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Complete Health Indicator Report of Motor Vehicle Crash Emergency Department Visits and Hospitalizations

Definition

The number of outpatient emergency department (ED) encounters/inpatient hospitalizations for motor vehicle crash injuries per 10,000 persons in the population. This includes persons who may have died as a result of their injuries. ICD-9 Codes: E810-E819, E958.5, E968.5, E988.5.

Numerator

ED encounters: The number of emergency department encounters for motor vehicle crash injuries. Hospitalizations: The number of hospitalizations for motor vehicle crash injuries.

Denominator

Total number of persons in the population of Utah.

Data Interpretation Issues

All injury cases for this indicator are consistent with the injury case definitions found in the Consensus Recommendations for Using Hospital Discharge Data for Injury Surveillance (2003) developed by the State and Territorial Injury Program Directors Association (STIPDA) Injury Surveillance Workgroup. ICD 9 stands for International Classification of Diseases. It is a coding system maintained by the World Health Organization and the U.S. Center of Health Statistics used to classify causes of death on death certificates and diagnoses, injury causes, and medical procedures for hospital and emergency department visits. The U.S. is currently using the 10th revision to code causes of death. The 9th revision (ICD-9) is still used for hospital and emergency department visits.

Why Is This Important?

Utah hospitalization and ED charges are greater for injuries sustained from motor vehicle crashes (MVC) than from any other injury causes except falls. In 2006, the total treat-and-release ED charges for MVC injuries came to just under $27 million while total hospitalization charges were nearly $50 million. Moreover, most motor vehicle crash injuries are preventable.

How Are We Doing?

In recent years the number of persons arriving in the emergency department due to injuries from motor vehicle crashes has decreased significantly, both in rates and in real numbers. Since 1999, the age-adjusted rate for total MVC ED visits has gone from 105.2 per 10,000 or 24,495 MVCs to 82.8 per 10,000 or 22,296 MVCs in 2006. This is a 21.3% decrease in 7 years. However, in terms of economic impact, progress due to fewer crash related visits have been substantially offset by the overall total dollar cost of those visits, which has nearly doubled from 1999 to 2006.

How Do We Compare With the U.S.?

For the year 2006, the Utah age-adjusted rate of MVC ED visits was 82.8 per 10,000 population which was substantially lower that the U.S. age-adjusted rate of 106.9 per 10,000 population.

What Is Being Done?

In 1998, the Utah Legislature enacted a "graduated driver licensing" law to address the problem of teenage driving and MVCs. By requiring newly-licensed drivers to be accompanied by a parent or other experienced driver for the first six months, the law aims to help teenage drivers develop responsible driving behaviors. The Utah Legislature has also passed a variety of laws to promote safety belt usage, but there is room for improvement. A 2007 observational study by the Utah Highway Safety Office indicates 86.8% of Utahns are using seat belts. Transportation agencies also play a role in decreasing crashes as they design and build safer roadways. The Utah Comprehensive Safety Plan was a collaborative effort by the federal government, state agencies, and public and private businesses that outlines strategies for reducing MVC in Utah. The plan can be downloaded at http://www.dot.state.ut.us/main/f?p=100:pg:6769040230824169:::1:T,V:1998.

Available Services

Call 1-888-DASH-2-DOT (1-888-327-4236) for information on child safety seats.

Health Program Information

The Utah Department of Health Violence and Injury Prevention Program (VIPP) and local health departments are targeting a wide range of community-based traffic safety interventions that encourage pedestrian and bicycle safety, including Green Ribbon Month, Walk to School Day, and pedestrian and bicycle rodeos. Bicycle safety interventions include supporting National Bike Month in May, promoting helmet use, and instructing bicyclists and drivers on road safety. The VIPP also conducts an annual statewide observational survey to determine helmet use rates. Safe Kids Utah has been a catalyst in statewide efforts to increase child safety restraint use. By partnering with community service agencies, the Utah Department of Public Safety, and other organizations, Safe Kids Utah has distributed thousands of low- and no-cost car safety seats and booster seats and educated hundreds of thousands of Utah families about the importance of using safety restraints. VIPP also promotes traffic safety through the media and by networking with a variety of statewide partners.


Related Indicators

Relevant Population Characteristics

Adolescents age 15-19 are more likely to be injured in motor vehicle crashes than adults. MVC ED visits are more likely for urban residents than for residents of non-urban areas.

