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Appendix I. Associated Tables

Table 1. Firearm-associated external cause of injury codes.

Cause of Injury E-Codes Unintentional E922.0- E922.4

E922.8- E922.9 Suicide Attempt E955.0- E955.4 E955.6, E955.9 Assault E965.0-E965.4,

E979.4 Legal

Intervention E970

Undetermined E985.0- E985.4 E985.6

Table 2. Fracture ICD-9 codes

Fracture Type ICD-9 Diagnosis Code Upper Extremity (UE)

Humerus 812

Radius or Ulna 813

Wrist or Hand 814, 815, 816

Other UE 818, 819

Lower Extremity (LE)

Femur 820, 821

Tibia or Fibula 823

Ankle or Foot 824, 825, 826 Other LE 822, 827, 828

Spine 805, 806

Pelvis 808

Unspecified fracture 829

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Table 3. Major ICD-9 (International Classification of Diseases, Ninth Revision) and CCS (Clinical Classifications Software) procedure codes utilized to identify firearm-associated fractures that required an operative procedure.

Procedure ICD-9 Procedure Codes CCS Codes

External fixation 781.0-781.9

Internal fixation 785.0-785.9

Closed reduction 790.0-791.9, 794.0-794.9 Open reduction 792.0-793.9, 795.0-795.9

Debridement 796.0-796.9

Arthrotomy 800.0-801.9

Spinal fusion 810.0-810.8, 816.2-816.4 158

Fasciotomy 821.2, 831.4

Amputation 157

Vascular procedure 383.0-384.9, 393.1, 393.2, 395.6-395.9

Other OR procedure on bones 161-164

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Table 4. Incidence, 2003-2012, for all firearm-associated injuries (FAI) and firearm-associated fractures (FAF)

2003 2006 2009 2012 Overall

Total Non-Birth Population

Admissions (n) 3,462,852

(3,283,749-3,641,954) 3,429,489

(3,211,674-3,647,303) 3,359,511

(3,146,573-3,572,449) 2,932,427

(2,739,501-3,125,354) 13,184,279 (12,685,997-13,682,561) Non-Birth Admissions with FAI

(n)

8,325 (7,174-9,476)

9,979 (8,722-11,236)

8,864 (7,792-9,937)

7,326 (6,454-8,197)

34,494 (31,285-37,703)

… age 0-4 (%) 1.5

(1.1-2.0) 1.5

(1.2-1.9) 2.0

(1.6-2.5) 2.4

(1.9-3.0) 1.8

(1.6-2.1)

… age 5-9 (%) 3.7

(3.1-4.4)

2.6 (2.2-3.3)

2.3 (1.9-2.8)

2.9 (2.3-3.5)

2.9 (2.6-3.2)

… age 10-14 (%) 10.3

(9.1-11.7)

9.6 (8.5-10.9)

7.9 (7.0-9.0)

7.9 (6.9-9.2)

9.0 (8.3-9.7)

… age 15-20 (%) 84.6

(82.7-86.3) 86.2

(84.5-87.8) 87.8

(86.1-89.2) 86.9

(85.0-88.6) 86.4

(85.3-87.4) Proportion Non-Birth

Admissions with FAI (per 100,000)

240.4 (211.2-273.7)

291.0 (258.4-327.7)

263.9 (234.5-296.9)

249.8 (221.4-281.9)

261.6 (239.7-285.6)

… age 0-4 9.6

(7.2-12.7)

12.1 (9.6-15.3)

14.6 (11.7-18.2)

16.9 (13.6-21.0)

13.1 (11.5-14.9)

… age 5-9 82.7

(69.6-98.2)

75.3 (62.8-90.4)

57.7 (48.3-68.8)

64.9 (53.5-78.7)

70.3 (63.6-77.8)

… age 10-14 210.9

(185.7-239.5) 256.0

(223.6-293.0) 189.1

(165.2-216.4) 161.7

(138.7-188.5) 205.0

(188.3-223.2)

… age 15-20 500.9

(436.5-574.6) 588.3

(521.7-663.4) 540.0

(479.8-607.6) 515.9

(457.0-582.3) 537.4

(490.9-588.4) Non-Birth Admissions with FAF

(n)

2,516 (2,103-2,928)

3,373 (2,907-3,840)

3,250 (2,817-3,683)

2,814 (2,432-3,195)

11,953 (10,739-13,168)

… age 0-4 (%) 0.8

(0.5-1.4)

0.6 (0.4-1.1)

1.2 (0.8-1.8)

1.4 (1.0-2.1)

1.0 (0.8-1.3)

… age 5-9 (%) 2.1

(1.5-3.0)

1.6 (1.1-2.3)

1.5 (1.0-2.2)

1.8 (1.2-2.6)

1.7 (1.4-2.1)

… age 10-14 (%) 7.1

(5.8-8.7)

6.6 (5.5-7.9)

6.1 (5.0-7.5)

5.3 (4.3-6.7)

6.3 (5.6-7.0)

… age 15-20 (%) 90.0

(88.1-91.6) 91.2

(89.6-92.5) 91.2

(89.5-92.7) 91.5

(89.8-92.9) 91.0

(90.1-91.9) Proportion Non-Birth

Admissions with FAF (per 100,000)

72.7 (61.3-84.0)

98.4 (85.1-111.6)

96.7 (84.0-109.5)

96.0 (82.6-109.3)

90.7 (82.2-100.0)

… age 0-4 1.6

(0.9-2.9)

1.7 (1.0-3.0)

3.2 (2.1-4.8)

3.9 (2.7-5.6)

2.5 (2.0-3.2)

… age 5-9 14.2

(10.2-19.9)

15.6 (11.3-21.6)

13.6 (9.5-19.5)

15.4 (10.5-22.8)

14.7 (12.2-17.6)

… age 10-14 43.9

(35.1-55.0) 59.2

(47.8-73.2) 53.3

(43.0-66.0) 41.8

(33.0-53.0) 49.5

(43.5-56.3)

… age 15-20 161.1

(137.3-188.9) 210.2

(184.5-239.5) 205.8

(181.0-234.1) 208.6

(182.1-239.0) 196.3

(178.1-216.3) Non-Birth FAI Admissions with

FAF (%) 30.2

(28.7-31.8) 33.8

(32.4-35.2) 36.7

(35.3-38.1) 38.4

(36.8-40.1) 34.7

(33.8-35.5)

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