Definition: Injury is defined as “physical harm or damage to someone’s body.”
Why do we measure this?: Monitoring injury trends can be used to provide information to Florida's injury prevention community for program planning and evaluation.
Healthy People Link: https://www.healthypeople.gov/2020/topics-objectives/topic/injury-and-violence-prevention/objectives
Reference Link(s): http://www.floridahealth.gov/programs-and-services/prevention/injury-prevention/index.html
Injury Hospitalization*: Principal diagnosis of S00-S99, T07-T34, T36-T50 with a 6th character of 1, 2, 3, or 4 (T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 with a 5th character of 1, 2, 3, or 4), T51-T65, T66-T76, T79, O9A.2-O9A.5, T84.04**, M97**
Injury Emergency Department (ED) Visits*: Any field with the following diagnosis of S00-S99, T07-T34, T36-T50 with a 6th character of 1, 2, 3, or 4 (T36.9, T37.9, T39.9, T41.4, T42.7, T43.9, T45.9, T47.9, and T49.9 with a 5th character of 1, 2, 3, or 4), T51-T65, T66-T76, T79, O9A.2-O9A.5, T84.04**, M97** OR any field with external cause codes of V00-V99, W00-X58, X71-X83, X92-Y09, Y21-Y33, Y35-Y38
*For diagnosis codes, 7th character of A, B, C, or missing (reflects initial encounter, active treatment). T30-T32 do not have a 7th character. For external cause codes, 7th character of A or missing.
** T84.04 was retired and replaced by M97 in the FY2017 version of ICD-10-CM which went into effect on Oct 1, 2016.
Data Source: Florida Agency for Health Care Administration
Indicators are not mutually exclusive. Florida residents only. County level results are based on county of residence.
Traumatic brain injury is based on the proposed definition*: S02.0, S02.1, S02.8, S02.91, S04.02, S04.03, S04.04, S06, S07.1, T74.4.
*7th character of A, B, or missing (reflects initial encounter, active treatment)
"S" Indicates results have been suppressed because counts are between 1 and 4 or rates could not be calculated.
White-colored counties on the map indicate data is suppressed due to small counts.
AI/AN indicates American Indian or Alaska Native
Rates are per 100,000 population. Rates based on total counts less than 20 may be unstable; use with caution.
Rates calculated by FLHealthCHARTS using health data from the Florida Agency for Health Care Administration and population estimates from the UMass Donahue Institute’s Tract-Level Detailed Population Estimates, June 2018.
Veteran Affairs (VA) and other federal hospitals, rehabilitation centers, and psychiatric hospitals are excluded.
To keep abreast of medical knowledge, the International Classification of Diseases (ICD) is revised periodically. Large increases or decreases are typically indicative of such changes. Effective October 1, 2015, the ICD 9th Revision Clinical Modification (ICD-9-CM) transitioned to ICD 10th Revision Clinical Modification (ICD-10-CM). Hospital record data before October 2015 use ICD-9-CM; starting in October 2015, hospital data use ICD-10-CM. Consequently, increases or decreases starting in 2015 may not be due to changes in disease trends but due to changes in coding.
Trends between ICD-9-CM and ICD-10-CM should not be compared as these coding systems are different from each other.
Data may contain multiple hospitalizations or ED visits for the same person/injury event due to hospital transfers, readmissions, and follow-up visits. Therefore, the data reflects the number of hospitalizations or ED visits and not the number of people injured. Data for specific mechanisms of injury may be underestimated due to incomplete reporting of the external cause of injury.