Trauma/Critical Care

By the Numbers

Carilion Roanoke Memorial Hospital (CRMH) is proud to be the only designated Level I trauma center in western Virginia, providing comprehensive access to trauma services and specialists since 1983.

Over the past five years (FY2010-FY2015), the volume of trauma cases at Carilion Roanoke Memorial Hospital has remained fairly stable, with only a 2% increase. Even with our increasing outreach efforts, this slight increase in volumes has been related to the aging American population. In fact, the greatest increase in the trauma population was in senior citizens, with falls surpassing motor vehicle crashes.

TRAUMA STATISTICS

Mechanism of Injury

Trauma cases are generally divided into three main categories:

  • Trauma by blunt mechanisms (e.g. motor vehicle crashes, falls, bike accidents)
  • Trauma by penetrating mechanisms (e.g. firearms, knives)
  • Trauma due to burn injuries

During fiscal year 2015 (Oct. 2014-Sept. 2015), our trauma center at CRMH received 2,350 cases, in which over 90 percent were from blunt mechanisms. This included:

This graphical representation shows the range of trauma cases at Carilion Clinic.
  • Falls: 852
  • Motor vehicle crashes: 711
  • Motorcycle crashes: 142
  • Assault: 140
  • Gunshots: 110
  • Pedestrian accidents: 64
  • Bicycle: 38
  • Other blunt causes: 132

Trauma by Age

During fiscal year 2015, patients of all ages were treated for trauma at Carilion Clinic.

  • Age 0-14: 5%
  • Age 15-29: 25%
  • Age 30-44: 18%
  • Age 45-59: 24%
  • Age 60-74: 14%
  • Age 74+: 14%

Senior citizens account for a large portion of the trauma patients seen at CRMH, and this is the first fiscal year that falls have surpassed motor vehicle crashes as the leading cause of injury admitted to trauma services. Knowing this information has led to continued improvements on our injury prevention tactics to this group as well as providing more specialized care to these patients for better outcomes.

VIRGINIA INJURY STATISTICS

  • Poisonings, falls, and motor vehicle crashes are the three leading causes of unintentional injury deaths in the state for all ages in 2014.
  • Fall related unintentional injuries for ages 65+ have increased 61% from 2009 to 2014 in Virginia.
  • In 2014, 3,147 Virginians died from unintentional injuries, down from 3,798 in 2009.

U.S. INJURY STATISTICS

  • Poisonings, falls, and motor vehicle crashes are the three leading causes of unintentional injury deaths in the state for all ages in 2014.
  • In 2014, there were 33,736 people killed and more than 2.4 million injured due to motor vehicle crashes
  • An estimated 30.8 million people are treated for injuries in 2014.

For motor vehicle crashes, trends show the number of injuries/deaths is increasing; however the number of people killed or injured in alcohol related car crashes is decreasing. This suggests that alcohol related prevention strategies are working with the need to focus more on other causes of car crashes, including distracted driving.

More data about trauma services is available on both the the state and national level. View the following sites to learn more: