Texas Department of State Health Services Epidemiology
Studies & Initiatives Branch
The following tables and graphs in this report contain statistics derived from the analysis
of three separate databases:
1) Texas Vital Statistics Mortality Data. The data is a subset of variables collected
on the Texas Certificate of Death. Cases include all Texas residents who died
during the 2009 calendar yard, including those who died while traveling outside
of Texas. Deaths from non-Texas residents who died in Texas are not included.
2) Texas Hospital Inpatient Discharge Data. The data is inpatient discharge billing
data with a length of stay of 24+ hours. All hospitals and ambulatory surgery
centers in Texas are required to report per the Texas Administrative Code (TAC)
Rule §421.2.
3) Texas Hospital Trauma Registry Data. The data is trauma patients that meet the
following criteria: patient was admitted for greater than 48 hours OR patient was
seen, received stabilization care, and then transferred to a higher level acute care
hospital OR patient died after receiving any evaluation or treatment or was dead
on arrival. All hospitals in Texas are required to report per the TAC Rule §103.11.
Note that the state does not collect emergency department data.
Questions? Feel free to contact the Injury Program through our webpage
(http://www.dshs.state.tx.us/injury), by phone (512-458-7220), or by email
(injury.web@dshs.state.tx.us).
Referenced data
2009 mortality file; 2009 incidence data are provisional and subject to change.
Source: Texas Department of State Health Services, Center for Health Statistics. Austin, Texas.
2009 Texas Hospital Inpatient Discharge Data Public Use Data File.
Source: Texas Department of State Health Services, Health Care Information Collection Center for Health
Statistics. Austin, Texas.
2009 Texas Trauma Registry Research File.
Source: Texas Department of State Health Services, EMS/Trauma Registry. Austin, Texas.
2009 Population data.
Source: Texas Texas State Data Center, University of Texas-San Antonio. San Antonio, Texas.
5 LEADING CAUSES OF INJURY MORTALITY, 2009
TSA A
Age
0-19
20-64
65+
Total
Race
White
Black
Hispanic
Other
Sex
Male
Female
Motor Vehicle Crash
#
Rate/
Deaths 100,000
16
13.4
53
21.9
10
18.3
79
19.0
Suicide
#
Rate/
Deaths 100,00
5
4.2
48
19.8
9
16.5
62
14.9
Falls
#
Deaths
0
2
23
25
Rate/
100,000
0.0
0.8
42.2
6.0
Poison
#
Deaths
0
24
6
30
Motor Vehicle Crash
#
Rate/
Deaths 100,000
49
18.4
1
5.0
29
24.1
0
0.0
Suicide
#
Rate/
Deaths 100,000
48
18.0
3
14.9
11
9.1
0
0.0
Falls
#
Deaths
22
0
3
0
Rate/
100,000
8.3
0.0
2.5
0.0
Poison
#
Deaths
25
0
4
1
Rate/
100,000
9.4
0.0
3.3
10.2
# Deaths
9
0
7
0
Motor Vehicle Crash
#
Rate/
Deaths 100,000
54
25.7
25
12.1
Suicide
#
Rate/
Deaths 100,000
53
25.2
9
4.4
Falls
#
Deaths
11
14
Rate/
100,000
5.2
6.8
Poison
#
Deaths
20
10
Rate/
100,000
9.5
4.8
Homicide
#
Rate/
Deaths 100,000
18
8.6
6
2.9
Rate/
100,000
0.0
9.9
11.0
7.2
Homicide
#
Rate/
Deaths
100,000
3
2.5
9
3.7
4
7.3
24
5.8
Homicide
Data Sources:
DSHS Center for Health Statistics mortality file; 2009 incidence data are provisional and subject to change.
Texas State Data Center, University of Texas-San Antonio
Rates are based on county of residence and standardized by TSA population.
Motor Vehicle Crash: includes ICD10 Ecodes V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2, V19.4 V19.6, V20V79, V80.3-V80.5, V83-V86, V87.0-V87.8, V88.0-V88.8, V89.0, V89.2
Suicide: includes ICD10 Ecodes X60-X84, Y87.0
Homicide: includes ICD10 Ecodes X85-Y09 , Y87.1
Poison: includes ICD10 Ecodes X40-X49
Falls: includes ICD10 Ecodes W00-W19
•
The 5 leading causes account for 75% of the 292 TSA A injury deaths during 2009.
