|
|
|
National Data Source
|
National Hospital Discharge Survey
(NHDS), CDC, NCHS.
|
|
State Data Source
|
State hospital discharge systems.
|
|
Healthy People 2000 Objective
|
9.9 (Unintentional Injuries), age
adjusted to 2000 standard population.
|
|
Measure
|
Rate per 100,000 population (age
adjusted—see Comments).
|
|
Baseline
|
60.6 (1998).
|
|
Numerator
|
Number of hospitalizations for
nonfatal head injuries (principal diagnosis of ICD-9-CM codes 800-801,
803-804, 850-854, 870-873, 925).
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. civilian population.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 National Hospital
Discharge Survey:
|
|
Ø Final
Diagnoses (Including E-code diagnoses):
Ø Principal:
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Principal diagnosis is the
diagnosis chiefly responsible for admission of the person to the hospital.
|
|
Data are age-adjusted to the 2000
standard population. Age-adjusted rates are the weighted sums of age-specific
rates. For a discussion of age adjustment see Part A, section 5.
|
|
See Part C for a description of
NHDS and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Hospital Discharge Survey
(NHDS), CDC, NCHS.
|
|
State Data Source
|
State hospital discharge systems.
|
|
Healthy People 2000 Objective
|
9.10 (Unintentional Injuries), age
adjusted to 2000 standard population.
|
|
Measure
|
Rate per 100,000 population (age
adjusted—see Comments).
|
|
Baseline
|
4.5 (1998).
|
|
Numerator
|
Number of hospitalizations for
nonfatal spinal cord injuries (principal diagnosis of ICD-9-CM codes 806,
952).
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. civilian population.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 National Hospital
Discharge Survey:
|
|
Ø
Final Diagnoses (Including E-code diagnoses):
Ø
Principal:
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Principal diagnosis is the
diagnosis chiefly responsible for admission of the person to the hospital.
|
|
Data are age-adjusted to the 2000
standard population. Age-adjusted rates are the weighted sums of age-specific
rates. For a discussion of age adjustment see Part A, section 5.
|
|
See Part C for a description of
NHDS and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
State Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
Healthy People 2000 Objective
|
7.3 (Violent and Abusive
Behavior), age adjusted to 2000 standard population.
|
|
Measure
|
Rate per 100,000 population (age
adjusted—see Comments).
|
|
Baseline
|
11.3 (1998).
|
|
Numerator
|
Number of firearm-related deaths
(ICD-9 codes E922, E955.0-E955.4, E965.0-E965.4, E970, E985.0-E985.4).
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. resident population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Data are age-adjusted to the 2000
standard population. Age-adjusted rates are the weighted sums of age-specific
rates. For a discussion of age adjustment see Part A, section 5.
|
|
This objective differs from
Healthy People 2000 objective 7.3, which adjusted the death rates using the
1940 standard population. See Appendix C for comparison data.
|
|
See Part C for a description of
NVSS and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Health Interview Survey
(NHIS), CDC, NCHS.
|
|
State Data Source
|
Behavioral Risk Factor
Surveillance System (BRFSS), CDC, NCCDPHP.
|
|
Healthy People 2000 Objective
|
7.11 (Violent and Abusive
Behavior), age adjusted to 2000 standard population.
|
|
Measure
|
Percent (age adjusted—see
Comments).
|
|
Baseline
|
19 (1998).
|
|
Numerator
|
Number of persons aged 18 years
and older who report living in homes with firearms loaded and unlocked.
|
|
Denominator
|
Number of persons aged 18 years
and older who report living in homes with firearms.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 National Health
Interview Survey:
|
|
[NUMERATOR:]
Ø Is at least one of the firearms kept
unloaded and unlocked?
|
|
[DENOMINATOR:]
Ø
Are any firearms now kept in or around your home?
Include those kept in a garage, outdoor storage area, truck or car
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
The questions for this objective
are periodically included in supplements to NHIS. BRFSS items are collected
in rotating modules (approximately every 3 years).
|
|
Data are age adjusted to the 2000
standard population. Age-adjusted percents are weighted sums of age-specific
percents. For a discussion of age adjustment see Part A, section 5.
|
|
See Part C for a description of
NHIS and BRFSS and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Electronic Injury
Surveillance System (NEISS), CPSC.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 100,000 population.
|
|
Baseline
|
24 (1997).
|
|
Numerator
|
Number of nonfatal firearm-related
cases treated in U.S. hospital emergency department records.