Related Relevant Population Characteristics Indicators:


Risk Factors

One of the most influential risk factors for MVC injuries and deaths is the appropriate use of safety restraints. For more information refer to Seat Belt: Safety Restraint Use at http://ibis.health.utah.gov/indicator/view/SeatBelt.InjSev.html.

Related Risk Factors Indicators:


Health Status Outcomes

Patients admitted to ED or hospitalized with serious MVC injuries are at a risk of MVC death. For more information refer to Motor Vehicle Traffic Crash Deaths at http://ibis.health.utah.gov/indicator/view/MVCDth.Ut_US.html.

Related Health Status Outcomes Indicators:




Graphical Data Views

MVC ED Visits, Utah and U.S., 2001-2007

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Utah vs. U.S.YearEmergency Dept. Visits per 10,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 13
Utah200196.695.397.823,8072,305,652
Utah200293.892.695.123,3572,358,330
Utah200389.187.990.322,5892,413,618
Utah200485.183.986.221,9332,469,230
Utah200585.184.086.322,5402,547,389
Utah200682.881.783.922,2962,615,129
U.S.2001121.9
U.S.2002118.6
U.S.2003120.8
U.S.2004122.2
U.S.2005116.7
U.S.2006110.6
U.S.2007106.9

Data Notes

ICD-9 Codes: E810-E819, E958.5, E968.5, E988.5.   [[br]] [[br]] At 82.8 per 10,000 population (2006), Utah's MVC ED visit rate is substantially lower than the U.S. rate (106.9 per 10,000 in 2007). Utah has consistently had a lower rate than the U.S. overall and this difference has been statistically significant. Both for Utah and the U.S. overall, there has been a decline in MVC ED visits since 2001. In 2001, the U.S. rate of MVC ED visits was 122 per 10,000 population. In Utah the rate was 97 per 10,000 population in 2001. In 2007 the U.S. rate was 107 per 10,000 population, a decrease of 12% over six years. In 2006 the Utah rate was 83 per 10,000 population, a decrease of 14% over five years. Utah's lower MVC ED rate is likely the combination of several factors including an above average use of seatbelts[1] and fewer fatal crashes per 100 million miles driven (a 5-year average of 1.24 deaths per 100 million miles driven) as compared to the U.S. overall of 1.48 deaths per 100 million miles driven[2]. [[br]] [[br]] Both U.S. and Utah data are age-adjusted (2000 U.S. standard population). ED visits include all ED visits, not just treat-and-release. National data estimates are based on weighted data from the U.S. Consumer Product Safety Commission's (CPSC) National Electronic Injury Surveillance System (NEISS).

Data Sources

  • National Center for Injury Prevention and Control's Web-based Injury Statistics Query and Reporting System (WISQARS)
  • Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health


MVC ED Visits by Geography Type, Utah, 2004-2006

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Urban, Rural, Frontier, Sub-frontierYearEmergency Dept. Visits per 10,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 9
Urban200488.286.989.617,1991,871,256
Urban200587.886.589.217,5321,926,320
Urban200685.283.986.517,2731,974,216
Rural200479.276.781.73,983478,692
Rural200580.678.283.14,194500,193
Rural200677.174.779.54,144518,403
Frontier200460.956.565.3751119,282
Frontier200564.860.369.3814120,876
Frontier200668.463.873.0879122,510

Data Notes

ICD-9 Codes: E810-E819, E958.5, E968.5, E988.5.   [[br]] [[br]] Residents of frontier Utah counties ("frontier" counties are those with a population density of six or fewer people per square mile) had a lower rate of MVC ED visits than more densely populated areas. The frontier counties had an overall MVC ED visit rate of 61 per 10,000 population in 2004 similar to 68 per 10,000 population in 2006. During this period, residents of the most populated counties of Utah, with population densities of at least 100 people per square mile, had a higher rate of MVC ED visits than less densely populated areas. These urban counties had an overall MVC ED visit rate of 88 per 10,000 population in 2004 similar to 85 per 10,000 population in 2006. However, although urban county residents had the highest MVC ED visit rate, in 2006, 53% of fatal crashes took place in non-urban locations[2]. Residents of rural areas (with at least 6 and no more than 100 people per square mile) had an overall MVC ED visit rate of 79 per 10,000 population in 2004 similar to 77 per 10,000 population in 2006. The differences in rates between the urban, rural, and frontier areas remained statistically significant every year from 2004 through 2006, though it is likely that if trends continue, the 2007 the rates for frontier and rural areas may become similar. [[br]] [[br]] Data are age-adjusted (2000 U.S. standard population). ED visits include all ED visits, not just treat-and-release.