Rate/
100,000
3.4
0.0
5.8
0.0
5 LEADING CAUSES OF INJURY HOSPITALIZATION, 2009
TSA A
Age
0-19
20-64
65+
Total
Race
White
Black
Hispanic
Other
Total
Sex3
Male
Female
Total
Motor Vehicle Crash
#
Rate2/
1
Hosp 100,000
47
39
133
55
25
46
205
49
Self Inflicted
#
Rate/
Hosp
100,000
63
52
172
71
7
13
242
58
Other Transport
#
Rate/
Hosp
100,000
32
27
51
21
10
18
93
22
Poison
#
Rate/
Hosp 100,000
12
10
63
26
27
50
102
44
Falls
#
Hosp
51
166
595
812
Rate/
100,000
43
68
1,090
195
Motor Vehicle Crash
#
Rate2/
Hosp1 100,000
152
58
10
50
20
17
23
234
205
49
Self Inflicted
#
Rate/
Hosp
100,000
195
73
9
45
12
10
26
265
242
58
Other Transport
#
Rate/
Hosp
100,000
77
29
1
N/A
5
N/A
10
102
93
22
Poison
#
Rate/
Hosp
100,000
87
33
2
N/A
7
6
6
61
102
44
Falls
#
Hosp
718
10
24
60
812
Rate/
100,000
270
50
20
611
195
Motor Vehicle Crash
#
Rate2/
Hosp1
100,000
107
N/A
77
N/A
184
N/A
Self Inflicted
#
Rate/
Hosp
100,000
61
N/A
89
N/A
150
N/A
Other Transport
#
Rate/
Hosp
100,000
58
N/A
28
N/A
86
N/A
Poison
#
Rate/
Hosp 100,000
20
N/A
49
N/A
69
N/A
Falls
#
Hosp
276
498
774
Rate/
100,000
N/A
N/A
N/A
1 Hosp=hospitalizations
2 Rates
3
are standardized by TSA population
Sex data for alcohol/drug/HIV+ patients is suppressed, yielding incomplete data unsuitable for rates
2009 Texas Hospital Inpatient Discharge Data Public Use Data File.
Source: Texas Department of State Health Services, Austin, Texas.
Motor Vehicle Crash: includes ICD9 Ecodes 810-819
Suicide/Self Inflicted Injury: Includes ICD9 Ecodes 950-959
Other Transport: includes ICD9 Ecodes 800-807, 820-838, 840-848
Poison: includes ICD9 Ecodes 850-869, 980, 981, 982
Falls: includes ICD9 Ecodes 880-886, 888, and 987
•
•
•
How to read a rate – 39 of every 100,000 children ages 0-19 in TSA A were hospitalized
for a motor vehicle crash injury.
Falls account for the majority of injury hospitalizations, followed by suicide/self
inflicted, motor vehicle crashes, poison, and other transportation.
Compared to Texas, TSA A has a much lower hospitalization rate of falls and motor
vehicle crashes.
5 LEADING CAUSES OF INJURY FROM HOSPITAL MORBIDITY DATA*, 2009
TSA A
Age
0-19
20-64
65+
Total
Fall – Accidental1
#
Hosp6
167
339
802
1,308
Fall – Accidental
Race
White
Black
Hispanic
Asian
Other
Total
Sex
Male
Female
Total
Percent7
12.8%
25.9%
61.3%
100.0%
#
Hosp
1,077
185
31
5
10
1,308
Percent
82.3%
14.1%
2.4%
0.4%
0.8%
100.0%
Fall – Accidental
# Hosp
535
772
1,307
Percent
40.9%
59.1%
100.0%
Motor Vehicle
Collision2
#
Hosp
96
302
50
448
Percent
21.4%
67.4%
11.2%
100.0%
Motor Vehicle
Collision
#
Hosp
290
110
26
3
19
448
Percent
64.7%
24.6%
5.8%
0.7%
4.2%
100.0%
Motor Vehicle
Collision
#
Hosp
301
147
448
Percent
67.2%
32.8%
100.0%
Other
Transportation4
#
Hosp
90
90
14
194
Percent
46.4%
46.4%
7.2%
100.0%
Other
Transportation
#
Hosp
148
39
3
0
4
194
Percent
76.3%
20.1%
1.5%
0.0%
2.1%
100.0%
Other
Transportation
#
Hosp
138
56
194
Percent
71.1%
28.9%
100.0%
Assault3
#
Hosp
39
143
4
186
Percent
21.0%
76.9%
2.2%
100.0%
Assault
#
Hosp
88
65
26
0
7
186
Percent
47.3%
34.9%
14.0%
0.0%
3.8%
100.0%
Assault
#
Hosp
147
39
186
Percent
79.0%
21.0%
100.0%
Struck by,
Against5
#
Hosp
43
54
7
104
Struck by,
Against
#
Hosp
Percent
67
64.4%
32
30.8%
3
2.9%
0
0.0%
2
1.9%
104 100.0%
Struck by,
Against
#
Hosp
79
25
104
*Where Condition on Discharge is alive or transferred to another acute care facility.
Fall – Accidental includes E Codes: 880 - 886, 888, and 987
Motor Vehicle Collision includes E Codes: 810 – 819
3
Assault includes E Codes: 960 – 969
4
Other Transportation includes E Codes: 800-807, 820-838, 840-848
5
Struck by, Against includes E Codes: 916-917
6 Hosp=hospitalizations for injuries
7 Percent = Percent of hospitalizations for injury categories in 2009 or (# of Hosp/Total) X 100
1
2
Source: Texas EMS/Trauma Registry as of March 14, 2011

Percent
41.3%
51.9%
6.7%
100.0%
Falls account for the majority of injuries reported, followed by motor vehicle
collision, other transportation, assault, and struck by, against injuries.
Percent
76.0%
24.0%
100.0%