American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

Trauma Quality Programs Participant Use File (PUF)

Research support from Trauma Quality Programs is provided at two levels: (1) provision of the Participant Use File (PUF), the representative dataset for trauma research at the ACS, and (2) through custom requests that might entail requesting additional elements not available in the PUF, analytic support, or both. Please read the descriptions below to determine which option is best for your research project.

Trauma Quality Programs Participant Use File (PUF)

Trauma Quality Programs (TQP) research data may be used for informational and research purposes with approval from the American College of Surgeons (ACS) Committee on Trauma (COT). If you would like to use the TQP Participant Use File (PUF) for your analysis, you must complete our online data application below and agree to our Terms and Conditions. TQP PUF data are to be used exclusively for the project described in your request and are not to be linked to other datasets.

The TQP Participant Use File is now the representative dataset for trauma research at the ACS. This PUF replaces the trauma datasets previously offered to researchers including the NTDB Research Dataset, the NTDB National Sample Program, and the Trauma Quality Improvement Program (TQIP) Participant Use File (PUF).


  • The TQP PUF contains all records sent to NTDB for specified admission years
  • Includes data submitted on pediatric and adult patients from Level I, II, III, IV, V or undesignated trauma centers
  • The PUF costs $500 per admission year of data requested
  • Admission Years 2007 through 2019 are currently available
  • Not all data elements collected in the NTDS Data Dictionary are available in the PUF. For a complete list of TQP data elements available in each year of the dataset, please review the User Manual.
  • All potential recipients of the dataset must complete an application. You can expect to hear a response on your application within 15 business days of a completed application.


Directions for Ordering Participant Use File

TQP PUF User Manual 2007–2016

TQP PUF User Manual 2017-2019

Samples of the structure of the TQP PUF:  2016 | 2017

Apply for the TQP Participant Use File

ACS TQP Research Custom Request

The ACS COT reviews requests related to research beyond the PUF. These requests might pertain to a customized dataset or specific analytic support through our data management or statistical team. Data management and statistical support are not assured and highly dependent on the time required and program priorities.


  • The ACS COT accepts custom research applications on a periodic basis dependent upon our current projects and resources.
  • Requests will be evaluated based on feasibility, methodology, research significance, and relevance to the Trauma Quality Programs
  • Additional disclosures and data use agreements may be required.
  • Cost for research support is considered on a case-by-case basis and depends on the level of effort required to provide support.  Total costs will include the cost of the standard datasets themselves as well as additional costs for support.
    • As with the PUF, TQIP participants will have the standard dataset costs waived but would need to cover additional costs for support.
  • At this time, ACS TQP Research Custom Request applications are closed. If you would like to be notified when the custom application system is open, please provide your contact information using the link below.

Join the ACS TQP Research Custom Request Waitlist