1. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide National Trauma Data Bank 2008 Pediatric Report Version 8.0

2. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide NTDB Annual Report 2008 Editors Avery B. Nathens, MD, FACS, ChairRichard J. Fantus, MD, FACS, Chair National Trauma Data Bank SubcommitteeTrauma Registry Advisory Ad Hoc Committee American College of Surgeons Committee on Trauma Leadership John J. Fildes, MD, FACSJ. Wayne Meredith, MD, FACS Chair, Committee on TraumaMedical Director, Trauma Office Division of Research and Optimal Patient Care National Trauma Data Bank Staff Melanie Neal, Manager Sandra Goble, Statistician Chrystal Price, Coordinator National Trauma Data Bank Subcommittee Palmer Q. Bessey, MD, FACS Karen J. Brasel, MD, FACS David E. Clark, MD, FACS Arthur Cooper, MD, FACS Joseph Cuschieri, MD, FACS Richard J. Fantus, MD, FACS Jeffrey S. Hammond, MD, FACS Richard J. Kagan, MD, FACS Geoffrey R. Keyes, MD, FACS Michael D. McGonigal, MD, FACS Frederick H. Millham, MD, FACS Allen F. Morey, MD, FACS Charles E. Morrow, Jr., MD, FACS Michael L. Nance, MD, FACS Avery B. Nathens, MD, PhD, FACS Manoj R. Shah, MD, FACS Glen H. Tinkoff, MD, FACS N. Clay Mann, PhD, MS, Consultant Pediatric Surgery Subspecialty Group Arthur Cooper, MD, FACS, Chair Guy Brisseau, MD, FACS Charles S. Cox, MD, FACS Mary E. Fallat, MD, FACS Henri R. Ford, MD, FACS William D. Hardin, MD, FACS Richard J. Jackson, MD, FACS David P. Mooney, MD, FACS Michael L. Nance, MD, FACS Kennith H. Sartorelli, MD, FACS L. R. Scherer, MD, FACS Perry W. Stafford, MD, FACS

3. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Acknowledgments The American College of Surgeons Committee on Trauma wishes to thank the Centers for Disease Control and Prevention (CDC) for their support of the NTDB.

4. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Please note: The abbreviation NK/NR used on many tables denotes Not Known, Not Recorded, or Blank. If Not Applicable is not shown as a separate row on the table, then it is also included in the NK/NR category. Local ISS denotes ISS scores submitted directly by hospitals regardless of the method of calculation. ICD90 Derived are scores derived by converting ICD9 codes to AIS using the ICD 90 Mapping program and then calculating ISS with the resulting AIS severity scores. AIS Derived are calculated from AIS submitted directly by hospitals. Analyses in this report use the ICD 90 Derived ISS.

5. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Age Figure 1A

6. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Age Figure 1B

7. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Age and Gender Figure 2A

8. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Age and Gender Figure 2B

9. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Figure 3 Alcohol Use

10. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Drug Use Figure 4

11. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Primary Payment Source Figure 5

12. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Mechanisms of Injury Figure 6A

13. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Mechanism of Injury Figure 6B

14. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Mechanisms of Injury by Age Figure 7

15. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Mechanism of Injury and Age Figure 8

16. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Mechanism of Injury and Gender Figure 9A

17. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Mechanism of Injury and Gender Figure 9B

18. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Comparative Injury Severity Scores Figure 10

19. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Injury Severity Score Figure 11

20. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Injury Severity Score and Age Figure 12

21. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Injury Severity Score and Age Figure 13

22. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Work-Related Injuries Figure 14A

23. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Work-Related Injuries Figure 14B

24. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Intent Figure 15

25. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Location E-code Figure 16

26. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by AIS Body Region Figure 17

27. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by AIS 3 by AIS Body Region Figure 18

28. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by AIS Body Region Figure 19

29. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Protective Devices Figure 20

30. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Median Total EMS Length (Mins) by Mechanism of Injury Figure 21

31. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Median Total EMS Length (Mins) by Injury Severity Score Figure 22

32. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Median Length of Stay (Days) by Mechanism of Injury Figure 23

33. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Median Length of Stay (Days) by Injury Severity Score Figure 24

34. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Median Ventilator Days by Mechanisms of Injury Figure 25

35. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Median Ventilator Days by Injury Severity Score Figure 26

36. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Median ICU Days by Mechanism of Injury Figure 27

37. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Median ICU Days by Injury Severity Score Figure 28

38. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by ED Discharge Disposition Figure 29

39. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Reasons for Death in ED Figure 30

40. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Hospital Discharge Disposition Figure 31

41. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Hospital Complications Figure 32

42. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Incidents by Region Figure 33

43. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Case Fatality Rate by Region Figure 34

44. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Mechanism of Injury by Region Figure 35

45. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Injury Severity Score by Region Figure 35

46. NTDB ® Annual Report 2008 © American College of Surgeons 2008. All Rights Reserved Worldwide Resources www.ntdb.org for more information about NTDBwww.ntdb.org www.ntdbdatacenter.com to transmit data to NTDBwww.ntdbdatacenter.com www.ntdsdictionary.org for information on the new data standardwww.ntdsdictionary.org