Table 3.
Summary of Diagnosis Codes Related to Trauma-Related Emergency Department Visits for Pediatric Hand and Upper Extremity Injuries During the Time Period 2009-2012 Due to Availability of Trauma-Specific Variables.
| Overall |
≤5 y |
6-9 y |
10-13 y |
14-17 y |
||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Injury Characteristics and Disposition | No. | % | No. | % | No. | % | No. | % | No. | % |
| Discharges | 8 589 333 | 100.0 | 2 023 645 | 100.0 | 1 594 455 | 100.0 | 2 412 958 | 100.0 | 2 558 274 | 100.0 |
| Mechanism of injury | ||||||||||
| Cut | 896 536 | 10.4 | 179 330 | 8.9 | 142 633 | 8.9 | 216 048 | 9.0 | 358 524 | 14.0 |
| Drown | 765 | 0.01 | 90 | 0.0 | 117 | 0.0 | 243 | 0.0 | 315 | 0.0 |
| Fall | 2 571 140 | 29.9 | 617 199 | 30.5 | 668 742 | 41.9 | 793 633 | 32.9 | 491 565 | 19.2 |
| Fire | 221 324 | 2.6 | 136 422 | 6.7 | 26 021 | 1.6 | 23 455 | 1.0 | 35 426 | 1.4 |
| Firearm | 7515 | 0.1 | 288 | 0.0 | 248 | 0.0 | 805 | 0.0 | 6173 | 0.2 |
| Machinery | 15 352 | 0.2 | 4110 | 0.2 | 1629 | 0.1 | 2448 | 0.1 | 7164 | 0.3 |
| Motor vehicle | 323 642 | 3.8 | 34 339 | 1.7 | 42 687 | 2.7 | 65 161 | 2.7 | 181 456 | 7.1 |
| Nature | 376 127 | 4.4 | 141 099 | 7.0 | 85 588 | 5.4 | 77 555 | 3.2 | 71 885 | 2.8 |
| Poison | 5051 | 0.1 | 943 | 0.0 | 543 | 0.0 | 920 | 0.0 | 2645 | 0.1 |
| Struck | 1 533 749 | 17.9 | 111 332 | 5.5 | 192 785 | 12.1 | 547 543 | 22.7 | 682 089 | 26.7 |
| Suffocation | 433 | 0.01 | 76 | 0.0 | 18 | 0.0 | 84 | 0.0 | 254 | 0.0 |
| Multiple | 59 245 | 0.7 | 13 852 | 0.7 | 11 197 | 0.7 | 13 642 | 0.6 | 20 554 | 0.8 |
| Intent of injury | ||||||||||
| Assault | 74 053 | 0.9 | 2 266 | 0.1 | 2 941 | 0.2 | 14 711 | 0.6 | 54 135 | 2.1 |
| Self-harm | 46 259 | 0.5 | 72 | 0.0 | 290 | 0.0 | 8095 | 0.3 | 37 802 | 1.5 |
| Unintentional | 7 871 783 | 91.6 | 1 905 013 | 94.1 | 1 505 388 | 94.4 | 2 235 910 | 92.7 | 2 225 471 | 87.0 |
| Multiple | 121 557 | 1.4 | 2771 | 0.1 | 3825 | 0.2 | 22 747 | 0.9 | 92 215 | 3.6 |
| Disposition | ||||||||||
| Home discharge | 8 319 175 | 96.9 | 1 945 614 | 96.1 | 1 537 429 | 96.4 | 2 359 888 | 97.8 | 2 476 244 | 96.8 |
| Admitted to same hospital | 141 897 | 1.7 | 38 357 | 1.9 | 27 284 | 1.7 | 26 187 | 1.1 | 50 069 | 2.0 |
| Transfer to another hospital | 112 838 | 1.3 | 36 084 | 1.8 | 26 943 | 1.7 | 23 182 | 1.0 | 26 629 | 1.0 |
| Died in the emergency department | 619 | 0.01 | 138 | 0.01 | 82 | 0.01 | 87 | 0.00 | 312 | 0.01 |
Note. The injury severity score is assigned using a publicly available Stata program for Injury Classification (International Classification of Diseases Program for Injury Categorization) which uses International Classification of Diseases, Ninth Revision, Clinical Modification diagnosis codes to assign a severity score (ranging from 1 to 75, with 75 being the most severe).