Data Source

Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health


MVC Hospitalizations by Age Group and Sex, Utah, 2004-2006

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UT M, UT F, US M, US FAge GroupInpatient Hospital Visits per 10,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 24
Utah MalesLess Than 11.020.311.73878,424
Utah Males1-4 Yrs1.581.132.0348303,868
Utah Males5-9 Yrs2.642.093.1889337,567
Utah Males10-14 Yrs3.743.064.42116310,072
Utah Males15-17 Yrs12.9211.2814.55240185,803
Utah Males18-19 Yrs15.1212.9717.27190125,660
Utah Males20-24 Yrs11.9910.8713.11438365,236
Utah Males25-34 Yrs8.577.849.29539629,204
Utah Males35-44 Yrs8.447.629.26406481,133
Utah Males45-54 Yrs7.987.158.82351439,626
Utah Males55-64 Yrs8.377.319.43240286,656
Utah Males65+ Yrs7.776.758.79224288,231
Utah FemalesLess Than 11.470.62.341174,786
Utah Females1-4 Yrs1.481.041.9343289,704
Utah Females5-9 Yrs1.61.162.0351319,559
Utah Females10-14 Yrs2.361.82.9269292,211
Utah Females15-17 Yrs9.858.3811.31174176,702
Utah Females18-19 Yrs9.047.4710.6128141,615
Utah Females20-24 Yrs5.414.656.16199368,170
Utah Females25-34 Yrs4.093.584.61242591,392
Utah Females35-44 Yrs5.64.926.29258460,318
Utah Females45-54 Yrs5.514.826.21241437,015
Utah Females55-64 Yrs6.455.547.37190294,393
Utah Females65+ Yrs8.497.539.45301354,403

Data Notes

ICD-9 Codes: E810-E819, E958.5, E968.5, E988.5.   [[br]] [[br]] From 2004-2006, MVC hospitalization rates were higher for males age 5-14 and age 18-54 than for females in the same age groups. Sex differences for the other age groups were not statistically significant. Overall, the 18-19 age group (11.9 hospitalizations per 10,000 population) followed by the 15-17 age group (11.4 hospitalizations per 10,000 population) had the highest MVC hospitalization rates. Children (age 1 to 14) had the lowest overall MVC hospitalization rate (2.2 hospitalizations per 10,000 population), while adults over age 20 had a MVC hospitalization rate of 7.3 per 10,000 population. Conclusions cannot be made regarding the overall MVC hospitalization rate of children under one year of age due to the small number of cases during the data period.

Data Source

Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health


Motor Vehicle Traffic Crash Emergency Department Visits by Age Groups and Sex, Utah, 2004-2006

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Males vs. FemalesAge GroupMVC Emergency Department Visits per 10,000Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 26
MaleLess Than 128.1824.4731.8922178,424
Male1-4 Yrs29.1927.2731.11887303,868
Male5-9 Yrs29.827.9631.641,006337,567
Male10-14 Yrs43.5741.2545.891,351310,072
Male15-17 Yrs135.79130.53141.052,523185,803
Male18-19 Yrs186.69179.21194.182,346125,660
Male20-24 Yrs141.03137.21144.865,151365,236
Male25-34 Yrs100.0897.62102.546,297629,204
Male35-44 Yrs78.7976.2981.293,791481,133
Male45-54 Yrs61.9659.6464.282,724439,626
Male55-64 Yrs48.0745.5450.61,378286,656
Male65+ Yrs39.2436.9641.521,131288,231
FemaleLess Than 129.2825.4133.1621974,786
Female1-4 Yrs27.1725.2729.06787289,704
Female5-9 Yrs27.9826.1429.81894319,559
Female10-14 Yrs45.0442.6147.461,316292,211
Female15-17 Yrs194187.57200.433,428176,702
Female18-19 Yrs215.51207.95223.083,052141,615
Female20-24 Yrs156.56152.55160.575,764368,170
Female25-34 Yrs112.31109.631156,642591,392
Female35-44 Yrs97.3994.55100.234,483460,318
Female45-54 Yrs80.1377.4982.783,502437,015
Female55-64 Yrs62.659.7565.451,843294,393
Female65+ Yrs47.6645.3949.931,689354,403

Data Notes

ICD-9 Codes: E810-E819, E958.5, E968.5, E988.5.   [[br]] [[br]] For 2004-2006, MVC ED treat-and-release visit rates were higher for females over age 15 than for males in the same age groups. Sex differences for those under age 15 were not statistically significant. Overall, the 18-19 age group (202.0 ED visits per 10,000 population) followed by the 15-17 age group (164.2 ED visits per 10,000 population) had the highest MVC ED treat and release rates. After the teen years, as age increases, MVC ED visits decrease. Children (age 0 to 14) had the lowest overall MVC ED visit rate (with 33.3 MVC ED treat-and-release visits per 10,000 population).