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. resident population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
A firearm-related injury is
defined as a penetrating injury or gunshot wound from a weapon using a powder
charge to fire a projectile.
|
|
NEISS does not use ICD codes,
however, reporters are given extensive training and report any gun-related
injury cases in the emergency department record. Victims may also have other
types of injuries, but if the incident involved a gun, it is included. Coders
also attempt to capture data on intent, when appropriate information is
provided in the medical record.
|
|
See Appendix A for focus area
contact information.
|
|
|
|
National Data Source
|
National Hospital Ambulatory
Medical Care Survey (NHAMCS), NCHS, CDC.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Adapted from 9.8 (Unintentional
Injuries).
|
|
Measure
|
Rate per 100,000 population (age
adjusted—see Comments).
|
|
Baseline
|
348.4 (1997).
|
|
Numerator
|
Number of emergency room visits
for nonfatal poisonings (first-listed ICD-9-CM codes E850-E869, E950-E952,
E962, E972, E980-E982).
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1997–98 National Hospital
Ambulatory Medical Care Survey:
|
|
Ø Cause
of injury. Describe events that preceded injury (e.g., reaction to penicillin,
wasp sting, driver in motor vehicle traffic accident involving collision with
parked vehicle, shot with a handgun during a brawl, etc.)
______________________________________________________________________________________
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Data include all emergency room
visits related to poisoning regardless of intent (intentional, unintentional,
and undetermined).
|
|
This objective differs from
Healthy People 2000 objective 9.8, which used data from NEISS, CPSC that were
not age adjusted.
|
|
The NHAMCS uses ICD-9-CM codes
assigned to the cause of injury to identify poisoning cases in emergency
department records, whereas NEISS used emergency department admissions
related to a specific list of regulated products that were classified as
poisons. Hence, NEISS data may have undercounted poisoning admissions.
Additionally, when the list of regulated products changed, some cases
previously classified as poisonings may have been omitted from the reported
rate of poisoning admissions.
|
|
Data are age adjusted to the 2000
standard population. Age-adjusted rates are weighted sums of age-specific
rates. For a discussion of age adjustment see Part A, section 5.
|
|
See Part C for a description of
NHAMCS and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
State Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 100,000 population (age
adjusted—see Comments).
|
|
Baseline
|
6.8 (1998).
|
|
Numerator
|
Number of poisoning deaths (ICD-9
codes E850-E869, E950-E952, E962, E972, E980-E982).
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. resident population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Data are age adjusted to the 2000
standard. Age-adjusted rates are weighted sums of age-specific rates. For a
discussion on age adjustment see Part A, section 5.
|
|
See Part C for a description of
NVSS and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
State Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 100,000 population (age
adjusted—see Comments).
|
|
Baseline
|
4.1 (1998).
|
|
Numerator
|
Number of suffocation deaths
(ICD-9 codes E911-E913, E953, E963, E983).
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. resident population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Data are age adjusted to the 2000
standard. Age-adjusted rates are weighted sums of age-specific rates. For a
discussion on age adjustment see Part A, section 5.
|
|
See Part C for a description of
NVSS and Appendix A for focus area contact information.
|
|
|
|
National Data Source
|
External Cause of Injury Survey,
American Public Health Association.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Number.
|
|
Baseline
|
12 (1998).
|
|
Numerator
|
Number of States and the District
of Columbia that “routinely collect” ICD-9-CM external cause of injury codes
in their statewide hospital emergency department data system.
|
|
Denominator
|
Not applicable.
|
|
Population Targeted
|
Not applicable.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 How States Are
Collecting and Using Cause of Injury Data Survey:
|
|
Ø Are
ICD-9-CM E-coded data routinely collected in the statewide hospital emergency
department data system?
