Annual Report 2015: Regional trauma

The 2015 Annual Report of the National Trauma Data Bank® (NTDB®) is an updated analysis of the largest aggregation of U.S. and Canadian trauma registry data ever assembled. The NTDB contains more than 6 million records. The 2015 Annual Report is based on 860,964 records with valid trauma diagnoses from the single admission year of 2014. The data were submitted by 746 facilities, including 237 Level I trauma centers, 259 Level II trauma centers, 189 Level III or IV trauma centers; as well as 36 Level I or Level II pediatric-only centers.

The U.S. Census Bureau divides the U.S. into four regions (see Figure 1, which illustrates the number of incidents by region). The Northeast Region has nine states, the Midwest has 12 states, the West has 13 states, and the South has the remaining 16 states, along with the District of Columbia. Each region has its own population statistics, with the South having slightly more than 37 percent of the U.S. population.

Figure 1. Incidents by Region

Figure 1

The leading trauma registry

The mission of the American College of Surgeons (ACS) Committee on Trauma (COT) is to develop and implement meaningful programs for trauma care. In keeping with this objective, the NTDB is committed to being the principal national repository for trauma center data. The purpose of the Annual Report is to inform the medical community, the public, and policymakers about the various issues that characterize the current state of care for injured persons. The report has implications for many areas, including epidemiology, injury control, research, education, acute care, and resource allocation.

Many dedicated individuals on the ACS COT, as well as at trauma centers throughout the U.S., contributed to the early development of the NTDB and its rapid growth in recent years. To build on these achievements, the goals in the coming years include improving data quality, updating analytic methods, and enabling more useful outcomes data comparisons between hospitals. These efforts will be reflected in future NTDB reports to participating hospitals, as well as in the annual reports.

Throughout the year, we will be highlighting these data through brief reports published monthly in the Bulletin. The NTDB Annual Report 2015 is available on the ACS website as a PDF file. In addition, information is available on the website about how to obtain NTDB data for more detailed study. To submit your trauma center’s data, contact Melanie L. Neal, Manager, NTDB, at mneal@facs.org.

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