Transcript Integration Roundtable (2)

Data
Integration
Roundtable
TRAFFIC RECORDS FORUM
BALTIMORE, MD
August 2016
Reports
 “Estimating
the burden of neck sprain and
strain injuries resulting from motor vehicle
crashes in Kentucky in 2008 and 2009”




Completed Sept 2011
23,029 Kentuckians diagnosed with crashrelated neck sprains and strains (ICD-9-CM
code 847.0) in 2008 and 2009
~ 1 in 4 likely to result in some degree of longterm impairment
~3,000 new cases per year of “activity-limiting
chronic whiplash associated disorder”
Reports
 Hospital
district
and ED charges by highway
Research

Singleton M, Differential protective effects of
motorcycle helmets against head injury, Traffic
Injury Prevention (In press)





Skull fracture, intracranial hemorrhage, cerebral
contusion, concussion
Greatest protection against skull fracture (RR=0.31)
and cerebral contusion (RR=0.29)
Strong protection also against intracranial
hemorrhage (RR=0.49)
Evidence of modest protection against concussion
(RR=0.80), though not statistically significant [95% CI
(0.64,1.01)]
Conclusion: Motorcycle helmets protect against
brain injury, not only skull fracture
Research




Olsen CS et al. Motorcycle helmet effectiveness in reducing
head, face and brain injuries by state and helmet law. Injury
Epidemiology 2016, 3:8.
Bunn T, Singleton M, Slavova S, Nicholson V. “Concordance of
Motor Vehicle Crash, Emergency Department, and Inpatient
Hospitalization Datasets in the Identification of Drugs in Injured
Drivers.” Traffic Inj Prev 2013;14(7): 680-9.
Miller T, Gibson R, Zaloshnja E, Blincoe L, Kindelberger J, Strashny
A, Thomas A, Ho S, Bauer B, Sperry S, Peng J, Singleton M, Smith
T, Zhang Y. “Underreporting of Driver Alcohol Involvement in
United States Police and Hospital Records: Capture-Recapture
Estimates.” Ann Adv Automot Med. 2012 October; 56:87-96.
Singleton M, Qin H, Luan J. (2003) Factors Associated with
Higher Levels of Injury Severity in Occupants of Motor Vehicles
that were Severely Damaged in Traffic Crashes in Kentucky,
2000-2001. Traffic Injury Prevention (June 2004).
Advancing traffic safety





Primary enforcement
of seat belt law
Passed in 2006 after
several attempts
Report published
October 2005
Estimated $34 million in
Medicaid savings in KY
over 10 years as a
result of injuries
prevented
Focused on savings
from TBI and SCI
prevented
Advancing traffic safety




Booster law
Passed in KY in 2008
after several attempts
Fact sheet published
in 2007
Child safety seat use
was associated with
lower charges,
hospital days and
injury severity among
4 to 8 year olds
Advancing traffic safety


State strategic highway safety plan
Child fatality review



Restraint use, seating position for child
passengers
Alcohol & drug use, distraction for teen drivers
KY child fatality and near-fatality review panel


Reviews fatal and near-fatal cases involving
suspected child abuse or neglect
Alcohol & drug use among drivers with child
passengers
Advancing traffic safety



Nonfatal crash outcome indicators
Aligned with emphasis areas of KY’s strategic
highway safety plan emphasis areas
Number and rate per 100 MVMT of inpatient
discharges and ED visits related to:








Aggressive driving
Commercial vehicles
Distracted driving
Impaired driving
Lane departure
Motorcycle crashes
Occupant protection
Young drivers