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
See Appendix A for focus area
contact information.
|
|
|
|
National Data Source
|
External Cause of Injury Survey,
American Public Health Association.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Number.
|
|
Baseline
|
23 (1998).
|
|
Numerator
|
Number of States and the District
of Columbia that “mandate” the use of ICD-9-CM external cause of injury
codes in their statewide hospital discharge data systems.
|
|
Denominator
|
Not applicable.
|
|
Population Targeted
|
Not applicable.
|
|
Questions Used To Obtain the
National Data
|
From the 1998 How States Are
Collecting and Using Cause of Injury Data Survey:
|
|
Ø Is
the collection of ICD-9-CM coded data in the statewide hospital discharge
data system mandated by state law or a ruling by another body?
|
|
Expected Periodicity
|
Periodic.
|
|
Comments
|
For this objective, the term
“mandate”
refers to a State law or a ruling by another body (for example, the State
hospital association) that requires hospitals to collect data on ICD-9-CM
external cause of injury codes and report them to a statewide hospital
discharge data system.
|
|
See Appendix A for focus area
contact information.
|
|
|
|
National Data Source
|
National Hospital Ambulatory
Medical Care Survey (NHAMCS), CDC, NCHS.
|
|
State Data Source
|
Not identified.
|
|
Healthy People 2000 Objective
|
Not applicable.
|
|
Measure
|
Rate per 1,000 population (age
adjusted—see Comments).
|
|
Baseline
|
131 (1997).
|
|
Numerator
|
Number of emergency department
visits due to injury or poisoning.
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. civilian,
noninstitutionalized population.
|
|
Questions Used To Obtain the
National Data
|
From the 1997-98 National Hospital
Ambulatory Medical Care Survey:
|
|
Ø Is
this visit related to injury or poisoning?
|
|
Ø Cause
of injury. Describe events that preceded injury (e.g., reaction to
penicillin, wasp sting, driver in motor vehicle traffic accident involving
collision with parked vehicle, shot with a handgun during a brawl, etc.)
______________________________________________________________________________________
|
|
Ø Patient’s
complaint(s), symptoms, or other reason(s) for this visit.
1.
Most important _____________________________
2. Other ____________________________________
3. Other ____________________________________
|
|
Ø Physician’s
diagnoses for this visit.
1. Primary
diagnosis __________________________
2. Other ____________________________________
3. Other ____________________________________
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
An emergency department visit was
considered to be related to injury if “yes” was checked in the first
question above or if a cause of injury, a nature of injury diagnosis,
or an injury-related reason for visit coded to first listed ICD-9-CM codes
E800-E869, E880-E929, E950-E999 was reported in the response to the other
questions above.
|
|
Data are age adjusted to the 2000
standard population. Age-adjusted rates are weighted sums of age-specific
rates. For a discussion of age adjustment see Part A, section 5.
|
|
See Part C for a discussion of NHAMCS and Appendix A for focus area
contact information.
|
|
|
|
National Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
State Data Source
|
National Vital Statistics System
(NVSS), CDC, NCHS.
|
|
Healthy People 2000 Objective
|
9.1 (Unintentional Injuries), age
adjusted to 2000 standard population.
|
|
Measure
|
Rate per 100,000 population (age
adjusted—see Comments).
|
|
Baseline
|
35.0 (1998).
|
|
Numerator
|
Number of deaths caused by
unintentional injury (ICD-9 codes E800-E869, E880-E929).
|
|
Denominator
|
Number of persons.
|
|
Population Targeted
|
U.S. resident population.
|
|
Questions Used To Obtain the
National Data
|
Not applicable.
|
|
Expected Periodicity
|
Annual.
|
|
Comments
|
Data are age adjusted to the 2000
standard. Age-adjusted rates are weighted sums of age-specific rates. For a
discussion on age adjustment see Part A, section 5.
|
|
This objective differs from
Healthy People 2000 objective 9.1, which adjusted the death rates using the
1940 standard population. See Appendix C for comparison data.
|
|
See Part C for a description of
NVSS and Appendix A for focus area contact information.
|
|
|
|
Comments
|
An operational definition could
not be specified at the time of publication.
|
|
This objective is adapted from
Healthy People 2000 objective 9.2, which used data from the National Hospital
Discharge System (NHDS), however, because of the underreporting of E-codes in
NHDS, a new data source is needed.
|
|
Proposed national data sources are
the National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS, and
the National Electronic Injury Surveillance System (NEISS), CPSC.
|
|
See Part C for a description of
NHAMCS and NEISS and Appendix A for focus area contact information.
|
