1. Texas EMS & Trauma Registries Hospital Data Request Injury Epidemiology & Surveillance Branch Environmental Epidemiology and Disease Registries Section Department of State Health Services (e): injury.web@dshs.state.tx.usinjury.web@dshs.state.tx.us (p): (800) 242 -3562

2. Texas EMS & Trauma Registries The following report was generated with hospital patient records submitted to the Texas EMS/Trauma Registry as of 12/22/2014. The hospital inclusion criteria are as follows per Texas Administrative Code, Title 25, Chapter 103: 1. Traumatic Brain Injuries An acquired injury to the brain, including brain injuries caused by anoxia due to submersion incidents. The following International Classification of Diseases 9th Revision Clinical Modification (ICD-9-CM) diagnostic codes are to be used to identify cases of traumatic brain injury: 800.0-801.9, 803.0-804.9, and 850.0-854.1. The ICD-9-CM diagnostic code to be used to identify traumatic brain injury caused by anoxia due to submersion incidents is 348.1 or 994.1 (Rule § 103.2). 2. Spinal Cord Injuries An acute, traumatic lesion of the neural elements in the spinal canal, resulting in any degree of sensory deficit, motor deficits, or bladder/bowel dysfunction. The ICD-9-CM diagnostic codes are to be used to identify cases of traumatic spinal cord injury: 806.0-806.9 and 952.0-952.9 (Rule § 103.2). 3. Other Traumatic Injuries An injury listed in the ICD-9-CM diagnostic codes between 800.0 and 959.9, excluding 905-909, 910-924, and 930-939, and admitted to a hospital inpatient setting (for more than 48 hours), or died after receiving any evaluation or treatment or was dead on arrival, or transferred into or out of the hospital (Rule § 103.2). Note: The ICD-9-CM codes used above are diagnosis codes, not E-codes. www.dshs.state.tx.us/injury 2

3. This summary report only includes data on hospital records that were reported to the registry through a passive surveillance system. Additionally, these data are based on hospitalizations, not patients, such that if a patient was hospitalized more than once or transferred between facilities, both hospital records will be included. In this report: Only hospitalizations with a cause of injury due to firearms were included www.dshs.state.tx.us/injury Texas EMS & Trauma Registries 3

4. Firearm Injuries, Texas 2013 There were a total of 3546 hospitalizations with an injury due to firearms in 2013 – 3184 (90%) were male – 1058 (30%) were 25-34 years old, and 698 (20%) were 20-24 years old – 513 (15%) were fatal injuries – 2055 (58%) had an ISS of 1-9 – 2059 (58%) were assault, 737 (21%) were unintentional 4 Source: Texas EMS & Trauma Registries Data as of: 12/22/2014

5. Firearm Injuries, Texas 2013 5 Source: Texas EMS & Trauma Registries Data as of: 12/22/2014 Firearm Injuries by Age and Sex, Texas 2013 Age Sex MaleFemaleTotal <1 year 4<56 1-4 10<511 5-9 30<532 10-14 67875 15-19 34947396 20-24 63959698 25-34 963951058 35-44 46659525 45-54 33351384 55-64 18524209 65-74 85994 75-84 39<542 85+ 14<516 Total31843623546

6. Firearm Injuries, Texas 2013 Firearm Injuries by Injury Severity Score (ISS) and Outcome, Texas 2013 ISS Category Outcome Non-fatalFatalMissing/ UnknownTotal 1-9 1739662502055 10-15 3361537388 16-24 3178724428 25-75 23832812578 Missing/ Unknown 7617497 Total 27065133273546 6 Source: Texas EMS & Trauma Registries Data as of: 12/22/2014

7. Firearm Injuries, Texas 2013 Firearm Injuries by Intent and Outcome, Texas 2013 Intent Outcome Non-fatalFatalMissing/ UnknownTotal Unintentional 59431112737 Self-Inflicted* 28420737528 Assault* 16792281522059 Other 842022126 Undetermined 6527496 Total 27065133273546 7 Source: Texas EMS & Trauma Registries Data as of: 12/22/2014 *Intentional

8. Firearm Injuries, Texas 2013 The hospital charges for firearm injuries ranged from $1 – $4,455,496 per hospitalization The total amount of hospital charges for firearm injuries in 2013 was $194,839,834.00 Hospital Charges for Firearms Injuries, Texas 2013 Non-FatalFatalUnknownTotal Number21654122772854 Min1.00 156.001.00 Max4,455,496.001,632,252.00533,426.004,455,496.00 Average78,526.6940,878.5228,836.0968,269.04 Median33,854.0018,061.008,273.0027,554.50 # missing54110150692 Sum170,010,288.0016,841,949.007,987,597.00194,839,834.00 8 Source: Texas EMS & Trauma Registries Data as of: 12/22/2014