0.0
0
0.0
0
0.0
33,198
5,679
17.1
11,629
35.0
22,562
68.0
45-54
55-64
65-74
75-84
85+
Unk
Total
TOTAL
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
- COMPLICATIONS
-COMORBIDITIES
-INTERVENTIONS
FEMALES
No. of HOSPITALIZATIONS
- COMPLICATIONS
-COMORBIDITIES
-INTERVENTIONS
MALES
No. of HOSPITALIZATIONS
- COMPLICATIONS
-COMORBIDITIES
-INTERVENTIONS
* Total refers to the number of hospitalizations with one or more complication, comorbidity or intervention. Hospitalizations with multiple complications,
comorbidities or interventions are only counted once.
** % of hospitalizations with complications, comorbidities or interventions within age group.
2 cases have missing sex.
Table 9
Appendix H - Page 17
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 10
INJURY INHOSPITALIZATIONS, PATIENT DAYS, MEAN & MEDIAN LOS, INHOSPITAL DEATHS
BY EXTERNAL CAUSES OF INJURY (E CODES), 2002-2003
HOSPITALIZATIONS
No.
E800-807
TOTAL
RAILWAY
- PEDESTRIANS
- PEDAL CYCLISTS
- OCCUPANTS AND OTHER
- SUBTOTAL
E810-819
No.
%
INHOSPITAL
DEATHS
No.
%
65,891
100.0
647,292
100.0
4.0
9.8
2,655
100.0
14
0
11
25
0.0
0.0
0.0
0.0
235
0
68
303
0.0
0.0
0.0
0.1
9.0
0.0
3.0
4.0
16.8
0.0
6.2
12.1
2
0
0
2
0.1
0.0
0.0
0.1
2,439
1,349
364
34
245
973
660
6,064
3.7
2.0
0.6
0.1
0.4
1.5
1.0
9.2
20,633
11,220
2,767
230
1,993
10,385
6,517
53,745
3.2
1.7
0.4
0.0
0.3
1.6
1.0
8.3
4.0
4.0
4.0
4.0
4.0
5.0
4.0
4.0
8.5
8.3
7.6
6.8
8.1
10.7
9.9
8.9
72
38
8
1
6
48
20
193
2.7
1.4
0.3
0.0
0.2
1.8
0.8
7.3
1,134
314
299
5
40
172
266
2,230
1.7
0.5
0.5
0.0
0.1
0.3
0.4
3.4
6,344
2,297
1,487
12
269
1,637
1,291
13,337
1.0
0.4
0.2
0.0
0.0
0.3
0.2
2.1
3.0
2.0
3.0
1.0
2.0
4.0
2.0
3.0
5.6
7.3
5.0
2.4
6.7
9.5
4.9
6.0
20
6
0
0
0
3
2
31
0.8
0.2
0.0
0.0
0.0
0.1
0.1
1.2
MOTOR VEHICLE NON TRAFFIC
- DRIVERS
- PASSENGERS
- MOTORCYCLE DRIVERS
- MOTORCYCLE PASSENGERS
- PEDAL CYCLISTS
- PEDESTRIANS
- OTHER
- SUBTOTAL
Table 10
%
MEAN
LOS
MOTOR VEHICLE TRAFFIC
- DRIVERS
- PASSENGERS
- MOTORCYCLE DRIVERS
- MOTORCYCLE PASSENGERS
- PEDAL CYCLISTS
- PEDESTRIANS
- OTHER
- SUBTOTAL
E820-825
MEDIAN
LOS
PATIENT DAYS
Appendix H-Page 18
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 10
INJURY INHOSPITALIZATIONS, PATIENT DAYS, MEAN & MEDIAN LOS, INHOSPITAL DEATHS
BY EXTERNAL CAUSES OF INJURY (E CODES), 2002-2003
HOSPITALIZATIONS
No.
E826
E827-829
E830-838
E840-845
E846-848
E880-888
E890-899
E900-902 &
E906-909
E910
E913
E914-915
Table 10
PATIENT DAYS
%
No.
MEDIAN
LOS
MEAN
LOS
%
INHOSPITAL
DEATHS
No.
%
TOTAL
PEDAL CYCLE
65,891
100.0
647,292
100.0
4.0
9.8
2,655
100.0
- PEDESTRIANS
- PEDAL CYCLISTS
- OTHER
- SUBTOTAL
18
989
1
1,008
0.0
1.5
0.0
1.5
75
3,205
1
3,281
0.0
0.5
0.0
0.5
2.0
2.0
1.0
2.0
4.2
3.2
1.0
3.3
1
6
0
7
0.0
0.2
0.0
0.3
11
0
271
282
129
0.0
0.0
0.4
0.4
0.2
85
0
1,497
1,582
659
0.0
0.0
0.2
0.2
0.1
6.0
0.0
3.0
3.0
3.0
7.7
0.0
5.5
5.6
5.1
0
0
3
3
1
0.0
0.0
0.1
0.1
0.0
4
16
12
32
102
0.0
0.0
0.0
0.0
0.2
27
116
83
226
942
0.0
0.0
0.0
0.0
0.2
6.5
3.0
3.0
3.0
3.0
6.8
7.3
6.9
7.1
9.2
0
0
0
0
0
0.0
0.0
0.0
0.0
0.0
39,201
424
899
59.5
0.6
1.4
459,969
4,348
5,459
71.1
0.7
0.8
5.0
5.0
3.0
11.7
10.3
6.1
2,030
24
19
76.5
0.9
0.7
101
28
948
0.2
0.0
1.4
437
257
4,878
0.1
0.0
0.8
2.0
6.0
1.0
4.3
9.2
5.1
9
8
19
0.3
0.3
0.7
OTHER ROAD VEHICLE
- PEDESTRIANS
- PEDAL CYCLISTS
- OTHER
- SUBTOTAL
WATER TRANSPORT
AIR AND SPACE TRANSPORT
- OCCUPANTS
- PARACHUTIST
- OTHER
- SUBTOTAL
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
FIRE AND FLAMES
NATURAL AND ENVIRONMENTAL
FACTORS
DROWNING
SUFFOCATION
FOREIGN BODIES (EXCLUDING
CHOKING)
Appendix H-Page 19
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 10
INJURY INHOSPITALIZATIONS, PATIENT DAYS, MEAN & MEDIAN LOS, INHOSPITAL DEATHS
BY EXTERNAL CAUSES OF INJURY (E CODES), 2002-2003
HOSPITALIZATIONS
No.
TOTAL
E916-928
E953-958
E960-961 &
E963-968
E970-976 &
E978
E983-988
E990-998
Table 10
MEDIAN
LOS
PATIENT DAYS
%
No.
MEAN
LOS
%
INHOSPITAL
DEATHS
No.
%
65,891
100.0
647,292
100.0
4.0
9.8
2,655
100.0
OTHER INCIDENTS
SUICIDE & SELF INFLICTED
INJURY(EXCL. POISONINGS)
HOMICIDE AND INJURY PURPOSELY
INFLICTED
LEGAL INTERVENTION
10,805
1,031
16.4
1.6
68,744
12,453
10.6
1.9
2.0
5.0
6.4
12.1
208
40
7.8
1.5
2,138
3.2
12,320
1.9
2.0
5.8
47
1.8
24
0.0
200
0.0
4.0
8.3
1
0.0
UNDETERMINED WHETHER
UNINTENTIONALLY OR PURPOSELY
INFLICTED
OPERATIONS OF WAR
418
0.6
4,147
0.6
4.0
9.9
13
0.5
2
0.0
5
0.0
2.5
2.5
0
0.0
Appendix H-Page 20
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 11
INJURY CASE SUMMARY BY
EXTERNAL CAUSES OF INJURY (E CODES) AND SEX, 2002-2003
CASES
%
No.
TOTAL
E800-807
RAILWAY
E810-819
- PEDESTRIANS
- PEDAL CYCLISTS
- OCCUPANTS AND OTHER
- SUBTOTAL
MOTOR VEHICLE TRAFFIC
E820-825
- DRIVERS
- PASSENGERS
- MOTORCYCLE DRIVERS
- MOTORCYCLE PASSENGERS
- PEDAL CYCLISTS
- PEDESTRIANS
- OTHER
- SUBTOTAL
MOTOR VEHICLE NON TRAFFIC
- DRIVERS
- PASSENGERS
- MOTORCYCLE DRIVERS
- MOTORCYCLE PASSENGERS
- PEDAL CYCLISTS
- PEDESTRIANS
- OTHER
- SUBTOTAL
Table 11
FEMALES
MEAN
LOS
AGE
PATIENT
DAYS
CASES
%
No.
MALES
MEAN
AGE
LOS
TOTAL*
PATIENT
DAYS
No.
%
32,691
100.0
63.1
11.4
374,014
33,198
100.0
45.7
8.2
273,266
1
0.0
36.0
3.0
0.0
37.5
17.8
232
14
0.0
0.0
0.0
0.0
0.0
68.6
0.0
7.8
3
0
13
0
5
6
39
0
6
0.0
0.0
0.0
44.2
0.0
4.8
0
29
0
11
0.0
0.0
63.2
7.0
42
19
0.1
39.6
13.7
261
25
0.0
888
801
2.7
2.5
45.3
40.7
8.2
8.3
7,317
1,551
548
4.7
1.7
43.4
29.7
8.6
8.3
13,316
4,547
2,439
1,349
3.7
2.0
22
26
0.1
0.1
40.3
36.8
6.2
7.5
342
8
1.0
0.0
35.7
33.3
7.7
4.4
2,631
35
364
34
0.6
0.1
44
431
0.1
1.3
28.8
45.8
9.8
11.0
201
542
0.6
1.6
33.2
37.0
7.8
10.4
1,564
5,629
245
973
0.4
1.5
302
2,514
0.9
7.7
50.1
44.1
8.4
8.8
1.1
10.7
45.1
39.1
11.1
8.9
3,984
22,039
358
3,550
31,706
660
6,064
1.0
9.2
257
160
0.8
0.5
43.2
35.7
6.5
8.7
1,659
1,387
877
154
2.6
0.5
34.7
28.8
5.3
5.9
4,685
910
1,134
314
1.7
0.5
22
4
0.1
0.0
48.5
51.5
7.2
2.0
158
8
277
1
0.8
0.0
31.4
34.0
4.8
4.0
1,329
4
299
5
0.5
0.0
6
72
0.0
0.2
31.0
47.7
3.5
11.4
21
822
34
100
0.1
0.3
31.4
38.8
7.3
8.2
248
815
40
172
0.1
0.3
87
608
0.3
1.9
43.3
41.9
6.0
7.5
521
4,576
179
1,622
0.5
4.9
32.0
33.5
4.3
5.4
770
8,761
266
2,230
0.4
3.4
Appendix H - Page 21
6,673
136
195
429
4,756
2,533
65,889 100.0
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 11
INJURY CASE SUMMARY BY
EXTERNAL CAUSES OF INJURY (E CODES) AND SEX, 2002-2003
CASES
%
No.
TOTAL
E826
PEDAL CYCLE
E827-829
- PEDESTRIANS
- PEDAL CYCLISTS
- OTHER
- SUBTOTAL
OTHER ROAD VEHICLE
E830-838
E840-845
- PEDESTRIANS
- PEDAL CYCLISTS
- OTHER
- SUBTOTAL
WATER TRANSPORT
AIR AND SPACE TRANSPORT
- OCCUPANTS
- PARACHUTIST
- OTHER
- SUBTOTAL
E846-848
VEHICLE INCIDENTS NOT ELSEWHERE
CLASSIFIED
E880-888
UNINTENTIONAL FALLS
E890-899
FIRE AND FLAMES
E900-902 & NATURAL AND ENVIRONMENTAL
E906-909
FACTORS
E910
DROWNING
E913
SUFFOCATION
E914-915
FOREIGN BODIES (EXCLUDING
CHOKING)
Table 11
FEMALES
MEAN
LOS
AGE
PATIENT
DAYS
32,691
100.0
63.1
11.4
374,014
64
722
CASES
%
No.
MALES
MEAN
AGE
LOS
33,198
100.0
45.7
8.2
TOTAL*
PATIENT
DAYS
273,266
No.
%
65,889 100.0
7
0.0
26.1
1.6
11
18
0.0
0
729
1
2.2
0.0
27.9
58.0
3.4
1.0
2,483
1
989
1
1.5
0.0
786
737
2.2
27.9
3.4
2,495
1,008
1.5
36
7
0
0.0
0.0
40.3
0.0
7.0
0.0
49
0
11
0
0.0
0.0
67
74
0.2
0.2
43.3
43.0
8.3
8.1
554
271
282
0.4
0.4
81
0.2
36.9
5.6
603
450
129
0.2
21
2
0.0
68.5
3.0
6
4
0.0
3.0
3.3
9
13
13
8
38.4
25.3
8.2
8.8
107
70
16
12
41.9
44.1
4.8
17.7
43
479
23
75
0.0
0.0
0.1
0.2
36.4
40.7
8.0
6.2
183
463
32
102
0.0
0.0
0.0
0.2
71.4
70.1
12.7
47.7
55.4
10.3
163,781
39,199
59.5
45.8
43.5
10.3
5.4
296,176
1,338
15,843
0.4
1.2
294
496
0.9
1.5
41.3
42.3
10.2
6.6
3,010
3,274
424
899
0.6
1.4
36
13
0.1
0.0
26.4
55.2
4.1
8.9
65
15
0.2
0.0
23.4
59.2
4.4
9.4
288
141
101
28
0.2
0.0
363
1.1
39.6
5.4
585
1.8
40.3
5.0
2,918
948
1.4
11
0.0
57.5
5.8
260
0
271
0.8
0.0
0.8
30.9
0.0
2.8
0.0
32.0
2.9
4
0
0.0
0.0
32.3
0.0
9.0
0.0
204
208
0.6
0.6
35.6
35.5
4.6
4.7
48
0.1
38.6
4.4
979
209
2
0.0
58.0
10.5
3
4
9
0.0
0.0
0.0
42.0
33.8
27
0.1
23,356
130
403
Appendix H - Page 22
0
943
2,185
149
116
1,960
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 11
INJURY CASE SUMMARY BY
EXTERNAL CAUSES OF INJURY (E CODES) AND SEX, 2002-2003
CASES
%
No.
TOTAL
E916-928
E953-958
OTHER INCIDENTS
SUICIDE & SELF INFLICTED
INJURY(EXCL. POISONINGS)
E960-961 & HOMICIDE AND INJURY PURPOSELY
E963-968
INFLICTED
E970-976 & LEGAL INTERVENTION
E978
E983-988
UNDETERMINED WHETHER
UNINTENTIONALLY OR PURPOSELY
INFLICTED
E990-998
OPERATIONS OF WAR
FEMALES
MEAN
LOS
AGE
CASES
%
No.
TOTAL*
PATIENT
DAYS
No.
%
5,307
33,198
7,137
556
100.0
21.5
1.7
45.7
38.0
37.0
8.2
5.0
12.9
273,266
35,957
7,146
8.1
3,149
1,749
5.3
30.1
5.2
9,171
2,138
3.2
49.7
14.0
42
21
0.1
39.4
7.5
158
24
0.0
0.5
50.9
10.1
1,651
255
0.8
44.6
9.8
2,496
418
0.6
0.0
36.0
1.0
1
1
0.0
65.0
4.0
4
2
0.0
32,691
3,668
475
100.0
11.2
1.5
63.1
52.2
32.9
11.4
8.9
11.2
374,014
32,787
389
1.2
33.7
3
0.0
163
1
* 2 cases have missing sex.
