These are documents created to provide additional understanding of the following injury topics. These resources were developed by injury surveillance epidemiologists and peers in the CSTE Injury Surveillance Workgroup.  

Adverse Childhood Experiences 

• Guidance on Using Syndromic Surveillance for Adverse Childhood Experiences (ACEs)

• From Pixels to Progress: Setting the stage for data-driven decision-making on ACES and PCEs 

• From Pixels to Progress: Workshop Exercise Key 

Injury and Violence  

• Understanding Injury and Violence Topics in Syndromic Surveillance
• CSTE Injury Data Science Team Competencies
• CSTE Injury Data Linkage Toolkit
• Health Equity in Injury Data

• Guidance for Calculating Incidence by Census Tract Poverty Level

• Interrupted time series design to evaluate the effect of the ICD-9-CM to ICD-10-CM coding transition on injury hospitalization trends

Communicating Results 

Table for communicating injury-related hospitalization and Emergency Department visits results  

Table for communicating nonfatal drug overdose indicators 

Data Sources (sample): 

• Texas Hospital Inpatient Discharge Research Data File, 2017. Texas Department of State Health Services, Center for Health Statistics, Austin, Texas. 

• Texas Outpatient Surgical and Radiological Procedure Research Data File, 2017. Texas Department of State Health Services, Center for Health Statistics, Austin, Texas. 

Sources: 

• Thomas KE, Johnson RL. State injury indicators report: Instructions for Preparing 2016 Mortality Data. Atlanta (GA): Centers for Disease Control and Prevention, National Center for Injury Prevention and Control; 2018.2 

• CSTE ICD-10-CM Injury Surveillance Toolkit 

• Deaths are excluded from both hospital discharge and ED data. 

• The injury subset includes only in-state residents treated in nonfederal, acute care-affiliated facilities. 

• Readmissions and transfers are included in hospital discharge data. 

• Patients who are treated in the ED and then admitted are excluded from the ED data. 

• The ICD-10-CM definitions for each indicator are found here. 

• Instructions for calculating the injury subset are found here for Nonfatal Hospitalizations, here for Nonfatal ED Visits, and here for Drug Overdose Hospitalizations and ED Visits. 

• Age-adjusted rates were referenced to the United States 2000 standard population. 

• In [data year], there were nearly NN,NNN nonfatal hospitalizations and NN,NNN,NNN nonfatal ED (ED) visits related to injury among Texas residents. That is, on average, NN nonfatal hospitalization and NN nonfatal ED visits daily. Age-adjusted nonfatal hospitalization rates per 100,000 population related to each indicator among Texas residents were: all injury (NN.N), drowning (NN.N), fall (NN.N), fall-related hip fractures (NN.N), fire (NN.N), firearm (NN.N), assault (NN.N), unintentional MVT (NN.N), drug overdose (NN.N), nondrug poisoning (NN.N), intentional self-harm (NN.N), and traumatic brain injury (NN.N). Age-adjusted nonfatal ED visit rates per 100,000 population related to each indicator among Texas residents were: all injury (NN.N), drowning (NN.N), fall (NN.N), fall-related hip fractures (NN.N), fire (NN.N), firearm (NN.N), assault (NN.N), unintentional MVT (NN.N), drug overdose (NN.N), nondrug poisoning (NN.N), intentional self-harm (NN.N), and traumatic brain injury (NN.N).