Data Source

Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health


Motor Vehicle Crash Emergency Department Visits by Local Health District, Utah, 2004-2006

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From 2004 to 2006, MVC ED visit rates varied considerably across Utah's local health districts (LHDs), though there are few statistically significant differences. Summit County and San Juan County LHD residents had a significantly lower MVC ED rate (37.6 and 36.9 per 10,000 population) than any of the other LHDs residents. Southeast, Weber-Morgan, Tooele County, and Salt Lake County LHDs had the highest rates of MVC ED visits (97.0, 96.2, 92.6, and 92.0 per 10,000 population respectively). The MVC ED visit rate for Weber-Morgan LHD was statistically significant when compared to the other LHDs.
Local Health DistrictAge-adjusted ED Rate per 10,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 14
Bear River68.265.870.63,264451,614
Central77.473.681.11,736213,651
Davis County75.173.277.06,443833,741
Salt Lake County92.090.993.127,6192,929,825
San Juan36.931.043.514941,055
Southeast97.091.3102.91,122117,316
Southwest86.383.988.84,873554,826
Summit37.634.041.3420108,244
Tooele92.687.897.31,492156,583
TriCounty83.578.588.41,096129,475
Utah County81.179.682.611,5681,369,125
Wasatch78.771.685.748760,229
Weber-Morgan96.293.898.56,498664,754
State of Utah91.590.892.172,1797,631,748

Data Notes

ICD-9 Codes: E810-E819, E958.5, E968.5, E988.5.   [[br]] [[br]] Data are age-adjusted (2000 U.S. standard population). ED visits include all ED visits, not just treat-and-release. Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Source

Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health


MVC ED Visits by Utah Small Area of Residence, 2004-2006

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Utah Small AreasEmergency Dept. Visits per 10,000 PopulationLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 62
Brigham City79.372.586.055566,113
Box Elder Co (Other)97.690.3104.970269,832
Logan55.552.258.71,149202,261
Cache Co (Oth)/Rich Co (All)72.967.977.8840113,408
Ben Lomond113.6108.2119.01,693148,281
Morgan Co (All)/Weber Co (E)58.053.662.5669112,120
Ogden (Downtown)115.5108.8122.11,15999,082
South Ogden88.082.593.5987110,814
Roy/Hooper95.590.2100.91,217126,294
Riverdale110.7102.8118.676768,164
Clearfield/Hill AFB91.987.696.31,750183,461
Layton72.568.976.01,660221,429
Syracuse/Kaysville71.166.475.8895124,945
Farmington/Centerville59.054.164.055991,407
Woods Cross/North Salt Lake82.976.089.857366,516
Bountiful68.864.573.0997145,980
SLC (Rose Park)100.194.1106.21,051103,962
SLC (Avenues)64.258.370.047570,691
SLC (Foothill/U of U)48.443.453.635371,016
Magna126.1118.2134.098176,214
SLC (Glendale)116.6109.4123.999485,002
West Valley (West)116.0111.4120.52,479214,126
West Valley (East)106.1101.0111.21,726154,667
SLC (Downtown)69.365.273.41,220158,949
South Salt Lake112.5105.0120.087376,111
Millcreek71.567.675.41,254177,720
Holladay77.673.082.11,089144,002
Cottonwood74.269.678.71,003136,835
Kearns102.698.2107.02,164202,801
Taylorsville (E)/Murray (W)95.690.0101.11,185116,461
Murray108.9102.3115.41,07397,219
Midvale115.2108.3122.21,08190,669
West Jordan (North)103.298.2108.31,593152,323
West Jordan/Copperton100.695.3105.91,370136,449
South Jordan73.968.979.0799109,296
Sandy (Center)98.593.7103.21,609164,063
Sandy (NE)77.471.383.458480,999
Sandy (SE)73.968.679.368598,529
Riverton/Draper88.584.592.51,776211,725
Tooele Co92.687.897.31,492156,583
Lehi/Cedar Valley125.0118.2131.81,204102,829
American Fork/Alpine80.876.285.41,148145,546
Pleasant Grove/Lindon91.486.396.51,144133,850
Orem (North)104.098.4109.51,347127,315
Orem (West)78.473.083.8877102,581
Orem (East)65.159.470.949774,909
Provo (North)/BYU51.448.054.8876169,235
Provo (South)83.379.487.21,713208,887
Springville/Spanish Fork86.682.790.51,805213,410
Utah Co (South)100.193.7106.689490,546
Summit Co37.634.041.3420108,244
Wasatch Co78.771.685.748760,229
TriCounty LHD83.578.588.41,096129,475
Juab/Millard/Sanpete Co75.370.879.81,141142,939
Sevier/Piute/Wayne Co82.075.488.759570,712
Carbon/Emery Co108.7101.9115.597489,649
Grand/San Juan Co41.536.846.330070,032
St George99.895.6104.02,158214,995
Washington Co (Other)87.683.192.11,404164,347
Cedar City67.662.772.5761106,544
Southwest LHD (Other)77.470.883.953268,942
State84.383.785.066,7697,631,705