Table 11
PATIENT
DAYS
MALES
MEAN
AGE
LOS
Appendix H - Page 23
65,889 100.0
16.4
10,805
1.6
1,031
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 12
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR ALL INJURY HOSPITALIZATIONS, 2002-2003
<1
1-4
5-9
412
0.6
1,542
2.3
2,187
3.3
2,725
4.1
3,250
4.9
2,853
4.3
5,164
7.8
6,575
10.0
6,125
9.3
5,782
8.8
E800-807
E810-819
E820-825
Table 12
10-14
15-19
20-24
25-34
35-44
- PEDESTRIANS
0
0
0
0
5
0
3
2
1
1
0
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
- OCCUPANTS AND OTHER
0
0
0
0
0
0
0
4
4
SUBTOTAL
MOTOR VEHICLE TRAFFIC
0
0
0
0
5
0
3
6
- DRIVERS
0
0
1
7
220
260
409
- PASSENGERS
9
34
90
101
221
151
- MOTORCYCLE DRIVERS
0
1
1
8
26
- MOTORCYCLE
PASSENGERS
- PEDESTRIANS
0
0
2
0
0
30
67
- PEDAL CYCLISTS
0
4
- OTHER
3
45-54
55-64
65-74
75-84
85+
7,425 12,536
11.3
19.0
Unk
Total
%
9,315
14.1
0
0.0
0
2
0
14
0.0
0
0
0
0
0
0.0
0
0
2
1
0
11
0.0
5
1
0
2
3
0
25
0.0
448
362
292
227
176
37
0
2,439
3.7
152
137
111
99
106
98
40
0
1,349
2.0
49
107
68
67
25
6
3
3
0
364
0.6
2
4
10
5
7
2
1
1
0
0
34
0.1
104
95
49
89
111
95
114
101
86
32
0
973
1.5
24
44
25
20
24
33
25
20
12
13
1
0
245
0.4
3
10
11
55
50
97
89
91
68
79
77
27
0
660
1.0
12
72
195
275
644
583
888
891
758
620
532
454
140
0
6,064
9.2
- DRIVERS
0
0
3
72
148
154
212
220
125
88
56
42
14
0
1,134
1.7
- PASSENGERS
0
6
22
31
59
36
45
34
29
17
17
10
8
0
314
0.5
- MOTORCYCLE DRIVERS
0
0
7
21
43
34
70
61
35
17
3
6
2
0
299
0.5
- MOTORCYCLE
PASSENGERS
- PEDESTRIANS
0
0
0
0
0
0
2
0
2
0
0
1
0
0
5
0.0
1
7
15
5
10
11
20
22
25
19
12
12
13
0
172
0.3
- PEDAL CYCLISTS
0
2
6
8
1
2
2
7
4
4
1
3
0
0
40
0.1
- OTHER
1
4
9
19
38
24
56
35
29
16
16
14
5
0
266
0.4
SUBTOTAL
2
19
62
156
299
261
407
379
249
161
105
88
42
0
2,230
3.4
No.of HOSPITALIZATIONS
% of HOSPITALIZATIONS
65,891 100.0
100.0
RAILWAY
SUBTOTAL
MOTOR VEHICLE NON
TRAFFIC
Appendix H - Page 24
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 12
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR ALL INJURY HOSPITALIZATIONS, 2002-2003
<1
1-4
5-9
412
0.6
1,542
2.3
2,187
3.3
2,725
4.1
3,250
4.9
2,853
4.3
5,164
7.8
6,575
10.0
6,125
9.3
5,782
8.8
- PEDESTRIANS
0
1
3
1
0
1
0
1
4
1
3
- PEDAL CYCLISTS
0
27
166
214
95
37
78
112
99
88
- OTHER
0
0
0
0
0
0
0
0
0
SUBTOTAL
OTHER ROAD VEHICLE
0
28
169
215
95
38
78
113
- PEDESTRIANS
0
0
2
0
1
0
2
- PEDAL CYCLISTS
0
0
0
0
0
0
- OTHER
0
5
12
31
23
SUBTOTAL
0
5
14
31
24
WATER TRANSPORT
AIR AND SPACE
TRANSPORT
0
0
5
7
- OCCUPANTS
0
0
0
- PARACHUTIST
0
0
- OTHER
0
SUBTOTAL
0
No.of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E826
E827-829
E830-838
E840-845
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
7,425 12,536
11.3
19.0
Unk
Total
%
9,315
14.1
0
0.0
65,891 100.0
100.0
1
2
0
18
0.0
41
29
3
0
989
1.5
1
0
0
0
0
1
0.0
103
90
44
30
5
0
1,008
1.5
2
1
2
0
1
0
0
11
0.0
0
0
0
0
0
0
0
0
0
0.0
15
30
47
61
18
18
7
4
0
271
0.4
15
32
49
62
20
18
8
4
0
282
0.4
9
14
25
24
17
19
7
2
0
0
129
0.2
0
0
0
0
0
0
3
0
1
0
0
4
0.0
0
0
0
0
6
5
3
2
0
0
0
0
16
0.0
0
1
1
1
3
3
0
3
0
0
0
0
0
12
0.0
0
1
1
1
3
9
5
6
5
0
1
0
0
32
0.0
0
0
3
2
9
6
14
28
15
12
8
5
0
0
102
0.2
197
744
1,201
1,161
708
550
1,406
2,337
2,933
3,525
5,506 10,539
8,394
0
39,201
59.5
PEDAL CYCLE
E880-888*
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
E890-899
FIRE AND FLAMES
3
19
9
17
25
23
60
74
62
44
48
30
10
0
424
0.6
E900-902 &
E906-909
11
75
57
35
39
33
86
109
146
96
88
83
41
0
899
1.4
E910
NATURAL AND
ENVIRONMENTAL
FACTORS
DROWNING
2
24
13
18
5
5
3
5
8
7
5
6
0
0
101
0.2
E913
SUFFOCATION
1
1
2
2
0
0
0
1
3
2
5
8
3
0
28
0.0
E846-848
Table 12
Appendix H - Page 25
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 12
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR ALL INJURY HOSPITALIZATIONS, 2002-2003
<1
No.of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E914-915
E916-928**
E953-958
E960-961 &
E963-968
E970-976 &
E978
E983-988
E990-998
FOREIGN BODIES
(EXCLUDING CHOKING)
OTHER INCIDENTS
SUICIDE & SELF
INFLICTED INJURY (EXCL.
POISONINGS)
HOMICIDE AND INJURY
PURPOSELY INFLICTED
LEGAL INTERVENTION
UNDETERMINED
WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
OPERATIONS OF WAR
1-4
5-9
412
0.6
1,542
2.3
2,187
3.3
10-14
2,725
4.1
15-19
3,250
4.9
20-24
2,853
4.3
25-34
5,164
7.8
6,575
10.0
6,125
9.3
5,782
8.8
45-54
55-64
65-74
28
137
77
47
26
39
65
96
89
79
106
93
386
360
665
863
673
1,377
1,711
1,225
946
0
0
2
39
142
138
208
246
153
59
27
8
38
327
447
451
424
0
0
0
0
3
1
4
4
5
9
16
26
24
0
0
0
0
0
0
75-84
Unk
Total
%
65,891 100.0
100.0
0
0.0
111
48
0
948
1.4
845
1,071
590
0
10,805
16.4
52
31
15
5
0
1,031
1.6
229
57
29
28
14
0
2,138
3.2
6
6
3
0
1
0
0
24
0.0
48
70
56
43
47
54
16
0
418
0.6
0
1
0
0
1
0
0
0
2
0.0
Appendix H - Page 26
7,425 12,536
11.3
19.0
85+
9,315
14.1
* See Table 15 for details about Unintentional Falls by Age Group.
** See Table 16 for details about Other Incidents by Age Group.
Table 12
35-44
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 13
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR ALL INJURY INHOSPITAL DEATHS, 2002-2003
<1
E800-807
E810-819
E820-825
Table 13
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unk
Total
%
2
0.1
8
0.3
9
0.3
8
0.3
30
1.1
33
1.2
57
2.1
62
2.3
84
3.2
158
6.0
363
13.7
878
33.1
963
36.3
0
0.0
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
0
0
0
2
0
2
0.1
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OCCUPANTS AND OTHER
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
SUBTOTAL
MOTOR VEHICLE TRAFFIC
0
0
0
0
0
0
0
0
0
0
0
0
2
0
2
0.1
- DRIVERS
0
0
0
0
11
6
9
7
7
10
7
12
3
0
72
2.7
- PASSENGERS
1
1
5
2
3
3
2
1
1
1
4
9
5
0
38
1.4
- MOTORCYCLE DRIVERS
0
0
0
0
0
1
4
0
2
0
0
0
1
0
8
0.3
- MOTORCYCLE
PASSENGERS
- PEDESTRIANS
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0.0
0
1
3
2
7
1
3
3
3
3
8
10
4
0
48
1.8
- PEDAL CYCLISTS
0
0
0
0
0
1
0
1
0
2
0
1
1
0
6
0.2
- OTHER
0
0
0
0
0
1
2
0
3
2
3
6
3
0
20
0.8
SUBTOTAL
MOTOR VEHICLE NON
TRAFFIC
1
2
8
4
21
13
21
12
16
18
22
38
17
0
193
7.3
- DRIVERS
0
0
0
1
0
4
2
1
0
3
2
4
3
0
20
0.8
- PASSENGERS
0
0
0
0
1
0
2
0
1
0
1
0
1
0
6
0.2
- MOTORCYCLE DRIVERS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- MOTORCYCLE
PASSENGERS
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
0
0
0
0
0
1
0
0
1
0
0
1
0
3
0.1
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
0
0
0
0
0
0
0
0
0
0
0
1
1
0
2
0.1
SUBTOTAL
0
0
0
1
1
4
5
1
1
4
3
5
6
0
31
1.2
No. of INHOSPITAL DEATHS
% of INHOSPITAL DEATHS
2,655 100.0
100.0
RAILWAY
Appendix H - Page 27
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 13
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR ALL INJURY INHOSPITAL DEATHS, 2002-2003
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unk
Total
%
2
0.1
8
0.3
9
0.3
8
0.3
30
1.1
33
1.2
57
2.1
62
2.3
84
3.2
158
6.0
363
13.7
878
33.1
963
36.3
0
0.0
- PEDESTRIANS
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0.0
- PEDAL CYCLISTS
0
0
0
1
0
0
0
1
1
2
0
1
0
0
6
0.2
- OTHER
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
SUBTOTAL
OTHER ROAD VEHICLE
0
0
0
1
0
0
0
1
2
2
0
1
0
0
7
0.3
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
0
0
0
0
0
0
0
0
0
1
1
1
0
0
3
0.1
SUBTOTAL
0
0
0
0
0
0
0
0
0
1
1
1
0
0
3
0.1
WATER TRANSPORT
AIR AND SPACE
TRANSPORT
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0.0
- OCCUPANTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PARACHUTIST
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
SUBTOTAL
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
E880-888
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
0
2
1
0
1
1
7
20
32
92
265
730
879
0
2,030
76.5
E890-899
FIRE AND FLAMES
0
0
0
1
0
1
1
4
2
4
6
5
0
0
24
0.9
E900-902 &
E906-909
0
0
0
0
0
0
0
1
4
1
2
7
4
0
19
0.7
E910
NATURAL AND
ENVIRONMENTAL
FACTORS
DROWNING
0
3
0
1
0
0
1
1
1
1
0
1
0
0
9
0.3
E913
SUFFOCATION
0
0
0
0
0
0
0
0
1
0
3
4
0
0
8
0.3
No. of INHOSPITAL DEATHS
% of INHOSPITAL DEATHS
E826
E827-829
E830-838
E840-845
E846-848
Table 13
2,655 100.0
100.0
PEDAL CYCLE
Appendix H - Page 28
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 13
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR ALL INJURY INHOSPITAL DEATHS, 2002-2003
<1
E914-915
E916-928
E953-958
E960-961 &
E963-968
E970-976 &
E978
E983-988
E990-998
Table 13
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unk
Total
%
2,655 100.0
100.0
2
0.1
8
0.3
9
0.3
8
0.3
30
1.1
33
1.2
57
2.1
62
2.3
84
3.2
158
6.0
363
13.7
878
33.1
963
36.3
0
0.0
FOREIGN BODIES
(EXCLUDING CHOKING)
OTHER INCIDENTS
0
0
0
0
0
0
0
0
1
1
4
12
1
0
19
0.7
0
1
0
0
0
3
5
9
11
21
47
63
48
0
208
7.8
SUICIDE & SELF
INFLICTED INJURY (EXCL.
POISONINGS)
HOMICIDE AND INJURY
PURPOSELY INFLICTED
LEGAL INTERVENTION
0
0
0
0
4
3
7
7
7
7
3
2
0
0
40
1.5
1
0
0
0
3
8
9
6
6
5
3
3
3
0
47
1.8
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0.0
UNDETERMINED
WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
OPERATIONS OF WAR
0
0
0
0
0
0
0
0
0
0
4
6
3
0
13
0.5
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
No. of INHOSPITAL DEATHS
% of INHOSPITAL DEATHS
Appendix H - Page 29
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 14
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR TRAFFIC, NONTRAFFIC AND OTHER ROAD VEHICLE INCIDENTS (E810-829), 2002-2003
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E810-819
- PASSENGERS
17
240
2.5
18
256
2.7
19
211
2.2
%
20 21-24 25-34 35-44 45-54 55-64 65-74 75+ Unk Total
220 677 1,405 1,432 1,172 891 699 771
0 9,584 100.0
0.0 100.0
2.3
7.1 14.7 14.9 12.2
9.3
7.3
8.0
0
1
14
15
49
72
77
66
194
409
448
362
292
227
213
0
2,439 25.4
1,349 14.1
43
90
129
41
55
59
38
46
105
152
137
111
99
106
138
0
- MOTORCYCLE DRIVERS
1
1
11
8
5
4
6
8
41
107
68
67
25
6
6
0
364
3.8
- MOTORCYCLE
PASSENGERS
- PEDESTRIANS
0
2
0
0
1
1
0
0
4
10
5
7
2
1
1
0
34
0.4
30
67
127
20
16
16
20
10
39
89
111
95
114
101
118
0
973 10.2
4
24
45
11
5
5
3
2
18
24
33
25
20
12
14
0
245
2.6
6
84
10
195
15
7
19
11
14
17
33
97
89
91
68
79
104
0
660
6.9
341
102
150
168
158
149
434
888
891
758
620
532
594
0
6,064 63.3
- DRIVERS
0
3
88
32
38
40
22
36
118
212
220
125
88
56
56
0
1,134 11.8
- PASSENGERS
6
22
42
14
9
14
11
10
26
45
34
29
17
17
18
0
314
3.3
- MOTORCYCLE DRIVERS
0
7
28
12
8
7
9
6
28
70
61
35
17
3
8
0
299
3.1
- MOTORCYCLE
PASSENGERS
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
2
0
2
0
0
1
0
5
0.1
8
15
8
2
2
3
0
2
9
20
22
25
19
12
25
0
172
1.8
- PEDAL CYCLISTS
2
6
8
0
0
1
0
0
2
2
7
4
4
1
3
0
40
0.4
5
21
9
62
26
13
8
6
4
5
19
56
35
29
16
16
19
0
266
2.8
200
73
65
71
46
59
202
407
379
249
161
105
130
0
- PEDAL CYCLISTS
- OTHER
SUBTOTAL
MOTOR VEHICLE NON
TRAFFIC
- OTHER
SUBTOTAL
Table 14
16
206
2.1
MOTOR VEHICLE TRAFFIC
- DRIVERS
E820-825
0-4
5-9 10-15
138 440 826
1.4
4.6
8.6
Appendix H - Page 30
2,230 23.3
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 14
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR TRAFFIC, NONTRAFFIC AND OTHER ROAD VEHICLE INCIDENTS (E810-829), 2002-2003
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E826-829
0-4
5-9 10-15
138 440 826
1.4
4.6
8.6
16
206
2.1
17
240
2.5
18
256
2.7
19
211
2.2
%
20 21-24 25-34 35-44 45-54 55-64 65-74 75+ Unk Total
220 677 1,405 1,432 1,172 891 699 771
0 9,584 100.0
0.0 100.0
2.3
7.1 14.7 14.9 12.2
9.3
7.3
8.0
OTHER ROAD VEHICLE
- PEDESTRIANS
29
0.3
1
5
1
1
0
0
0
0
1
2
3
5
3
3
4
0
- PEDAL CYCLISTS
27
166
250
23
19
11
6
9
28
78
112
99
88
41
32
0
989 10.3
- OTHER
5
33
12
183
34
285
7
31
6
25
6
17
1
7
3
12
12
41
30
110
47
162
61
165
19
110
18
62
11
47
0
0
1,290 13.5
SUBTOTAL
272
2.8
Note: These age groups, taken from the Ontario Road Safety Annual Report published by the Ontario Ministry of Transportation, are presented in this report
for motor vehicle collision injury prevention purposes.
Table 14
Appendix H - Page 31
2004 Ontario Trauma Registry – Injury Hospitalizations (Provincial), 2002-2003
Table 15
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR FALLS, 2002-2003 (ICD-10-CA W00-W19)
<1
197
1-4
744
0.5
0
4
1.9
2
87
3.1
18
141
3.0
39
150
1.8
36
102
1.4
43
82
3.6
147
250
6.0
250
429
7.5
343
656
9.0
341
889
14.0
337
1,612
26.9
335
3,288
21.4
87
2,633
0
0
0
0
0
0
0
0
3
4
1
2
0
5
15
8
12
9
19
11
9
26
86
29
41
49
41
91
107
28
357
37
19
25
16
63
116
11
250
15
11
16
11
17
34
5
94
9
33
26
21
11
26
10
127
11
74
63
22
5
10
9
183
23
47
50
23
3
8
4
135
5
30
27
7
0
1
6
71
9
15
15
3
0
0
3
36
10
6
7
0
0
0
8
21
24
0
0
0
0
0
5
5
23
0
0
0
0
0
0
0
0
291
291
164
203
311
120
1,380
203
0.7
0.7
0.4
0.5
0.8
0.3
4.0
0.5
48
9
2
5
3
1
1
1
1
1
0
2
5
0
79
0.2
7
7
0
0
0
3
4
10
16
33
69
161
193
0
503
1.3
19
6
29
0
45
0
0
0
60
49
66
96
93
7
0
24
44
21
28
374
49
3
0
20
13
8
11
100
32
12
0
23
1
2
1
8
48
3
2
32
0
0
3
4
59
20
7
54
13
7
3
0
234
79
11
91
27
23
14
1
337
206
21
150
32
33
16
2
432
287
26
99
71
52
20
0
553
237
16
74
219
104
40
1
656
171
12
34
473
247
58
2
980
106
2
17
509
230
42
2
379
23
0
7
0
0
0
0
0
0
0
0
1,481
782
331
590
3,897
1,154
97
625
3.8
2.0
0.8
1.5
9.9
2.9
0.2
1.6
0
5
61
44
6
8
15
21
15
16
12
2
0
0
205
0.5
W15 FROM CLIFF
0
0
1
6
3
1
4
3
2
3
0
1
0
0
24
0.1
W16 DIVING OR JUMPING INTO WATER
0
2
0
8
8
15
18
19
17
2
2
3
0
0
94
0.2
No. of Hospitalizations
% of Hospitalizations
W00 INVOLVING ICE AND SNOW
W01 SLIPPING, TRIPPING, STUMBLING
W02 INVOLVING SKATES, SKIS, SPORT
BOARDS AND ROLLERBLADES
-ICE SKATES
-SKIS
-ROLLERBLADES
-SKATEBOARDS
-SNOWBOARDS
-NON-MOTORIZED SCOOTER
SUBTOTAL
W03 COLLISION WITH OR PUSHED BY
ANOTHER PERSON
W04 WHILE BEING CARRIED OR
SUPPORTED BY ANOTHER PERSON
W05 INVOLVING WHEELCHAIR AND
OTHER TYPES OF WALKING DEVICES
W06 INVOLVING BED
W07 INVOLVING CHAIR
W08 INVOLVING OTHER FURNITURE
W09 PLAYGROUND EQUIPMENT
W10 STAIRS OR STEPS
W11 ON/FROM LADDER
W12 ON OR FROM SCAFFOLDING
W13 FROM, OUT OF OR THROUGH
BUILDING OR STRUCTURE
W14 FROM TREE
Table 15
5-9
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+
1,201 1,161
708
550 1,406 2,337 2,933 3,525 5,506 10,539 8,394
Appendix H - Page 32
Unk
Total
0 39,201
%
100.0
0.0 100.0
0 1,978
0 10,323
5.0
26.3
2004 Ontario Trauma Registry – Injury Hospitalizations (Provincial), 2002-2003
Table 15
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR FALLS, 2002-2003 (ICD-10-CA W00-W19)
No. of Hospitalizations
% of Hospitalizations
W17 OTHER FALL FROM ONE LEVEL TO
ANOTHER
W18 OTHER FALL ON SAME LEVEL
W19 UNSPECIFIED FALL
Table 15
<1
197
1-4
744
5-9
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+
1,201 1,161
708
550 1,406 2,337 2,933 3,525 5,506 10,539 8,394
0.5
30
1.9
106
3.1
171
3.0
123
1.8
60
1.4
45
3.6
111
6.0
197
7.5
155
9.0
144
14.0
113
26.9
137
21.4
89
0.0
0
100.0
1,481
3.8
6
3
44
64
57
96
96
97
62
66
32
70
115
165
158
264
281
380
335
658
724
1,354
1,572
3,108
1,398
2,769
0
0
4,880
9,094
12.4
23.2
Appendix H - Page 33
Unk
Total
0 39,201
%
100.0
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 16
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR OTHER INCIDENTS (E916-928)*, 2002-2003
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unk
Total
%
93
386
360
665
863
673
1,377
1,711
1,225
946
845
1,071
590
0
0.9
3.6
3.3
6.2
8.0
6.2
12.7
15.8
11.3
8.8
7.8
9.9
5.5
0.0
100.0
E916 STRUCK BY FALLING OBJECT
5
23
27
17
23
26
79
103
84
49
32
27
9
0
504
4.7
E917 STRUCK
BY OBJECTS OR
PERSONS
E918 CAUGHT IN/BETWEEN OBJECTS
E919 CAUSED BY MACHINERY
9
79
153
403
430
207
332
324
172
95
74
114
76
0
2,468
22.8
3
12
7
12
9
20
33
45
38
31
19
13
12
0
254
2.4
- AGRICULTURAL
0
6
6
7
6
5
8
18
22
25
17
14
1
0
135
1.2
- LIFTING AND TRANSMISSION
0
1
0
2
4
3
13
18
13
11
1
2
0
0
68
0.6
- OTHER AND UNSPECIFIED
MACHINERY
SUBTOTAL
E920 CUTTING/PIERCING
0
7
2
4
22
37
93
112
103
53
22
12
2
0
469
4.3
0
14
8
13
32
45
114
148
138
89
40
28
3
0
672
6.2
- POWERED LAWN MOWER
0
6
1
1
2
1
4
12
11
10
3
3
2
0
56
0.5
- POWERED HAND TOOLS AND
HOUSEHOLD APPLIANCES
- KNIVES, SWORDS OR DAGGERS
1
2
2
2
13
19
41
52
40
37
15
6
1
0
231
2.1
0
3
1
4
14
15
26
34
16
7
4
2
2
0
128
1.2
- OTHER HAND TOOLS
0
7
9
8
3
10
18
17
17
13
5
3
0
0
110
1.0
- OTHER AND UNSPECIFIED
3
21
50
38
47
54
66
73
34
31
14
7
4
0
442
4.1
SUBTOTAL
E921 EXPLOSION PRESSURE VEHICLE
4
39
63
53
79
99
155
188
118
98
41
21
9
0
967
8.9
- BOILERS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- GAS CYLINDERS
0
0
1
0
0
0
1
0
3
1
0
3
0
0
9
0.1
- OTHER
0
0
0
0
0
1
0
2
3
5
0
0
1
0
12
0.1
0
0
1
0
0
1
1
2
6
6
0
3
1
0
21
0.2
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
SUBTOTAL
Table 16
Appendix H - Page 34
10,805 100.0
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 16
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR OTHER INCIDENTS (E916-928)*, 2002-2003
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unk
Total
%
93
386
360
665
863
673
1,377
1,711
1,225
946
845
1,071
590
0
0.9
3.6
3.3
6.2
8.0
6.2
12.7
15.8
11.3
8.8
7.8
9.9
5.5
0.0
100.0
- HANDGUN
0
0
0
0
2
0
2
1
2
0
0
0
0
0
7
0.1
- SHOTGUN, RIFLE, MILITARY
FIREARM
- OTHER
0
0
0
3
0
2
1
4
1
1
2
0
0
0
14
0.1
0
0
0
2
8
14
11
8
0
1
2
0
0
0
46
0.4
0
0
0
5
10
16
14
13
3
2
4
0
0
0
67
0.6
- FIREWORKS
0
0
0
0
1
0
0
0
0
1
0
0
0
0
2
0.0
- OTHER EXPLOSIVE MATERIAL
0
1
0
1
5
4
10
13
3
5
4
3
0
0
49
0.5
0
1
0
1
6
4
10
13
3
6
4
3
0
0
51
0.5
14
69
9
5
3
5
14
31
21
10
18
14
15
0
228
2.1
17
68
5
7
12
13
20
29
27
7
20
19
6
0
250
2.3
- UNSPECIFIED
1
6
0
0
0
5
3
9
6
2
5
4
5
0
46
0.4
SUBTOTAL
E925 ELECTRIC CURRENT
32
143
14
12
15
23
37
69
54
19
43
37
26
0
524
4.8
- POWER PLANTS,STATIONS OR
LINES
- OTHER ELECTRIC CURRENT
0
0
0
0
0
1
0
4
0
1
1
0
0
0
7
0.1
1
1
0
1
2
3
1
6
3
3
0
1
0
0
22
0.2
- UNSPECIFIED
0
1
0
1
2
4
12
6
5
3
0
1
0
0
35
0.3
1
2
0
2
4
8
13
16
8
7
1
2
0
0
64
0.6
- VISIBLE & U.V. LIGHT SOURCES
0
0
3
1
1
3
2
0
0
0
1
1
2
0
14
0.1
- OTHER RADIATION
0
0
0
0
0
0
1
2
0
13
6
4
0
0
26
0.2
- UNSPECIFIED
0
0
0
0
0
0
0
5
2
9
12
6
2
0
36
0.3
0
0
3
1
1
3
3
7
2
22
19
11
4
0
76
0.7
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
10,805 100.0
E922 FIREARM MISSILE
SUBTOTAL
E923 EXPLOSIVE MATERIAL
SUBTOTAL
E924 HOT SUBSTANCE OR OBJECT
- HOT LIQUIDS, VAPOURS OR
STEAM
- OTHER
SUBTOTAL
E926 EXPOSURE TO RADIATION
SUBTOTAL
Table 16
Appendix H - Page 35
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 16
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR OTHER INCIDENTS (E916-928)*, 2002-2003
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
Unk
Total
%
93
386
360
665
863
673
1,377
1,711
1,225
946
845
1,071
590
0
0.9
3.6
3.3
6.2
8.0
6.2
12.7
15.8
11.3
8.8
7.8
9.9
5.5
0.0
100.0
E927 OVEREXERTION, STRENUOUS
MOVEMENTS
E928 OTHER, UNSPECIFIED
3
7
13
66
113
90
302
401
252
158
164
191
65
0
1,825
16.9
- WEIGHTLESS ENVIRONMENT
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- NOISE
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- VIBRATION
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
11
33
15
18
31
31
54
77
54
33
26
34
19
0
436
4.0
- UNSPECIFIED
25
33
56
62
110
100
230
305
293
331
378
587
366
0
2,876
26.6
36
66
71
80
141
131
284
382
347
364
404
621
385
0
3,312
30.7
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
SUBTOTAL
* The term "Other Incidents (E916-928)" refers to the "Other Accidents" category in the ICD-9 coding system.
Table 16
Appendix H - Page 36
10,805 100.0
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 17
EXTERNAL CAUSES OF INJURY (E CODES) BY MONTH OF ADMISSION
FOR ALL INJURY HOSPITALIZATIONS, 2001-2002*
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E800-807
RAILWAY
E810-819
Total
%
66,361 100.0
100.0
1
0
0
0
1
3
0
1
4
1
0
1
12
0.0
- PEDAL CYCLISTS
0
1
0
0
0
0
0
0
0
0
0
0
1
0.0
- OCCUPANTS AND OTHER
0
1
0
4
4
3
1
1
2
5
0
2
1
23
0.0
1
4
4
4
4
1
3
9
1
2
2
36
0.1
- DRIVERS
204
239
241
237
292
254
290
276
280
229
213
229
2,984
4.5
- PASSENGERS
118
144
177
178
204
163
151
129
173
136
132
117
1,822
2.7
34
71
102
91
73
77
37
14
7
4
2
6
518
0.8
6
8
8
13
6
2
2
2
2
2
0
0
51
0.1
- PEDESTRIANS
84
74
65
90
70
93
98
109
118
71
91
62
1,025
1.5
- PEDAL CYCLISTS
14
19
34
30
36
22
24
17
7
5
1
10
219
0.3
25
485
27
32
32
30
28
34
27
35
22
25
30
347
0.5
582
659
671
711
639
636
574
622
469
464
454
6,966
10.5
48
74
53
101
61
69
44
43
50
78
91
71
783
1.2
5
12
11
13
14
10
14
8
12
17
14
21
151
0.2
11
16
27
28
20
17
6
7
4
2
5
5
148
0.2
- MOTORCYCLE PASSENGERS
0
0
1
0
1
0
0
0
0
0
0
0
2
0.0
- PEDESTRIANS
7
1
3
12
7
4
4
5
8
4
8
15
78
0.1
- PEDAL CYCLISTS
1
1
2
1
0
2
0
0
1
1
0
0
9
0.0
4
76
17
14
17
20
12
9
8
12
13
19
15
160
0.2
121
111
172
123
114
77
71
87
115
137
127
1,331
2.0
SUBTOTAL
MOTOR VEHICLE TRAFFIC
- MOTORCYCLE PASSENGERS
- OTHER
SUBTOTAL
MOTOR VEHICLE NON TRAFFIC
- DRIVERS
- PASSENGERS
- MOTORCYCLE DRIVERS
- OTHER
SUBTOTAL
Table 17
OCT NOV DEC
JAN
FEB MAR
JUL
AUG SEP
6,165 6,096 5,553 5,590 5,110 5,468 5,516 5,073 5,287
9.3
9.2
8.4
8.4
7.7
8.2
8.3
7.6
8.0
- PEDESTRIANS
- MOTORCYCLE DRIVERS
E820-825
APR MAY JUN
4,870 5,775 5,858
7.3
8.7
8.8
Appendix H - Page 37
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 17
EXTERNAL CAUSES OF INJURY (E CODES) BY MONTH OF ADMISSION
FOR ALL INJURY HOSPITALIZATIONS, 2001-2002*
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E826
PEDAL CYCLE
- PEDESTRIANS
E827-829
APR MAY JUN
4,870 5,775 5,858
7.3
8.7
8.8
JUL
AUG SEP
OCT NOV DEC
JAN
FEB MAR
6,165 6,096 5,553 5,590 5,110 5,468 5,516 5,073 5,287
9.3
9.2
8.4
8.4
7.7
8.2
8.3
7.6
8.0
Total
%
66,361 100.0
100.0
2
5
11
6
9
5
8
0
0
1
0
0
47
0.1
- PEDAL CYCLISTS
57
153
187
213
166
120
66
31
25
16
9
19
1,062
1.6
- OTHER
1
60
2
3
5
3
2
160
201
224
178
127
2
76
0
31
1
26
1
18
0
9
0
19
20
1,129
0.0
1.7
- PEDESTRIANS
1
3
1
2
2
4
1
1
2
2
2
1
22
0.0
- PEDAL CYCLISTS
0
1
0
1
0
0
0
0
0
0
0
0
2
0.0
25
29
286
310
0.4
0.5
164
0.2
SUBTOTAL
OTHER ROAD VEHICLE
- OTHER
30
24
36
53
3
34
5
25
26
39
49
55
45
22
20
17
10
12
16
17
23
9
21
2
19
2
12
3
14
3
17
0
- OCCUPANTS
1
1
6
8
2
2
2
0
1
0
1
0
24
0.0
- PARACHUTIST
1
5
3
0
2
1
7
0
3
E880-888
- OTHER
SUBTOTAL
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
6
5
5
1
0
1
0
0
0
27
0.0
1
1
15
9
8
8
0
3
1
1
1
3
0
0
1
2
1
1
7
58
0.0
0.1
4
9
7
0
7
5
2
4
9
24
17
10
102
0.2
3,040
3,431
3,317
3,409
3,453
3,286
3,394
3,140
3,532
3,657
3,332
3,415
E890-899
FIRE AND FLAMES
39
32
40
53
34
30
27
39
28
31
28
34
415
0.6
E900-902 &
E906-909
E910
NATURAL AND
ENVIRONMENTAL FACTORS
DROWNING
72
65
99
88
144
41
44
39
52
43
46
53
796
1.2
6
5
14
18
26
7
2
1
2
1
4
3
89
0.1
E913
SUFFOCATION
1
0
1
1
0
1
1
0
0
0
0
0
5
0.0
E914-915
FOREIGN BODIES (EXCLUDING
CHOKING)
69
86
84
81
87
79
75
74
84
77
59
81
936
1.4
E830-838
E840-845
E846-848
Table 17
SUBTOTAL
WATER TRANSPORT
AIR AND SPACE TRANSPORT
21
22
Appendix H - Page 38
40,406 60.9
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 17
EXTERNAL CAUSES OF INJURY (E CODES) BY MONTH OF ADMISSION
FOR ALL INJURY HOSPITALIZATIONS, 2001-2002*
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E916-928
OTHER INCIDENTS
E953-958
SUICIDE & SELF INFLICTED
INJURY (EXCL.POISONINGS)
HOMICIDE AND INJURY
PURPOSELY INFLICTED
LEGAL INTERVENTION
E960-961 &
E963-968
E970-976 &
E978
E983-988
E990-998
UNDETERMINED WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
OPERATIONS OF WAR
APR MAY JUN
4,870 5,775 5,858
7.3
8.7
8.8
JUL
AUG SEP
OCT NOV DEC
JAN
FEB MAR
6,165 6,096 5,553 5,590 5,110 5,468 5,516 5,073 5,287
9.3
9.2
8.4
8.4
7.7
8.2
8.3
7.6
8.0
701
951
907
950
883
832
902
803
738
796
710
767
9,940 15.0
98
113
109
129
102
102
122
92
90
93
77
113
1,240
1.9
178
158
220
223
217
199
185
195
145
157
153
160
2,190
3.3
2
0
1
5
2
0
1
1
2
2
1
3
21
0.0
12
18
24
25
15
23
9
19
18
17
15
27
222
0.3
0
1
0
0
1
0
0
0
0
0
0
0
2
0.0
* Fiscal year based on date of admission in order to capture 1,742 cases that were admitted in 2001-2002 and discharged in 2002-2003.