Data Notes

ICD-9 Codes: E810-E819, E958.5, E968.5, E988.5.   [[br]] [[br]] From 2004 to 2006, MVC ED visits rates range from 37.6 per 10,000 population (Summit County residents) to 126.1 per 10,000 (Magna Small Area residents). Rates vary considerably across the Utah Small Areas. Of the Utah Small Areas, just 10 were similar to the overall state rate of 84.3 per 10,000 population. Data are age-adjusted (2000 U.S. standard population). ED visits include all ED visits, not just treat-and-release. A description of the Utah Small Areas may be found on IBIS at the following URL: http://ibis.health.utah.gov/resource/Help.html or http://health.utah.gov/opha/publications/brfss/SA2001-2005/sa2001-2005.

Data Source

Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health


Median MVC ED and Hospitalization Charges, Utah, 1999-2006

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ED Visits vs. HospitalizationsYearDollarsNumer- ator
Record Count: 30
ED Visits1999$39422,917
ED Visits2000$41422,551
ED Visits2001$43022,435
ED Visits2002$41321,933
ED Visits2003$44921,235
ED Visits2004$51320,562
ED Visits2005$60421,022
ED Visits2006$71420,856
Hospitalizations1999$10,1131,787
Hospitalizations2000$9,4941,589
Hospitalizations2001$9,5091,491
Hospitalizations2002$10,0001,559
Hospitalizations2003$12,5081,504
Hospitalizations2004$13,5951,536
Hospitalizations2005$15,0911,660
Hospitalizations2006$17,3371,586

Data Notes

ICD-9 Codes: E810-E819, E958.5, E968.5, E988.5.   [[br]] [[br]] In Utah, median MVC ED (treat and release) charges increased each year from $394 in 1999 to $714 in 2006 for an overall increase of 81.2%. During this same time period, ED visit charges due to all causes excluding MVCs increased by 89.2%. At $10,113, the median MVC ED hospitalization charge was uncharacteristically high in 1999. Median MVC hospitalization charges increased from $9,494 in 2000 to $17,337 in 2006 for an overall increase of 82.6%. During this time period, hospitalization charges due to all causes excluding MVCs increased by 73.5%.

Data Sources

  • Emergency Department Encounter Database, Bureau of Emergency Medical Services, Utah Department of Health
  • Utah Inpatient Hospital Discharge Data, Office of Health Care Statistics, Utah Department of Health

References and Community Resources

To find an inspection location or a certified child passenger safety technician near you, visit: http://www.seatcheck.org/ or www.nhtsa.dot.gov, and click on the "Child Safety Seat Inspections" link. References: [[br]] 1. Seat Belt Use in 2006 - Use Rates in the States and Territories; Traffic Safety Facts - Crash Stats (DOT HS 810 690, A Brief Statistical Summary, January 2007); National Highway Traffic Safety Association, NHTSA's National Center for Statistics and Analysis [[br]] 2. Fatality Analysis Reporting System; http://www-fars.nhtsa.dot.gov/Main/reportslinks.aspx

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 04/04/2012, Published on 07/27/2015
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 20 October 2017 11:48:18 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 12 Oct 2017 16:41:22 MDT