Table 17
Total
%
66,361 100.0
100.0
Appendix H - Page 39
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 18
EXTERNAL CAUSES OF INJURY (E CODES) BY MONTH OF ADMISSION
FOR ALL INJURY INHOSPITAL DEATHS, 2001-2002*
No. of INHOSPITAL DEATHS
% of INHOSPITAL DEATHS
E800-807
RAILWAY
E810-819
Total
%
2,612 100.0
100.0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OCCUPANTS AND OTHER
0
0
0
1
0
0
1
0
0
0
0
0
0
2
0.1
0
1
0
0
1
0
0
0
0
0
0
2
0.1
- DRIVERS
6
8
6
7
11
8
13
14
10
5
8
5
101
3.9
- PASSENGERS
2
0
5
5
3
2
7
3
10
3
6
2
48
1.8
- MOTORCYCLE DRIVERS
1
1
0
1
1
2
3
0
0
0
0
1
10
0.4
- MOTORCYCLE PASSENGERS
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PEDESTRIANS
0
7
3
3
3
5
3
6
3
1
5
3
42
1.6
- PEDAL CYCLISTS
2
0
2
1
1
2
0
1
0
0
0
0
9
0.3
1
12
1
1
0
0
1
1
1
1
0
1
0
8
0.3
17
17
17
19
20
27
25
24
9
20
11
218
8.3
- DRIVERS
1
1
0
0
1
0
0
0
0
0
0
1
4
0.2
- PASSENGERS
0
0
0
0
0
0
0
1
0
0
0
0
1
0.0
- MOTORCYCLE DRIVERS
0
1
0
0
0
0
0
0
0
0
0
0
1
0.0
- MOTORCYCLE PASSENGERS
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PEDESTRIANS
0
0
0
1
1
0
0
0
1
0
0
0
3
0.1
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
0
1
0
0
0
0
0
0
0
0
0
0
1
1
0.0
2
0
1
2
0
0
1
1
0
0
2
10
0.4
SUBTOTAL
MOTOR VEHICLE TRAFFIC
SUBTOTAL
MOTOR VEHICLE NON TRAFFIC
SUBTOTAL
Table 18
OCT NOV DEC
JAN
FEB MAR
JUL
AUG SEP
217
227
216
219
196
240
215
241
211
8.3
8.7
8.3
8.4
7.5
9.2
8.2
9.2
8.1
- PEDESTRIANS
- OTHER
E820-825
APR MAY JUN
187
232
211
7.2
8.9
8.1
Appendix H - Page 40
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 18
EXTERNAL CAUSES OF INJURY (E CODES) BY MONTH OF ADMISSION
FOR ALL INJURY INHOSPITAL DEATHS, 2001-2002*
No. of INHOSPITAL DEATHS
% of INHOSPITAL DEATHS
E826
PEDAL CYCLE
E827-829
APR MAY JUN
187
232
211
7.2
8.9
8.1
JUL
AUG SEP
OCT NOV DEC
JAN
FEB MAR
217
227
216
219
196
240
215
241
211
8.3
8.7
8.3
8.4
7.5
9.2
8.2
9.2
8.1
Total
%
2,612 100.0
100.0
- PEDESTRIANS
0
0
1
0
0
0
0
0
0
0
0
0
1
0.0
- PEDAL CYCLISTS
0
2
2
0
1
0
0
0
0
0
0
0
5
0.2
- OTHER
0
0
0
0
0
0
0
2
3
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
6
0.0
0.2
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
0
0
0
0
1
1
0.0
0.0
2
0.1
SUBTOTAL
OTHER ROAD VEHICLE
0
0
0
0
0
0
0
0
0
0
2
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0
0
0
0
0
0
0
- OCCUPANTS
0
0
0
0
1
0
0
0
0
0
0
0
1
0.0
- PARACHUTIST
0
0
0
0
0
0
0
0
0
E880-888
- OTHER
SUBTOTAL
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
0
0
0
0
0
0
0
0
0
0
0.0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
0
0
0
0
0
1
0.0
0.0
1
0
0
0
0
0
0
0
0
0
0
0
1
0.0
157
192
165
164
175
178
172
152
193
180
195
172
E890-899
FIRE AND FLAMES
3
3
3
1
2
2
1
3
2
4
0
2
26
1.0
E900-902 &
E906-909
E910
NATURAL AND
ENVIRONMENTAL FACTORS
DROWNING
1
1
0
1
4
1
2
1
2
4
1
2
20
0.8
2
0
1
2
3
0
0
0
0
0
0
0
8
0.3
E913
SUFFOCATION
0
0
0
1
0
0
0
0
0
0
0
0
1
0.0
E914-915
FOREIGN BODIES (EXCLUDING
CHOKING)
1
0
2
2
4
0
1
1
1
5
2
2
21
0.8
E830-838
E840-845
E846-848
Table 18
SUBTOTAL
WATER TRANSPORT
AIR AND SPACE TRANSPORT
Appendix H - Page 41
2,095 80.2
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 18
EXTERNAL CAUSES OF INJURY (E CODES) BY MONTH OF ADMISSION
FOR ALL INJURY INHOSPITAL DEATHS, 2001-2002*
No. of INHOSPITAL DEATHS
% of INHOSPITAL DEATHS
APR MAY JUN
187
232
211
7.2
8.9
8.1
JUL
AUG SEP
OCT NOV DEC
JAN
FEB MAR
217
227
216
219
196
240
215
241
211
8.3
8.7
8.3
8.4
7.5
9.2
8.2
9.2
8.1
Total
%
2,612 100.0
100.0
E916-928
OTHER INCIDENTS
6
10
12
16
9
10
10
9
10
7
17
15
131
5.0
E953-958
SUICIDE & SELF INFLICTED
INJURY (EXCL.POISONINGS)
HOMICIDE AND INJURY
PURPOSELY INFLICTED
LEGAL INTERVENTION
2
3
5
7
2
1
2
3
4
3
4
3
39
1.5
1
1
1
1
3
3
4
1
2
1
2
2
22
0.8
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
UNDETERMINED WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
OPERATIONS OF WAR
1
0
1
2
2
0
0
0
0
2
0
0
8
0.3
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
E960-961 &
E963-968
E970-976 &
E978
E983-988
E990-998
* Fiscal year based on date of Admission in order to capture 137 cases that were admitted in 2001-2002 and died in hospital in 2002-2003.
Table 18
Appendix H - Page 42
Table 19
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
TRAFFIC, NON-TRAFFIC & OTHER ROAD VEHICLE INCIDENTS: VICTIM AND MODE OF TRANSPORT
BY COLLISION INVOLVEMENT, 2002-2003 (ICD-10-CA V01-V89)
Pedestrian,
Other
Victim and Mode of
Transport:
V01-V09
Pedestrian
V10-V19
Pedal Cyclist
V20-V29
Motorcycle Rider
V30-V39
Occupant of 3
Wheeled Motor
Vehicle
V40-V59
Occupant of Car,
Pickup, Van
V60-V79
Occupant of Heavy
Transport Vehicle,
Bus
V80.1-V80.9
Occupant of Animal
Drawn Vehicle or
Animal Rider
Pedal
Cycle
Three
Wheeled
MV
Car,
Pick-up,
Van
Heavy
Transport
Vehicle,
Bus
Railway
Non
Motorized
Fixed
Object
Other,
Unk.
Noncollision
Total
%
104
49
63
3,612
283
18
33
769
946
2,532
8,409
100.0
n/a
18
19
955
40
0
11
n/a
131
n/a
1,174
14.0
15
21
3
230
17
0
5
45
162
776
1,274
15.2
17
3
18
179
9
0
0
44
119
349
738
8.8
1
1
7
6
1
0
0
25
15
72
128
1.5
66
5
15
2,223
206
16
15
647
463
1,047
4,703
55.9
2
0
0
13
10
2
1
7
28
83
146
1.7
3
1
1
6
n/a
0
1
1
28
205
246
2.9
Note: Additional hospitalizations were due to (Total N=9,584, Table 14): V81 railway occupant=1, V82 streetcar occupant=18, V83 industrial
vehicle=2, V84 agriculture vehicle=9, V85 construction vehicle=12, V86 All-terrain vehicle=466, V86 snowmobile=392, V87-V89 unknown
mode of transport=275
Table 19
Appendix H - Page 43
Table 20
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
INJURY HOSPITALIZATIONS, PATIENT DAYS, MEAN & MEDIAN LOS, INHOSPITAL DEATHS BY EXTERNAL CAUSES OF
INJURY FOR PEDAL CYCLISTS, 2002-2003 (ICD-10-CA)
HOSPITALIZATIONS
Pedal cyclist in collision with
or involved in:
V10 PEDESTRIAN, ANIMAL
V11 PEDAL CYCLE
V12 TWO, THREE WHEELED
MOTOR VEHICLE
V13 CAR, PICK-UP, VAN
V14 HEAVY TRANSPORT VEHICLE,
BUS
V15 RAILWAY
V16 OTHER NON-MOTOR
V17 STATIONARY OBJECT
V19 OTHER, UNSPECIFIED
V18 NON-COLLISION
PATIENT DAYS
MEAN
LOS
(days)
4.3
5.9
6.5
10.0
INHOSPITAL
DEATHS
No.
%
12
100.0
0
0.0
0
0.0
0
0.0
No.
1,274
15
21
3
%
100
1.2
1.7
0.2
No.
5,467
88
136
30
%
100
1.6
2.5
0.5
MEDIAN
LOS
(days)
2.0
2.0
4.0
13.0
230
17
18.1
1.3
1,715
377
31.4
6.9
3.0
5.0
7.5
22.2
5
1
41.7
8.3
0
5
45
162
776
0.0
0.4
3.5
12.7
60.9
0
18
115
570
2,418
0.0
0.3
2.1
10.4
44.2
0.0
4.0
2.0
2.0
2.0
0.0
3.6
2.6
3.5
3.1
0
0
1
0
5
0.0
0.0
8.3
0.0
41.7
Note: 19 hospitalizations identified as pedal cyclist incidents in Table 2 using ICD-9 codes, do not fall into the above stated
ICD-10-CA categories.
Table 20
Appendix H - Page 44
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 21
ICD PLACE OF OCCURRENCE* BY SEX FOR INJURY HOSPITALIZATIONS (E880-928), 2002-2003
HOME
No. of HOSPITALIZATIONS W/
CODE
% of HOSPITALIZATIONS
FARM
INDUST.
REC. &
SPORTS
STREET &
HIGHWAY
PUBLIC
BUILDING
RESID.
INSTIT.
OTHER
UNSPEC.
PLACE
TOTAL**
19,947
361
1,201
2,797
1,423
4,674
5,229
2,731
13,950
52,313
38.1
0.7
2.3
5.3
2.7
8.9
10.0
5.2
26.7
100.0
7,680
31.5
286
1.2
1,122
4.6
2,135
8.8
662
2.7
2,253
9.2
1,336
5.5
1,618
6.6
7,290
29.9
24,382
100.0
12,267
43.9
75
0.3
78
0.3
662
2.4
761
2.7
2,421
8.7
3,893
13.9
1,112
4.0
6,660
23.8
27,929
100.0
MALES
No. of HOSPITALIZATIONS
% of MALES
FEMALES
No. of HOSPITALIZATIONS
% of FEMALES
NO PLACE OF OCCURRENCE SPECIFIED :
TOTAL
93
MALE
53
FEMALE
40
* In the ICD coding system, place of occurrence is documented only for External Causes of Injury (E Codes) between E850-869 and E880-928.
Only E880-928 are relevant to the OTR.
** Total summarizes the 1st documented place of occurrence.
Table 21
Appendix H - Page 45
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 22
ICD PLACE OF OCCURRENCE* BY SEX FOR FALLS (E880-888), 2002-2003
HOME
No. of HOSPITALIZATIONS W/ CODE
% of HOSPITALIZATIONS
FARM
INDUST.
REC. & STREET & PUBLIC
SPORTS HIGHWAY BUILDING
RESID
INSTIT.
OTHER
UNSPEC. TOTAL**
PLACE
16,845
43.0
137
0.3
434
1.1
1,159
3.0
1,274
3.3
3,692
9.4
4,862
12.4
1,934
4.9
8,826
22.5
39,163
100.0
5,868
37.1
105
0.7
390
2.5
769
4.9
557
3.5
1,636
10.3
1,201
7.6
1,066
6.7
4,240
26.8
15,832
100.0
10,977
47.1
32
0.1
43
0.2
390
1.7
717
3.1
2,056
8.8
3,661
15.7
867
3.7
4,586
19.7
23,329
100.0
MALES
No. of HOSPITALIZATIONS
% of MALES
FEMALES
No. of HOSPITALIZATIONS
% of FEMALES
NO PLACE OF OCCURRENCE SPECIFIED :
TOTAL
38
MALE
11
FEMALE
27
* In the ICD coding system, place of occurrence is documented only for External Causes of Injury (E Codes) between E850-869 and E880-928.
Only E880-928 are relevant to the OTR.
** Total summarizes the 1st documented place of occurrence.
Table 22
Appendix H - Page 46
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 23
INJURY HOSPITALIZATIONS, PATIENT DAYS, MEAN & MEDIAN LOS, INHOSPITAL DEATHS
BY MOST RESPONSIBLE INJURY CODE (N CODE), 2002-2003
HOSPITALIZATIONS
No.
TOTAL*
800-801 & 803-804
802 & 830
805
839.0-.5
807.0-.4
807.5-.6
808
809
810-819 & 831-834
820-829 & 835-838
839.6-.9
Table 23
FRACTURED SKULL
FACIAL INJURIES
FRACTURED VERTEBRAE
DISLOCATIONS OF VERTEBRAE
FRACTURED RIBS/STERNUM
FRACTURED LARYNX/TRACHEA
FRACTURED PELVIS
OTHER BONES OF TRUNK
FRACTURES, DISLOCATIONS
UPPER LIMB
FRACTURES, DISLOCATIONS
LOWER LIMB
OTHER DISLOCATIONS
%
MEDIAN
LOS
PATIENT DAYS
No.
MEAN
LOS
%
INHOSPITAL
DEATHS
No.
%
51,140
478
1,252
1,944
74
1,111
15
1,753
8
8,350
100.0
0.9
2.4
3.8
0.1
2.2
0.0
3.4
0.0
16.3
405,927
2,550
3,953
21,976
521
8,204
88
25,606
123
30,137
100.0
0.6
1.0
5.4
0.1
2.0
0.0
6.3
0.0
7.4
3.0
2.0
2.0
7.0
5.0
4.0
5.0
10.0
8.5
2.0
7.9
5.3
3.2
11.3
7.0
7.4
5.9
14.6
15.4
3.6
1,374
15
1
49
2
24
0
53
0
32
100.0
1.1
0.1
3.6
0.1
1.7
0.0
3.9
0.0
2.3
21,761
42.6
215,523
53.1
5.0
9.9
645
46.9
25
0.0
115
0.0
3.0
4.6
0
0.0
Appendix H-Page 47
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 23
INJURY HOSPITALIZATIONS, PATIENT DAYS, MEAN & MEDIAN LOS, INHOSPITAL DEATHS
BY MOST RESPONSIBLE INJURY CODE (N CODE), 2002-2003
HOSPITALIZATIONS
No.
TOTAL*
840-848
850-854
860-869
870-879
880-884 & 890-894
885-886 & 895
887
896-897
900-904
910-919 & 920-924
925-929
Table 23
SPRAINS, STRAINS
INTRACRANIAL INJURY
INTERNAL INJURIES TO CHEST,
ABDOMEN, PELVIC ORGANS
OPEN WOUNDS OF HEAD,
NECK & TRUNK
OPEN WOUNDS OF LIMBS,
EXCLUDING AMPUTATIONS
TRAUMATIC AMPUTATION OF
DIGITS
TRAUMATIC AMPUTATION OF
UPPER LIMB
TRAUMATIC AMPUTATION OF
LOWER LIMB
VASCULAR INJURIES
SUPERFICIAL INJURIES,
CONTUSIONS
CRUSHING INJURIES
%
MEDIAN
LOS
PATIENT DAYS
No.
MEAN
LOS
%
INHOSPITAL
DEATHS
No.
%
51,140
1,271
4,355
1,780
100.0
2.5
8.5
3.5
405,927
3,462
43,020
13,505
100.0
0.9
10.6
3.3
3.0
1.0
3.0
5.0
7.9
2.7
9.9
7.6
1,374
1
425
51
100.0
0.1
30.9
3.7
1,055
2.1
3,902
1.0
1.0
3.7
15
1.1
1,233
2.4
3,942
1.0
2.0
3.2
2
0.1
215
0.4
688
0.2
2.0
3.2
0
0.0
11
0.0
54
0.0
4.0
4.9
0
0.0
11
0.0
129
0.0
10.0
11.7
0
0.0
232
1,753
0.5
3.4
1,282
8,221
0.3
2.0
2.0
2.0
5.5
4.7
18
5
1.3
0.4
98
0.2
404
0.1
2.0
4.1
0
0.0
Appendix H-Page 48
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 23
INJURY HOSPITALIZATIONS, PATIENT DAYS, MEAN & MEDIAN LOS, INHOSPITAL DEATHS
BY MOST RESPONSIBLE INJURY CODE (N CODE), 2002-2003
HOSPITALIZATIONS
No.
TOTAL*
930-939 EXCL. 933.1 FOREIGN BODIES
940-949
BURNS
952
950-951 & 953-957
SPINAL CORD INJURY
OTHER NERVE INJURIES
OTHER/UNSPECIFIED INJURIES
990-993 &
994.0,.1,.4,.5,.7,.8,.9 &
959
51,140
15
818
145
228
1,149
%
100.0
0.0
1.6
0.3
0.4
2.2
PATIENT DAYS
No.
405,927
27
7,890
4,081
570
5,954
MEDIAN
LOS
MEAN
LOS
%
100.0
0.0
1.9
1.0
0.1
1.5
INHOSPITAL
DEATHS
No.
3.0
1.0
5.0
11.0
1.0
0.0
7.9
1.8
9.6
28.1
2.5
5.2
1,374
0
29
7
0
0
* Of 65,891 injury hospitalizations in 2002-2003, 51,140 have a Most Responsible Diagnosis (MRDX) that falls within one of the above N
Code categories and 14,751 injury hospitalizations do not.
Table 23
Appendix H-Page 49
%
100.0
0.0
2.1
0.5
0.0
0.0
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 24
INJURY (N CODE) TYPE BY AGE GROUP FOR ALL INJURY HOSPITALIZATIONS, 2002-2003
TOTAL
% of TOTAL *
SUPERFICIAL
ORTHOPEDICS
BURNS
HEAD
SPINAL CORD
INTERNAL
BLOOD VESSELS
NERVES
OTHER
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
Unk
Total
%*
391
0.6
1,521
2.3
2,372
3.6
3,116
4.7
4,132
6.3
3,707
5.6
6,341
9.6
7,748
11.8
7,221
11.0
6,443
9.8
7,906
12.0
12,851
19.5
9,536
14.5
0
0.0
73,285
68
316
362
493
847
822
1,255
1,492
1,248
938
1,252
1,850
1,291
0
12,234
18.6
76
635
1,411
1,787
1,994
1,776
3,379
4,374
4,267
4,120
5,214
9,159
7,236
0
45,428
68.9
34
167
25
35
63
67
120
166
135
78
85
78
33
0
1,086
1.6
188
295
353
430
540
404
587
643
609
558
732
1,008
549
0
6,896
10.5
0
3
2
15
21
27
46
59
47
34
33
36
12
0
335
0.5
7
29
89
189
368
322
456
456
408
316
249
253
119
0
3,261
4.9
4
10
21
29
59
78
107
109
90
44
38
42
20
0
651
1.0
1
19
46
50
90
103
137
138
119
67
42
29
7
0
848
1.3
13
47
63
88
150
108
254
311
298
288
261
396
269
0
2,546
3.9
* The denominator for percentage is the total number of injury hospitalizations (65,891).
Note: If a hospitalization has injury N Codes that fall into several injury (N Code) types, each injury type is counted once.
If a hospitalization has several injury N Codes that all fall into one injury type, the type is counted only once.
Table 24
85+
Appendix H - Page 50
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 25
NATURE OF INJURY (N CODES) BY AGE GROUP, 2002-2003
<1
No. of INJURIES
% of INJURIES**
800-801 & FRACTURED SKULL
803-804
802 & 830 FACIAL INJURIES
1-4
5-9
543
2,120
10-14
15-19
20-24
25-34
2,947
3,970
5,953
0.8
106
3.2
83
4.5
97
6.0
106
9.0
151
5,428
8.2
116
4
26
56
134
365
397
35-44
45-54
55-64
65-74
75-84
9,123 10,809
16.4
13.8
186
148
9,979
8,515
15.1
155
12.9
118
457
454
332
164
146
194
85+
Unk
9,931 15,537 11,200
15.1
23.6
17.0
86
88
38
Total* %**
0
96,055 100.0
0.0
0
100.0
1,478
2.2
83
0
2,812
4.3
805
FRACTURED VERTEBRAE
0
4
13
64
238
217
358
450
419
344
480
770
489
0
3,846
5.8
839.0-.5
0
1
8
6
8
11
24
39
21
19
8
10
6
0
161
0.2
13
7
6
20
87
91
237
378
464
467
516
650
406
0
3,342
5.1
0
0
1
1
2
3
2
5
4
0
0
1
0
0
19
0.0
808
DISLOCATIONS OF
VERTEBRAE
FRACTURED
RIBS/STERNUM
FRACTURED
LARYNX/TRACHEA
FRACTURED PELVIS
0
4
35
53
159
153
209
252
297
238
365
844
654
0
3,263
5.0
809
OTHER BONES OF TRUNK
0
0
0
1
1
1
0
1
3
0
6
4
4
0
21
0.0
29
453
1,204
1,027
721
622
1,106
1,402
1,408
1,382
1,392
1,851
1,060
0
13,657 20.7
47
188
233
754
964
888
1,953
2,541
2,577
2,471
3,395
6,477
5,659
0
28,147 42.7
0
0
0
2
9
3
13
14
13
8
4
16
3
0
85
0.1
1
6
17
57
197
166
454
519
305
255
198
220
111
0
2,506
3.8
146
290
404
491
653
481
651
744
726
657
861
1,141
596
0
7,841 11.9
13
44
130
258
602
519
711
639
607
429
331
315
139
0
4,737
7.2
12
142
151
168
416
428
615
633
455
326
340
513
376
0
4,575
6.9
8
67
101
149
382
399
603
671
489
298
294
281
156
0
3,898
5.9
0
11
7
8
7
25
45
51
44
53
14
7
3
0
275
0.4
0
0
0
0
0
2
3
7
1
1
1
0
0
0
15
0.0
807.0-.4
807.5-.6
810-819 & FRACTURES,
831-834
DISLOCATIONS UPPER
LIMB
820-829 & FRACTURES,
835-838
DISLOCATIONS LOWER
LIMB
839.6-.9
OTHER DISLOCATIONS
840-848
SPRAINS, STRAINS
850-854
INTRACRANIAL INJURY
860-869
INTERNAL INJURIES TO
CHEST, ABDOMEN, PELVIC
ORGANS
870-879
OPEN WOUNDS OF HEAD,
NECK & TRUNK
880-884 & OPEN WOUNDS OF LIMBS,
890-894
EXCLUDING AMPUTATIONS
885-886 & TRAUMATIC AMPUTATION
895
OF DIGITS
887
TRAUMATIC AMPUTATION
OF UPPER LIMB
Table 25
Appendix H - Page 51
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 25
NATURE OF INJURY (N CODES) BY AGE GROUP, 2002-2003
<1
No. of INJURIES
% of INJURIES**
896-897
900-904
TRAUMATIC AMPUTATION
OF LOWER LIMB
VASCULAR INJURIES
910-919 & SUPERFICIAL INJURIES,
920-924
CONTUSIONS
925-929
CRUSHING INJURIES
930-939,
EXCL.
933.1
940-949
952
FOREIGN BODIES
BURNS
SPINAL CORD INJURY
WITH NO BONY
ABNORMALITY
950-951 & OTHER NERVE INJURIES
953-957
990-993 & OTHER/UNSPECIFIED
994.0,.1,.4,. INJURIES
5,.7,.8,.9 &
959
1-4
5-9
543
2,120
10-14
15-19
20-24
25-34
2,947
3,970
5,953
0.8
0
3.2
0
4.5
1
6.0
0
9.0
2
5,428
8.2
2
4
11
22
35
67
89
56
225
283
389
456
0
2
5
6
0
2
2
90
480
0
45-54
55-64
65-74
75-84
9,979
8,515
15.1
0
12.9
5
124
116
99
47
38
42
377
563
686
720
587
882
12
20
48
55
42
26
1
2
2
3
3
2
54
77
164
161
319
425
5
2
16
22
29
47
1
22
50
54
103
116
13
47
65
93
163
110
85+
Unk
9,931 15,537 11,200
15.1
23.6
17.0
0
0
0
Total* %**
0
96,055 100.0
0.0
0
100.0
16
0.0
22
0
716
1.1
1,440
1,029
0
9
7
3
0
235
0.4
2
3
1
0
0
23
0.0
304
206
209
163
55
0
2,707
4.1
61
50
35
35
38
13
0
353
0.5
153
147
129
77
45
31
7
0
935
1.4
273
328
313
300
273
433
288
0
2,699
4.1
* Total reflects all injury N Codes documented for each hospitalization.
** The denominator for percentage is the total number of injury hospitalizations (65,891).
Table 25
35-44
9,123 10,809
16.4
13.8
2
4
Appendix H - Page 52
7,693 11.7
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 26
NATURE OF INJURY (N CODES) BY MONTH OF ADMISSION, 2001-2002*
APR
No. of INJURIES
% of INJURIES**
800-801 & FRACTURED SKULL
803-804
802 & 830 FACIAL INJURIES
MAY
JUN
JUL
6,867
7,983
8,657
10.3
117
12.0
134
194
AUG
SEP
9,300
9,153
13.0
151
208
249
OCT
NOV
DEC
JAN
FEB
MAR
Total** %***
8,186
8,091
7,378
7,843
7,414
7,047
7,378
14.0
178
13.8
171
12.3
148
12.2
161
11.1
117
11.8
113
11.2
121
95,297 100.0
100.0
1,631 2.5
10.6
124
11.1
96
325
308
286
250
274
206
242
200
189
216
2,898
4.4
258
255
324
330
303
315
293
282
243
240
269
3,361
5.1
23
29
20
43
53
31
41
23
21
21
16
5
326
0.5
12
11
16
18
22
11
17
22
23
15
10
14
191
0.3
248
255
309
279
350
338
331
291
281
221
254
277
3,434
5.2
1
4
3
1
3
3
2
2
0
1
1
0
21
0.0
244
254
238
269
258
258
235
290
267
259
218
268
3,058
4.6
0
0
0
1
1
0
0
0
0
0
0
0
2
0.0
923
1,101
1,317
1,378
1,284
1,179
1,181
952
1,109
1,076
913
970
13,383 20.2
1,885
2,310
2,133
2,346
2,177
2,131
2,110
2,026
2,368
2,397
2,320
2,292
26,495 39.9
3
5
1
12
2
3
5
2
8
3
5
5
54
0.1
805
FRACTURED VERTEBRAE
806
839.0-.5
FRACTURED VERTEBRAE WITH SPINAL
CORD INJURY
DISLOCATIONS OF VERTEBRAE
807.0-.4
FRACTURED RIBS/STERNUM
807.5-.6
FRACTURED LARYNX/TRACHEA
808
FRACTURED PELVIS
809
OTHER BONES OF TRUNK
810-819 &
831-834
820-829,
835-838
839.6-.9
FRACTURES, DISLOCATIONS UPPER
LIMB
FRACTURES, DISLOCATIONS LOWER
LIMB
OTHER DISLOCATIONS
840-848
SPRAINS, STRAINS
234
297
289
321
294
266
301
290
285
313
259
271
3,420
5.2
850-854
INTRACRANIAL INJURY
434
500
568
599
618
559
541
486
555
440
464
544
6,308
9.5
860-869
INTERNAL INJURIES TO CHEST,
ABDOMEN, PELVIC ORGANS
OPEN WOUNDS OF HEAD, NECK &
TRUNK
OPEN WOUNDS OF LIMBS, EXCLUDING
AMPUTATIONS
TRAUMATIC AMPUTATION OF DIGITS
322
357
443
434
527
488
451
429
389
344
376
358
4,918
7.4
377
416
520
531
547
476
432
461
430
350
305
354
5,199
7.8
263
341
435
485
435
354
321
300
237
228
230
258
3,887
5.9
17
28
29
34
26
33
31
25
20
27
22
23
315
0.5
0
0
1
1
3
2
2
3
1
1
2
2
18
0.0
4
4
3
3
2
6
1
1
4
0
1
0
29
0.0
870-879
880-884 &
890-894
885-886 &
895
887
896-897
Table 26
TRAUMATIC AMPUTATION OF UPPER
LIMB
TRAUMATIC AMPUTATION OF LOWER
LIMB
Appendix H - Page 53
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 26
NATURE OF INJURY (N CODES) BY MONTH OF ADMISSION, 2001-2002*
APR
No. of INJURIES
% of INJURIES**
900-904
VASCULAR INJURIES
910-919 &
920-924
925-929
SUPERFICIAL INJURIES, CONTUSIONS
930-939,
EXCL.
933.1
940-949
FOREIGN BODIES
952
SPINAL CORD INJURY WITH NO BONY
ABNORMALITY
OTHER NERVE INJURIES
CRUSHING INJURIES
BURNS
950-951 &
953-957
990-993 & OTHER/UNSPECIFIED INJURIES
994.0,.1,.4,.
5,.7,.8,.9 &
959
MAY
JUN
JUL
6,867
7,983
8,657
10.3
27
12.0
26
711
AUG
SEP
9,300
9,153
13.0
53
816
14
NOV
DEC
JAN
FEB
MAR
Total** %***
8,091
7,378
7,843
7,414
7,047
7,378
14.0
79
13.8
62
12.3
57
12.2
34
11.1
33
11.8
34
11.2
29
10.6
39
11.1
33
95,297 100.0
100.0
506 0.8
845
939
943
729
725
621
657
597
552
594
8,729 13.2
21
24
25
12
10
20
11
16
9
7
13
182
0.3
1
3
4
3
2
2
3
3
3
2
2
0
28
0.0
258
255
322
330
326
211
231
186
205
206
217
199
2,946
4.4
9
18
17
20
18
19
13
17
15
13
19
32
210
0.3
58
78
89
94
88
94
91
79
64
79
60
67
941
1.4
239
254
247
245
313
225
222
209
214
219
202
218
2,807
4.2
* Fiscal Year based on date of Admission
** Total reflects all injury N Codes documented for each hospitalization.
*** The denominator for percentage is the total number of injury hospitalizations (66,361).
Table 26
OCT
8,186
Appendix H - Page 54
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 27
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY (N CODE) TYPE, 2002-2003
SUPERFICIAL
TOTAL
HEAD
SPINAL INTERNAL
CORD
335
3,261
45,428
1,086
6,896
18.6
68.9
1.6
10.5
0.5
4.9
-PEDESTRIANS
5
11
0
3
0
-PEDAL CYCLISTS
0
0
0
0
-OCCUPANTS AND OTHER
3
9
1
SUBTOTAL
8
20
-DRIVERS
911
-PASSENGERS
-MOTORCYCLE DRIVERS
BLOOD
VESSELS
651
NERVES
OTHER
TOTAL
848
2,546
1.0
1.3
3.9
4
1
0
3
27
0
0
0
0
0
0
0
0
0
0
0
0
13
1
3
0
4
1
0
3
40
73,285
1,807
2
585
36
550
42
56
167
4,156
561
888
8
321
24
358
34
29
98
2,321
111
312
5
61
4
83
13
10
29
628
-MOTORCYCLE PASSENGERS
11
29
1
4
1
6
1
0
2
55
-PEDAL CYCLISTS
96
181
0
97
1
33
3
4
8
423
-PEDESTRIANS
332
748
4
329
7
120
13
12
34
1,599
-OTHER
154
428
3
114
5
68
6
11
35
824
2,176
4,393
23
1,511
78
1,218
112
122
373
10,006
MOTOR VEHICLE TRAFFIC
SUBTOTAL
Table 27
BURNS
12,234
% of TOTAL INJURIES *
E800-807 RAILWAY
E810-819
ORTHO
Appendix H - Page 55
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 27
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY (N CODE) TYPE, 2002-2003
SUPERFICIAL
TOTAL
6,896
18.6
68.9
1.6
10.5
0.5
4.9
-DRIVERS
305
816
3
222
18
-PASSENGERS
107
219
2
68
58
246
3
-MOTORCYCLE PASSENGERS
0
5
-PEDAL CYCLISTS
7
-PEDESTRIANS
-OTHER
BLOOD
VESSELS
651
NERVES
OTHER
TOTAL
848
2,546
1.0
1.3
3.9
181
17
24
59
1,645
6
32
4
5
12
455
39
3
39
5
9
10
412
0
1
0
0
0
0
0
6
25
0
12
0
4
0
1
2
51
49
135
1
25
0
13
3
2
7
235
50
190
0
28
2
32
6
6
11
325
576
1,636
9
395
29
301
35
47
101
3,129
73,285
3
12
0
5
0
0
0
0
1
21
166
730
1
187
2
84
6
7
25
1,208
0
1
0
0
0
0
0
0
0
1
169
743
1
192
2
84
6
7
26
1,230
-PEDESTRIANS
4
8
0
1
0
1
0
0
1
15
-PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
-OTHER
42
204
0
49
0
30
4
2
8
339
SUBTOTAL
46
212
0
50
0
31
4
2
9
354
WATER TRANSPORT
29
89
2
17
3
12
2
3
11
168
PEDAL CYCLE
-PEDESTRIANS
-PEDAL CYCLISTS
-OTHER
SUBTOTAL
Table 27
SPINAL INTERNAL
CORD
335
3,261
1,086
SUBTOTAL
E830-838
HEAD
45,428
-MOTORCYCLE DRIVERS
E827-829
BURNS
12,234
% of TOTAL INJURIES *
E820-825 MOTOR VEHICLE NON TRAFFIC
E826
ORTHO
OTHER ROAD VEHICLE
Appendix H - Page 56
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 27
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY (N CODE) TYPE, 2002-2003
SUPERFICIAL
TOTAL
6,896
18.6
68.9
1.6
10.5
0.5
4.9
-OCCUPANTS
1
3
1
2
0
-PARACHUTIST
1
15
0
2
-OTHER
3
9
1
SUBTOTAL
5
27
28
E890-899
FIRE AND FLAMES
E900-902 & NATURAL AND ENVIRONMENTAL
E906-909 FACTORS
E910
DROWNING
E913
SUFFOCATION
E914-915
FOREIGN BODIES (EXCLUDING
CHOKING)
OTHER INCIDENTS
SUICIDE & SELF INFLICTED
INJURY (EXCL. POISONINGS)
E960-961 & HOMICIDE AND INJURY
E963-968 PURPOSELY INFLICTED
E970-976 & LEGAL INTERVENTION
E978
E983-988 UNDETERMINED WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
E990-998 OPERATIONS OF WAR
BLOOD
VESSELS
651
NERVES
OTHER
TOTAL
848
2,546
1.0
1.3
3.9
2
0
0
0
9
0
1
0
2
1
22
3
0
1
0
0
0
17
2
7
0
4
0
2
1
48
64
0
15
2
9
1
2
6
127
4,748
30,547
12
3,582
166
776
132
172
1,024
41,159
12
13
343
0
0
1
0
0
3
372
304
147
8
27
1
26
1
6
282
802
3
7
0
4
1
2
0
0
81
98
1
0
0
0
0
0
0
0
1
2
74
3
2
5
0
31
0
2
13
130
2,444
6,361
632
590
35
342
224
383
484
11,495
677
130
37
47
11
69
39
40
39
1,089
813
944
9
426
7
327
78
41
66
2,711
8
12
0
0
0
8
2
1
1
32
113
80
5
25
0
16
14
18
22
293
0
0
0
0
0
0
0
0
0
0
* The denominator for percentage is the total number of injury hospitalizations (65,891).
Table 27
SPINAL INTERNAL
CORD
335
3,261
1,086
E880-888
E953-958
HEAD
45,428
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
E916-928
BURNS
12,234
% of TOTAL INJURIES *
E840-845 AIR AND SPACE TRANSPORT
E846-848
ORTHO
Appendix H - Page 57
73,285
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 27
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY (N CODE) TYPE, 2002-2003
SUPERFICIAL
TOTAL
% of TOTAL INJURIES *
ORTHO
BURNS
HEAD
12,234
45,428
1,086
6,896
18.6
68.9
1.6
10.5
SPINAL INTERNAL
CORD
335
3,261
0.5
BLOOD
VESSELS
651
4.9
1.0
NERVES
OTHER
848
2,546
1.3
3.9
TOTAL
73,285
Note: This table reports on the first documented E Code. If a hospitalization has injury N Codes that fall into several injury (N Code) types, each is counted
once. If a hospitalization has several injury N Codes that all fall into one injury type, the type is counted only once.
Table 27
Appendix H - Page 58
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 28
EXTERNAL CAUSES OF INJURY BY INJURY (N CODE) TYPE
FOR FALLS, 2002-2003 (ICD-10-CA W00-W19)
SUPERFICIALORTHOPEDIC BURNS
TOTAL
HEAD
SPINAL
CORD
INTERNAL
BLOOD
VESSEL
NERVE
OTHER
TOTAL
4,748
30,547
12
3,582
166
776
132
172
1,024
12.1
77.9
0.0
9.1
0.4
2.0
0.3
0.4
2.6
71
1,790
0
104
1
18
4
9
41
2,038
1,033
8,656
5
532
15
114
28
26
223
10,632
ICE SKATES
12
250
0
32
0
3
1
3
4
305
SKIS
% OF TOTAL INJURIES*
W00 FALL ON THE SAME LEVEL
INVOLVING ICE AND SNOW
W01 SLIPPING, TRIPPING, STUMBLING
41,159
W02 INVOLVING SKATES, SKIS, SPORT
BOARDS AND ROLLERBLADES
13
258
0
21
4
12
1
2
6
317
ROLLERBLADES
6
147
0
10
0
6
1
2
0
172
SKATEBOARDS
10
181
0
10
0
8
0
1
2
212
SNOWBOARDS
9
241
0
23
0
47
0
5
5
330
NON-MOTORIZED SCOOTER
13
98
1
13
0
1
0
0
2
128
SUBTOTAL
63
1,175
1
109
4
77
3
13
19
1,464
15
166
0
23
1
3
1
3
4
216
9
35
0
36
0
1
2
0
1
84
71
380
0
47
0
1
0
2
10
511
W03 COLLISION WITH OR PUSHED BY
ANOTHER PERSON
W04 WHILE BEING CARRIED OR
SUPPORTED BY ANOTHER PERSON
W05 INVOLVING WHEELCHAIR AND
OTHER TYPES OF WALKING DEVICES
Table 28
Appendix H - Page 59
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 28
EXTERNAL CAUSES OF INJURY BY INJURY (N CODE) TYPE
FOR FALLS, 2002-2003 (ICD-10-CA W00-W19)
TOTAL
SUPERFICIALORTHOPEDIC BURNS
4,748
30,547
12
HEAD
3,582
SPINAL
BLOOD
CORD INTERNAL VESSEL
NERVE
OTHER
TOTAL
166
776
132
172
1,024
41,159
12.1
77.9
0.0
9.1
0.4
2.0
0.3
0.4
2.6
317
924
0
145
2
7
7
2
49
1,453
W07 INVOLVING CHAIR
94
589
0
58
1
11
1
3
17
774
W08 INVOLVING OTHER FURNITURE
38
233
0
55
0
4
0
1
12
343
W09 PLAYGROUND EQUIPMENT
% OF TOTAL INJURIES*
W06 INVOLVING BED
11
531
1
39
3
8
3
13
6
615
W10 STAIRS OR STEPS
492
3,002
0
650
38
111
16
19
116
4,444
W11 ON/FROM LADDER
148
1,008
0
113
15
78
11
14
37
1,424
14
80
0
17
2
13
1
3
2
132
109
528
1
92
20
74
10
12
20
866
W14 FROM TREE
27
170
0
17
1
32
1
8
9
265
W15 FROM CLIFF
5
15
0
5
1
1
0
0
6
33
W16 DIVING OR JUMPING INTO WATER
7
68
0
7
18
4
1
0
4
109
W17 OTHER FALL FROM ONE LEVEL TO
ANOTHER
196
1,131
1
235
15
64
4
12
42
1,700
W18 OTHER FALL ON SAME LEVEL
781
3,532
2
493
10
58
14
8
120
5,018
1,247
6,534
1
805
19
97
25
24
286
9,038
W12 ON OR FROM SCAFFOLDING
W13 FROM, OUT OF OR THROUGH
BUILDING OR STRUCTURE
W19 UNSPECIFIED FALL
*The denominator for percentage is the total number of injury hospitalizations due to unintentional falls (39,201).
Note: This table reports on the first documented external cause of injury. If a hospitalization has injury N Codes that fall into
several injury (N Code) types, each is counted once. If a hospitalization has several injury N Codes that all fall into one injury
type, the type is counted only once.
Table 28
Appendix H - Page 60
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 29
RESIDENCE CODE (REGION) BY ADMITTING HOSPITAL REGION, 2002-2003
ADMITTING HOSPITAL REGION
TOTAL
S.W
RESIDENCE CODE (REGION)
TRANSIENTS
SOUTHWESTERN (S.W.)
C.S.
%*
No.
C.W.
%*
No.
C.E.
%*
No.
T
%*
No.
E
%*
No.
N
%*
No.
%*
No.
%**
No.
0.0
0
0.0
0
0.0
0
0.0
0
0.0
0
0.0
0
0.0
0
0.0
10,503 94.3
57
0.7
142
1.7
75
0.8
66
0.5
16
0.2
41
0.6
10,900
16.5
7,049 91.6
169
2.0
32
0.4
60
0.5
13
0.1
25
0.3
7,495
11.4
7,427 87.3
160
1.8
892
6.7
32
0.4
73
1.0
9,236
14.0
7,998 89.4
1,852 13.9
201
2.2
78
1.1
10,333
15.7
9,960 74.9
36
0.4
61
0.9
11,031
16.7
8,287 90.6
18
0.3
8,460
12.8
6,706 93.5
7,325
11.1
0
CENTRAL SOUTH (C.S.)
147
1.3
CENTRAL WEST (C.W.)
230
2.1
422
5.5
CENTRAL EAST (C.E.)
60
0.5
40
0.5
104
1.2
TORONTO (T.)
47
0.4
44
0.6
550
6.5
333
3.7
EASTERN (E.)
15
0.1
6
0.1
6
0.1
88
1.0
40
0.3
NORTHERN (N.)
42
0.4
15
0.2
14
0.2
173
1.9
273
2.1
102
1.1
CANADA REMAINING
34
0.3
22
0.3
46
0.5
35
0.4
69
0.5
401
4.4
121
1.7
728
1.1
U.S.A
40
0.4
20
0.3
18
0.2
24
0.3
22
0.2
30
0.3
42
0.6
196
0.3
OTHER WORLD REMAINING
14
0.1
21
0.3
35
0.4
26
0.3
56
0.4
24
0.3
8
0.1
184
0.3
TOTAL
11,132 16.9
7,696 11.7
8,511 12.9
8,944 13.6
13,290 20.2
9,142 13.9
* The denominator for percentage is column total.
** The denominator for percentage is the total number of injury hospitalizations with a valid residence code ( 65,888).
The total of 65,888 reflects 3 cases with invalid Residence Codes.
Table 29
Appendix H - Page 61
7,173 10.9
65,888 100.0
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 30
RESIDENCE CODE (DHC) BY ADMITTING HOSPITAL REGION, 2002-2003
S.W
TOTAL*
C.S.
C.W.
C.E.
T
E
N
TOTAL*
11,132
7,696
8,511
8,944
13,290
9,142
7,173
65,888
88
63
99
85
147
455
171
1,108
ESSEX, KENT, LAMBTON DHC
4,013
11
18
17
14
8
13
4,094
GREY, BRUCE, HURON, PERTH DHC
2,668
10
89
39
39
3
9
2,857
THAMES VALLEY DHC
3,822
36
35
19
13
5
19
3,949
10,503
57
142
75
66
16
41
10,900
119
1,552
26
9
8
4
5
1,723
9
2,759
123
13
26
6
9
2,945
19
2,738
20
10
26
3
11
2,827
147
7,049
169
32
60
13
25
7,495
190
255
3,144
54
98
9
25
3,775
40
167
4,283
106
794
23
48
5,461
230
422
7,427
160
892
32
73
9,236
DURHAM, HALIB., KAWAR. & PINE RIDGE DHC
19
20
23
3,993
715
178
25
4,973
SIMCOE-YORK DHC
41
20
81
4,005
1,137
23
53
5,360
SUBTOTAL
60
40
104
7,998
1,852
201
78
10,333
TORONTO DHC
47
44
550
333
9,960
36
61
11,031
SUBTOTAL
47
44
550
333
9,960
36
61
11,031
NOT APPLICABLE
SOUTHWESTERN
SUBTOTAL
CENTRAL SOUTH
GRAND RIVER DHC
HAMILTON-WENTWORTH DHC
NIAGARA DHC
SUBTOTAL
CENTRAL WEST
WATERLOO-WELLINGTON-DUFFERIN DHC
HALTON-PEEL DHC
SUBTOTAL
CENTRAL EAST
TORONTO
Table 30
Appendix H - Page 62
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 30
RESIDENCE CODE (DHC) BY ADMITTING HOSPITAL REGION, 2002-2003
S.W
TOTAL*
C.S.
C.W.
C.E.
T
E
N
TOTAL*
11,132
7,696
8,511
8,944
13,290
9,142
7,173
65,888
CHAMPLAIN DHC
6
3
3
22
16
5,315
11
5,376
SOUTHEASTERN ONTARIO DHC
9
3
3
66
24
2,972
7
3,084
SUBTOTAL
15
6
6
88
40
8,287
18
8,460
ALGOMA, COCHRANE, MANIT. & SUDBURY DHC
25
5
4
13
114
44
3,029
3,234
7
8
10
159
145
42
1,591
1,962
NORTHWESTERN ONTARIO DHC
10
2
0
1
14
16
2,086
2,129
SUBTOTAL
42
15
14
173
273
102
6,706
7,325
EASTERN
NORTHERN
NORTHERN SHORES DHC
* The total of 65,888 reflects 3 cases with invalid Residence Codes.
Table 30
Appendix H - Page 63
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 31
RESIDENCE CODE (COUNTY) BY ADMITTING HOSPITAL REGION, 2002-2003
RESIDENCE CODES (COUNTY)
TOTAL*
S.W
C.S.
C.W.
C.E.
T
E
N
TOTAL*
11,132
7,696
8,511
8,944
13,290
9,142
7,173
65,888
0
0
0
0
0
0
0
0
BRUCE
671
1
29
5
7
1
4
718
ELGIN
659
2
1
3
0
2
5
672
ESSEX
2,237
6
12
13
11
6
8
2,293
GREY
798
3
36
31
28
0
3
899
HURON
648
1
5
1
0
0
0
655
KENT
909
1
5
3
0
0
2
920
LAMBTON
867
4
1
1
3
2
3
881
2,401
11
16
12
10
2
13
2,465
OXFORD
762
23
18
4
3
1
1
812
PERTH
551
5
19
2
4
2
2
585
10,503
57
142
75
66
16
41
10,900
BRANT
36
891
23
5
5
2
2
964
HALDIMAND-NORFOLK REG. MUN.
83
661
3
4
3
2
3
759
9
2,759
123
13
26
6
9
2,945
19
2,738
20
10
26
3
11
2,827
147
7,049
169
32
60
13
25
7,495
TRANSIENTS
SOUTHWESTERN
MIDDLESEX
SUBTOTAL
CENTRAL SOUTH
HAMILTON-WENT. REG. MUN
NIAGARA REG. MUN.
SUBTOTAL
Table 31
Appendix H - Page 64
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 31
RESIDENCE CODE (COUNTY) BY ADMITTING HOSPITAL REGION, 2002-2003
RESIDENCE CODES (COUNTY)
TOTAL*
S.W
C.S.
C.W.
C.E.
T
E
N
TOTAL*
11,132
7,696
8,511
8,944
13,290
9,142
7,173
65,888
DUFFERIN
11
4
227
28
34
0
4
308
HALTON REG. MUN.
16
121
1,607
23
94
8
21
1,890
PEEL REG. MUN.
24
46
2,676
83
700
15
27
3,571
108
163
1,990
23
39
8
12
2,343
71
88
927
3
25
1
9
1,124
230
422
7,427
160
892
32
73
9,236
DURHAM REG. MUN.
8
10
13
2,041
516
24
13
2,625
HALIBURTON
1
0
0
113
21
9
6
150
NORTHUMBERLAND
1
3
2
437
37
118
1
599
PETERBOROUGH
1
5
4
866
82
21
3
982
26
10
34
2,240
297
10
31
2,648
8
2
4
536
59
6
2
617
YORK REG. MUN.
15
10
47
1,765
840
13
22
2,712
SUBTOTAL
60
40
104
7,998
1,852
201
78
10,333
METRO TORONTO REG. MUN.
47
44
550
333
9,960
36
61
11,031
SUBTOTAL
47
44
550
333
9,960
36
61
11,031
CENTRAL WEST
WATERLOO REG. MUN.
WELLINGTON
SUBTOTAL
CENTRAL EAST
SIMCOE
VICTORIA
TORONTO
Table 31
Appendix H - Page 65
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 31
RESIDENCE CODE (COUNTY) BY ADMITTING HOSPITAL REGION, 2002-2003
RESIDENCE CODES (COUNTY)
TOTAL*
S.W
C.S.
C.W.
C.E.
T
E
N
TOTAL*
11,132
7,696
8,511
8,944
13,290
9,142
7,173
65,888
FRONTENAC
5
1
0
5
1
688
2
702
HASTINGS
1
2
2
56
14
756
2
833
LANARCK
1
0
0
3
1
470
0
475
LEEDS & GRENVILLE
0
0
1
0
2
631
1
635
LENNOX & ADDINGTON
1
0
0
0
2
235
2
240
OTTAWA-CARLETON REG. MUN
4
3
3
10
9
3,491
7
3,527
PRESCOTT & RUSSELL
2
0
0
1
1
351
0
355
PRINCE EDWARD
1
0
0
2
4
192
0
199
RENFREW
0
0
0
6
4
778
4
792
STORMONT, DUNDAS & GLENGARRY
0
0
0
5
2
695
0
702
15
6
6
88
40
8,287
18
8,460
EASTERN
SUBTOTAL
Table 31
Appendix H - Page 66
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 31
RESIDENCE CODE (COUNTY) BY ADMITTING HOSPITAL REGION, 2002-2003
RESIDENCE CODES (COUNTY)
TOTAL*
S.W
C.S.
C.W.
C.E.
T
E
N
TOTAL*
11,132
7,696
8,511
8,944
13,290
9,142
7,173
65,888
18
1
2
2
31
7
1,011
1,072
COCHRANE DISTRICT
2
0
1
3
42
20
722
790
KENORA DISTRICT
4
1
0
1
3
9
640
658
MANITOULIN DISTRICT
0
0
0
0
4
0
156
160
MUSKOKA DISTRICT
1
5
3
135
70
2
349
565
NIPISSING DISTRICT
2
2
3
4
34
26
682
753
PARRY SOUND DISTRICT
1
1
4
20
29
3
299
357
RAINY RIVER DISTRICT
1
0
0
0
1
2
225
229
SUDBURY REG. MUN.
2
3
1
5
19
7
975
1,012
SUDBURY DISTRICT
3
1
0
3
18
10
165
200
TIMISKAMING DISTRICT
3
0
0
0
12
11
261
287
THUNDERBAY DISTRICT
5
1
0
0
10
5
1,221
1,242
42
15
14
173
273
102
6,706
7,325
NORTHERN
ALGOMA DISTRICT
SUBTOTAL
Table 31
Appendix H - Page 67
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 31
RESIDENCE CODE (COUNTY) BY ADMITTING HOSPITAL REGION, 2002-2003
RESIDENCE CODES (COUNTY)
TOTAL*
S.W
C.S.
C.E.
T
E
N
TOTAL*
11,132
7,696
8,511
8,944
13,290
9,142
7,173
65,888
8
5
11
9
22
283
44
382
MANITOBA
3
1
4
1
9
1
29
48
ALBERTA
7
3
9
9
8
8
14
58
BRITISH COLUMBIA
4
3
5
6
8
8
19
53
NEW BRUNSWICK
2
1
3
1
3
11
2
23
NEWFOUNDLAND
1
2
5
2
7
3
4
24
N.W. TERRITORIES
1
0
1
0
0
72
0
74
NOVA SCOTIA
3
2
3
6
4
9
2
29
P.E.I.
0
0
2
0
1
2
0
5
SASKATCHEWAN
1
1
1
1
6
2
6
18
YUKON
0
0
0
0
0
0
1
1
CANADA REMAINING
4
4
2
0
1
2
0
13
USA - NY STATE
3
6
1
1
5
5
2
23
USA - MINNESOTA STATE
0
0
0
1
0
1
1
3
USA - MICHIGAN STATE
12
1
1
1
1
2
4
22
USA REMAINING
25
13
16
21
16
22
35
148
OTHER WORLD REMAINING
14
21
35
26
56
24
8
184
SUBTOTAL
88
63
99
85
147
455
171
1,108
REGION OTHER THAN
ONTARIO
QUEBEC
* 3 cases with invalid Residence Codes.
Table 31
C.W.
Appendix H - Page 68
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 32
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY N CODES, FOR HEAD INJURIES ONLY, 2002-2003
N800
N801
N803
N804
N850
N851
N852
N853
N854
TOTAL
TOTAL
454
867
54
103
1,249
629
2,495
469
2,999
% of TOTAL INJURIES*
6.6
12.6
0.8
1.5
18.1
9.1
36.2
6.8
43.5
- PEDESTRIANS
0
2
0
0
0
0
2
0
1
5
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
- OCCUPANTS AND OTHER
0
0
0
0
0
0
0
0
0
0
SUBTOTAL
MOTOR VEHICLE TRAFFIC
0
2
0
0
0
0
2
0
1
5
- DRIVERS
30
64
5
13
124
88
154
47
276
801
- PASSENGERS
31
54
2
12
61
52
99
30
150
491
- MOTORCYCLE DRIVERS
1
8
0
0
11
8
16
5
27
76
- MOTORCYCLE PASSENGERS
0
0
0
0
1
3
1
0
1
6
- PEDAL CYCLISTS
9
24
0
3
14
11
43
12
41
157
34
79
2
6
63
51
159
30
139
563
E800-807
E810-819
RAILWAY
- PEDESTRIANS
- OTHER
E820-825
6
16
6
4
20
13
40
9
50
164
111
245
15
38
294
226
512
133
684
2,258
- DRIVERS
8
25
2
3
55
23
59
13
101
289
- PASSENGERS
5
10
0
2
17
4
13
4
35
90
- MOTORCYCLE DRIVERS
1
6
1
2
17
7
7
1
13
55
- MOTORCYCLE PASSENGERS
0
0
0
0
1
0
0
0
0
1
- PEDAL CYCLISTS
0
1
0
1
4
0
3
0
6
15
- PEDESTRIANS
2
5
0
0
6
1
7
1
10
32
1
6
0
1
5
3
10
3
11
40
17
53
3
9
105
38
99
22
176
522
SUBTOTAL
MOTOR VEHICLE NON
TRAFFIC
- OTHER
SUBTOTAL
Table 32
9,319
Appendix H - Page 69
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 32
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY N CODES, FOR HEAD INJURIES ONLY, 2002-2003
N800
N801
N803
N804
N850
N851
N852
N853
N854
TOTAL
TOTAL
454
867
54
103
1,249
629
2,495
469
2,999
% of TOTAL INJURIES*
6.6
12.6
0.8
1.5
18.1
9.1
36.2
6.8
43.5
0
2
1
0
1
0
3
0
1
8
16
22
1
0
83
9
47
10
78
266
0
0
0
0
0
0
0
0
0
0
16
24
2
0
84
9
50
10
79
274
- PEDESTRIANS
0
0
0
0
1
0
0
0
0
1
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
- OTHER
0
1
0
1
20
2
10
5
17
56
SUBTOTAL
0
1
0
1
21
2
10
5
17
57
WATER TRANSPORT
AIR AND SPACE
TRANSPORT
4
4
0
1
4
1
5
1
6
26
- OCCUPANTS
0
0
0
2
0
0
0
0
0
2
- PARACHUTIST
1
0
0
0
1
1
0
0
0
3
- OTHER
0
0
0
0
0
0
2
0
4
6
SUBTOTAL
1
0
0
2
1
1
2
0
4
11
3
2
1
0
3
2
5
1
4
21
E880-888
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
206
366
19
22
538
257
1,464
219
1,520
4,611
E890-899
FIRE AND FLAMES
0
0
0
0
0
0
0
0
0
0
E900-902 &
E906-909
E910
NATURAL AND
ENVIRONMENTAL FACTORS
2
6
0
1
9
3
9
3
10
43
DROWNING
0
0
0
0
2
0
1
0
1
4
E913
SUFFOCATION
0
0
0
0
0
0
0
0
0
0
E914-915
FOREIGN BODIES (EXCLUDING
CHOKING)
0
1
0
0
0
1
1
0
2
5
E826
PEDAL CYCLE
- PEDESTRIANS
- PEDAL CYCLISTS
- OTHER
E827-829
E830-838
E840-845
E846-848
Table 32
9,319
SUBTOTAL
OTHER ROAD VEHICLE
Appendix H - Page 70
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 32
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY N CODES, FOR HEAD INJURIES ONLY, 2002-2003
N800
N801
N803
N804
N850
N851
N852
N853
N854
TOTAL
TOTAL
454
867
54
103
1,249
629
2,495
469
2,999
% of TOTAL INJURIES*
6.6
12.6
0.8
1.5
18.1
9.1
36.2
6.8
43.5
54
69
9
10
126
45
161
30
245
749
4
12
0
5
2
5
9
5
28
70
34
78
5
13
58
38
151
37
211
625
LEGAL INTERVENTION
0
0
0
0
0
0
0
0
0
0
UNDETERMINED WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
OPERATIONS OF WAR
2
4
0
1
2
1
14
3
11
38
0
0
0
0
0
0
0
0
0
0
E916-928
OTHER INCIDENTS
E953-958
SUICIDE & SELF INFLICTED
INJURY (EXCL. POISONINGS)
HOMICIDE AND INJURY
PURPOSELY INFLICTED
E960-961 &
E963-968
E970-976 &
E978
E983-988
E990-998
* The denominator for percentage is the total number in the head injury (N Code) type (6,896)
Note: This table reports on the first documented code. If a hospitalization has more than one unique head injury N Code, each is counted.
Duplicate head injury N Codes are counted only once.
Table 32
Appendix H - Page 71
9,319
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 33
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR HEAD INJURIES ONLY, 2002-2003
<1
188
2.7
1-4
295
4.3
- PEDESTRIANS
0
0
0
0
2
0
0
0
0
0
0
0
1
0
3
0.0
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OCCUPANTS AND OTHER
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
0
2
0
0
0
0
0
0
0
1
0
3
0.0
- DRIVERS
0
0
0
1
96
78
120
100
59
54
48
27
2
0
585
8.5
- PASSENGERS
8
18
30
37
70
44
26
21
24
18
12
11
2
0
321
4.7
- MOTORCYCLE DRIVERS
0
0
0
1
6
11
23
6
9
3
0
1
1
0
61
0.9
- MOTORCYCLE
PASSENGERS
- PEDAL CYCLISTS
0
0
1
0
0
0
2
1
0
0
0
0
0
0
4
0.1
0
1
15
18
13
8
9
11
10
4
4
3
1
0
97
1.4
- PEDESTRIANS
0
10
28
41
45
18
24
31
27
35
32
25
13
0
329
4.8
3
11
0
4
3
16
12
16
18
7
10
10
12
3
0
114
1.7
29
78
101
246
171
220
188
136
124
106
79
22
0
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E800-807
E810-819
85+
Unk Total
%
549
0 6,896 100.0
8.0
0.0 100.0
RAILWAY
SUBTOTAL
MOTOR VEHICLE TRAFFIC
- OTHER
SUBTOTAL
Table 33
5-9
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84
353
430
540
404
587
643
609
558
732 1,008
5.1
6.2
7.8
5.9
8.5
9.3
8.8
8.1
10.6
14.6
Appendix H - Page 72
1,511 21.9
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 33
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR HEAD INJURIES ONLY, 2002-2003
E820-825
E826
E827-829
Table 33
%
Unk Total
85+
549
0 6,896 100.0
8.0
0.0 100.0
1-4
295
4.3
- DRIVERS
0
0
0
17
32
37
46
36
20
15
12
6
1
0
222
3.2
- PASSENGERS
0
2
8
14
17
5
9
4
4
3
1
1
0
0
68
1.0
- MOTORCYCLE DRIVERS
0
0
1
9
8
4
6
6
2
2
0
0
1
0
39
0.6
- MOTORCYCLE
PASSENGERS
- PEDAL CYCLISTS
0
0
0
0
0
0
1
0
0
0
0
0
0
0
1
0.0
0
1
4
2
0
0
1
2
1
0
0
1
0
0
12
0.2
- PEDESTRIANS
1
2
4
0
3
3
4
0
3
2
1
0
2
0
25
0.4
- OTHER
1
2
0
1
2
5
1
7
4
4
1
1
1
0
0
28
0.4
5
18
44
65
50
74
52
34
23
15
9
4
0
395
5.7
- PEDESTRIANS
0
0
2
0
0
1
0
1
1
0
0
0
0
0
5
0.1
- PEDAL CYCLISTS
0
2
38
62
18
6
6
16
15
14
6
4
0
0
187
2.7
- OTHER
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
2
40
62
18
7
6
17
16
14
6
4
0
0
192
2.8
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
1
0
0
0
0
1
0.0
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
0
0
0
4
3
8
7
1
2
8
7
2
5
0
2
0
49
0.7
4
0
3
1
8
2
7
5
1
1
2
2
8
4
7
0
3
2
5
0
0
0
2
0
0
0
50
17
0.7
0.2
MOTOR VEHICLE NON
TRAFFIC
SUBTOTAL
PEDAL CYCLE
SUBTOTAL
OTHER ROAD VEHICLE
SUBTOTAL
E830-838
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84
5-9
353
430
540
404
587
643
609
558
732 1,008
5.1
6.2
7.8
5.9
8.5
9.3
8.8
8.1
10.6
14.6
<1
188
2.7
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
WATER TRANSPORT
Appendix H - Page 73
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 33
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR HEAD INJURIES ONLY, 2002-2003
<1
188
2.7
1-4
295
4.3
- OCCUPANTS
0
0
0
0
0
0
0
0
0
2
0
0
0
0
2
0.0
- PARACHUTIST
0
0
0
0
0
0
0
2
0
0
0
0
0
0
2
0.0
- OTHER
0
0
0
0
0
0
0
0
0
0
1
1
2
2
0
2
0
0
0
2
0
0
0
0
0
0
0
0
3
7
0.0
0.1
0
0
2
0
3
1
2
3
2
1
1
0
0
0
15
0.2
146
216
142
122
78
57
110
193
276
322
547
869
504
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
1
1
1
0
2
4
2
7
6
2
1
0
0
27
0.4
0
1
1
0
0
1
0
1
0
0
0
0
0
0
4
0.1
0
0
3
1
0
0
0
0
1
0
0
0
0
0
5
0.1
12
33
61
80
56
31
59
71
55
46
37
36
13
0
590
8.6
0
0
1
0
4
7
6
12
8
4
4
1
0
0
47
0.7
15
2
2
9
55
73
97
85
63
10
8
5
2
0
426
6.2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
2
2
0
0
1
1
3
5
4
1
1
4
1
0
25
0.4
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E840-845
E880-888
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
E890-899
FIRE AND FLAMES
E900-902 & NATURAL AND
ENVIRONMENTAL
E906-909
FACTORS
E910 & 913 DROWNING,
SUFFOCATION
FOREIGN BODIES
E914-915
(EXCLUDING CHOKING)
OTHER INCIDENTS
E916-928
SUICIDE & SELF
E953-958
INFLICTED INJURY (EXCL.
POISONINGS)
E960-961 & HOMICIDE AND INJURY
PURPOSELY INFLICTED
E963-968
E970-976 & LEGAL INTERVENTION
E978
UNDETERMINED
E983-988
WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
Table 33
85+
Unk Total
%
549
0 6,896 100.0
8.0
0.0 100.0
AIR AND SPACE
TRANSPORT
SUBTOTAL
E846-848
5-9
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84
353
430
540
404
587
643
609
558
732 1,008
5.1
6.2
7.8
5.9
8.5
9.3
8.8
8.1
10.6
14.6
Appendix H - Page 74
3,582 51.9
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 33
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR HEAD INJURIES ONLY, 2002-2003
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E990-998
OPERATIONS OF WAR
<1
188
2.7
1-4
295
4.3
0
0
5-9
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84
353
430
540
404
587
643
609
558
732 1,008
5.1
6.2
7.8
5.9
8.5
9.3
8.8
8.1
10.6
14.6
0
0
0
0
0
0
0
0
0
85+
Unk Total
%
549
0 6,896 100.0
8.0
0.0 100.0
0
Note: This table reports the first documented E Code and represents the number of cases with at least one head injury documented.
Table 33
Appendix H - Page 75
0
0
0
0.0
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 34
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR SPINAL CORD INJURIES ONLY, 2002-2003
<1
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E800-807
E810-819
5-9
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84
15
21
27
46
59
47
34
33
36
4.5
6.3
8.1
13.7
17.6
14.0
10.1
9.9
10.7
85+
Unk Total
%
12
0
335 100.0
3.6
0.0 100.0
3
0.9
2
0.6
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OCCUPANTS AND OTHER
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- DRIVERS
0
0
0
0
1
4
8
8
7
3
3
2
0
0
36 10.7
- PASSENGERS
0
1
2
2
3
4
2
3
3
1
1
1
1
0
24
7.2
- MOTORCYCLE DRIVERS
0
0
0
0
0
1
1
1
1
0
0
0
0
0
4
1.2
- MOTORCYCLE
PASSENGERS
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
1
0
0
0
1
0.3
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0.3
- PEDESTRIANS
0
1
0
0
1
2
0
3
0
0
0
0
0
0
7
2.1
- OTHER
0
0
0
0
0
1
0
2
1
1
0
0
0
0
0
5
1.5
2
2
2
6
11
13
16
13
4
5
3
1
0
RAILWAY
SUBTOTAL
MOTOR VEHICLE TRAFFIC
SUBTOTAL
Table 34
1-4
0
0.0
Appendix H - Page 76
78 23.3
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 34
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR SPINAL CORD INJURIES ONLY, 2002-2003
E820-825
E826
E827-829
Table 34
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84
15
21
27
46
59
47
34
33
36
4.5
6.3
8.1
13.7
17.6
14.0
10.1
9.9
10.7
%
Unk Total
85+
12
0
335 100.0
3.6
0.0 100.0
0
0.0
3
0.9
2
0.6
- DRIVERS
0
0
0
1
2
3
4
5
1
1
0
0
1
0
18
5.4
- PASSENGERS
0
0
0
1
3
1
0
0
0
0
1
0
0
0
6
1.8
- MOTORCYCLE DRIVERS
0
0
0
0
0
0
3
0
0
0
0
0
0
0
3
0.9
- MOTORCYCLE
PASSENGERS
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
0
0
0
0
1
0
0
1
0
0
0
0
0
0
0
2
0.6
0
0
3
5
4
8
5
1
1
1
0
1
0
29
8.7
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
2
0
0
0
0
0
2
0.6
- OTHER
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
0
0
0
0
0
0
2
0
0
0
0
0
2
0.6
- PEDESTRIANS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PEDAL CYCLISTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
1
0
0
0
0
0
0
0
0
0
3
0.0
0.9
MOTOR VEHICLE NON
TRAFFIC
SUBTOTAL
PEDAL CYCLE
SUBTOTAL
OTHER ROAD VEHICLE
SUBTOTAL
E830-838
5-9
1-4
<1
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
WATER TRANSPORT
Appendix H - Page 77
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 34
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR SPINAL CORD INJURIES ONLY, 2002-2003
<1
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
1-4
5-9
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84
15
21
27
46
59
47
34
33
36
4.5
6.3
8.1
13.7
17.6
14.0
10.1
9.9
10.7
85+
Unk Total
%
12
0
335 100.0
3.6
0.0 100.0
0
0.0
3
0.9
2
0.6
- OCCUPANTS
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- PARACHUTIST
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
- OTHER
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0.0
0
0
0
0
0
0
0
1
0
1
0
0
0
0
2
0.6
E880-888
VEHICLE INCIDENTS NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
0
1
0
6
6
5
12
24
27
21
25
30
9
0
E890-899
FIRE AND FLAMES
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
0
0
0
0
0
0
0
1
0
0
0
0
0
1
0.3
0
0
0
0
0
1
0
0
0
0
0
0
0
0
1
0.3
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
E840-845
AIR AND SPACE
TRANSPORT
SUBTOTAL
E846-848
E900-902 & NATURAL AND
ENVIRONMENTAL
E906-909
FACTORS
E910 & 913 DROWNING,
SUFFOCATION
FOREIGN BODIES
E914-915
(EXCLUDING CHOKING)
OTHER INCIDENTS
E916-928
166 49.6
0
0
0
3
3
5
5
10
2
1
2
3
1
0
35 10.4
SUICIDE & SELF
E953-958
INFLICTED INJURY (EXCL.
POISONINGS)
E960-961 & HOMICIDE AND INJURY
PURPOSELY INFLICTED
E963-968
0
0
0
0
0
1
3
2
1
4
0
0
0
0
11
3.3
0
0
0
0
1
0
4
1
0
1
0
0
0
0
7
2.1
E970-976 & LEGAL INTERVENTION
E978
UNDETERMINED
E983-988
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0.0
WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
Table 34
Appendix H - Page 78
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 34
EXTERNAL CAUSES OF INJURY (E CODES) BY AGE GROUP
FOR SPINAL CORD INJURIES ONLY, 2002-2003
<1
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
E990-998
OPERATIONS OF WAR
1-4
5-9
0
0.0
3
0.9
2
0.6
0
0
0
10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84
15
21
27
46
59
47
34
33
36
4.5
6.3
8.1
13.7
17.6
14.0
10.1
9.9
10.7
0
0
0
0
0
0
0
0
0
85+
Unk Total
%
12
0
335 100.0
3.6
0.0 100.0
0
Note: This table reports the first documented E Code and represents the number of cases with at least one spinal cord injury documented.
Table 34
Appendix H - Page 79
0
0
0.0
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 35
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY N CODES, FOR SPINAL CORD
INJURIES ONLY, 2002-2003
N952
TOTAL
E800-807
E810-819
E820-825
353
RAILWAY
- PEDESTRIANS
0
- PEDAL CYCLISTS
0
- OCCUPANTS AND OTHER
0
SUBTOTAL
MOTOR VEHICLE TRAFFIC
0
- DRIVERS
37
- PASSENGERS
26
- MOTORCYCLE DRIVERS
5
- MOTORCYCLE PASSENGERS
1
- PEDAL CYCLISTS
1
- PEDESTRIANS
8
- OTHER
5
SUBTOTAL
MOTOR VEHICLE NON
TRAFFIC
83
- DRIVERS
20
- PASSENGERS
6
- MOTORCYCLE DRIVERS
3
- MOTORCYCLE PASSENGERS
0
- PEDAL CYCLISTS
0
- PEDESTRIANS
0
- OTHER
2
SUBTOTAL
Table 35
31
Appendix H - Page 80
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 35
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY N CODES, FOR SPINAL CORD
INJURIES ONLY, 2002-2003
N952
TOTAL
E826
353
PEDAL CYCLE
- PEDESTRIANS
0
- PEDAL CYCLISTS
2
- OTHER
0
SUBTOTAL
OTHER ROAD VEHICLE
2
- PEDESTRIANS
0
- PEDAL CYCLISTS
0
- OTHER
0
SUBTOTAL
0
WATER TRANSPORT
AIR AND SPACE
TRANSPORT
3
- OCCUPANTS
0
- PARACHUTIST
0
- OTHER
0
SUBTOTAL
0
2
E880-888
VEHICLE INCIDENT NOT
ELSEWHERE CLASSIFIED
UNINTENTIONAL FALLS
E890-899
FIRE AND FLAMES
0
E900-902 &
E906-909
E910
NATURAL AND
ENVIRONMENTAL FACTORS
1
DROWNING
1
E913
SUFFOCATION
0
E914-915
FOREIGN BODIES (EXCLUDING
CHOKING)
0
E827-829
E830-838
E840-845
E846-848
Table 35
174
Appendix H - Page 81
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 35
EXTERNAL CAUSES OF INJURY (E CODES) BY INJURY N CODES, FOR SPINAL CORD
INJURIES ONLY, 2002-2003
N952
TOTAL
353
E916-928
OTHER INCIDENTS
36
E953-958
SUICIDE & SELF INFLICTED
INJURY (EXCL. POISONINGS)
HOMICIDE AND INJURY
PURPOSELY INFLICTED
12
E960-961 &
E963-968
E970-976 &
E978
E983-988
E990-998
8
LEGAL INTERVENTION
0
UNDETERMINED WHETHER
UNINTENTIONALLY OR
PURPOSELY INFLICTED
OPERATIONS OF WAR
0
0
Note: This table reports on the first documented E Code.
Table 35
Appendix H - Page 82
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 36
PATIENT DAYS, MEAN & MEDIAN LOS BY SEX AND AGE FOR DROWNING* RELATED HOSPITALIZATIONS, 2002-2003
<1
1-4
5-9
10-14
15-19
20-24
25-34
35-44
45-54
55-64
65-74
75-84
85+
UNK
Total
TOTAL
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
MEDIAN LOS
2
24
14
19
7
5
5
9
9
13
6
7
0
0
120
1.7
20.0
11.7
15.8
5.8
4.2
4.2
7.5
7.5
10.8
5.0
5.8
0.0
0.0
100.0
3
48
71
76
53
11
22
66
27
58
24
70
0
0
529
0.6
9.1
13.4
14.4
10.0
2.1
4.2
12.5
5.1
11.0
4.5
13.2
0.0
0.0
100.0
1.5
2.0
5.1
4.0
7.6
2.2
4.4
7.3
3.0
4.5
4.0
10.0
0.0
0.0
4.4
1.5
1.0
1.0
2.0
2.0
1.0
2.0
3.0
2.0
3.0
3.5
7.0
0.0
0.0
2.0
0
7
3
9
2
0
3
3
5
8
1
2
0
0
43
0.0
16.3
7.0
20.9
4.7
0.0
7.0
7.0
11.6
18.6
2.3
4.7
0.0
0.0
100.0
FEMALES
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
MEDIAN LOS
0
17
8
46
4
0
18
19
7
36
2
14
0
0
171
0.0
9.9
4.7
26.9
2.3
0.0
10.5
11.1
4.1
21.1
1.2
8.2
0.0
0.0
100.0
0.0
2.4
2.7
5.1
2.0
0.0
6.0
6.3
1.4
4.5
2.0
7.0
0.0
0.0
4.0
0.0
1.0
1.0
4.0
2.0
0.0
2.0
3.0
1.0
3.5
2.0
7.0
0.0
0.0
2.0
MALES
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of PATIENT DAYS
% of PATIENT DAYS
MEAN LOS
MEDIAN LOS
2
17
11
10
5
5
2
6
4
5
5
5
0
0
77
2.6
22.1
14.3
13.0
6.5
6.5
2.6
7.8
5.2
6.5
6.5
6.5
0.0
0.0
100.0
3
31
63
30
49
11
4
47
20
22
22
56
0
0
358
0.8
8.7
17.6
8.4
13.7
3.1
1.1
13.1
5.6
6.1
6.1
15.6
0.0
0.0
100.0
1.5
1.8
5.7
3.0
9.8
2.2
2.0
7.8
5.0
4.4
4.4
11.2
0.0
0.0
4.6
1.5
1.0
1.0
2.0
1.0
1.0
2.0
3.5
3.5
3.0
5.0
4.0
0.0
0.0
2.0
* Includes:
Damage to watercraft causing submersion (E830) (Boat related)
Other unintentional submersion or drowning in water transport incident (E832) (Boat related)
Unintentional drowning and submersion (E910)
Table 36
Appendix H - Page 83
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 37
SUMMARY OF GUNSHOT WOUND HOSPITALIZATIONS BY METHOD, 2002-2003
Handgun
Shotgun, Hunting
and Military Rifle
Other
Total
Number of Hospitalizations
29
14
42
85
-Unintentional
7
14
46
67
-Suicide & Self Inflicted
3
17
11
31
-Undetermined
3
0
6
9
-Other
N/A
N/A
4
4
TOTAL
42
45
109
196
-Mean
27.5
40.6
30.0
31.9
-Median
24.5
37.0
26.0
26.0
-Standard Deviation
11.4
20.0
14.0
15.8
-Mean
22.6
18.9
9.0
14.2
3.0
7.0
4.0
4.0
93.5
29.7
15.8
47.0
92.9
93.3
95.4
94.4
11
7
9
27
-Assault
Age
Length of Stay
-Median
-Standard Deviation
Percent Males
Inhospital Deaths
Table 37
Appendix H - Page 84
2004 Ontario Trauma Registry - Injury Hospitalizations (Provincial), 2002-2003
Table 38
DISCHARGE DISPOSITION BY AGE GROUP
FOR ALL INJURY HOSPITALIZATIONS, 2002-2003
<1
1-4
5-9
412
1,542
2,187
2,725
3,250
2,853
5,164
6,575
6,125
5,782
0.6
2
2.3
8
3.3
9
4.1
8
4.9
30
4.3
33
7.8
57
10.0
62
9.3
84
8.8
158
0.1
408
0.3
1,530
0.3
2,175
0.3
2,709
1.1
3,205
1.2
2,805
2.1
5,087
2.3
6,484
3.2
5,997
6.0
5,571
0.7
2.4
3.5
4.3
5.1
4.5
8.1
10.4
9.6
8.9
11.1
355
1,450
2,059
2,487
2,821
2,408
4,301
5,333
4,700
3,757
- OUTPATIENTS
2
0
5
7
4
4
7
8
13
- ACUTE CARE
19
30
35
87
160
129
241
357
- GENERAL REHAB.
0
0
0
0
23
44
102
- CHRONIC
0
3
6
10
9
11
- NURSING HOME
0
0
0
0
2
- PSYCHIATRIC
0
0
0
4
- SPECIAL REHAB.
0
1
2
10
35
- HOME FOR THE AGED
0
- SAME DAY SURGERY
No. of HOSPITALIZATIONS
% of HOSPITALIZATIONS
No. of INHOSPITAL DEATHS
% of INHOSPITAL DEATHS
No. DISCHARGE ALIVE
% of DISCHARGED ALIVE
- DISCHARGED HOME
- HOME CARE
- UNCLASSIFIED
10-14
15-19
20-24
25-34
45-54
55-64
65-74
75-84
Unk
Total
%
0
19.0
878
14.1
963
0.0
0
100.0
2,655
4.0
13.7
33.1
6,959 11,458
36.3
8,161
0.0
0
100.0
62,549
94.8
18.3
13.0
0.0
100.0
3,340
3,597
1,551
0
38,159
57.9
8
18
20
27
0
123
0.2
355
407
751
1,351
893
0
4,815
7.3
165
204
365
840
1,794
1,282
0
4,819
7.3
13
37
69
130
321
973
920
0
2,502
3.8
2
7
13
20
76
250
1,073
1,488
0
2,931
4.4
9
6
16
10
12
12
22
12
5
0
108
0.2
0
35
28
37
49
46
65
79
127
77
0
546
0.8
65
99
131
153
329
459
537
687
1,128
1,697
874
0
6,204
9.4
0
0
0
0
0
5
10
15
34
144
672
883
0
1,763
2.7
0
1
0
1
0
1
0
1
2
2
3
9
5
0
25
0.0
22
10
3
14
11
19
29
42
24
28
63
133
156
0
554
0.8
NOTE: 687 cases have missing discharge information
Appendix H - Page 85
7,425 12,536
85+
9,315
* The denominator for percentage is the total number of injury hospitalizations (65,891).
Table 38
35-44
11.3
363
65,891 100.0
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