slide1 l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Multiple Cause of Injury Deaths Presented Using the ICD-10 Injury Mortality Diagnosis Matrix PowerPoint Presentation
Download Presentation
Multiple Cause of Injury Deaths Presented Using the ICD-10 Injury Mortality Diagnosis Matrix

Loading in 2 Seconds...

play fullscreen
1 / 21

Multiple Cause of Injury Deaths Presented Using the ICD-10 Injury Mortality Diagnosis Matrix - PowerPoint PPT Presentation


  • 352 Views
  • Uploaded on

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Multiple Cause of Injury Deaths Presented Using the ICD-10 Injury Mortality Diagnosis Matrix Margaret Warner, PhD Lois A Fingerhut, MA NCIPC Denver 2005 Overview

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

Multiple Cause of Injury Deaths Presented Using the ICD-10 Injury Mortality Diagnosis Matrix


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

National Center for Health Statistics

Multiple Cause of Injury Deaths Presented Using the ICD-10

Injury Mortality Diagnosis Matrix

Margaret Warner, PhD

Lois A Fingerhut, MA

NCIPC Denver 2005

overview
Overview
  • Multiple cause of death data
  • ICD revisions and modifications
  • Matrices for ICD classification
    • External Cause of Matrix (ICD-9, ICD-9 CM, ICD-10)
    • Barell Injury Diagnosis Matrix (ICD-9 CM)
    • Injury Mortality Diagnosis Matrix (ICD-10)
  • Present 2002 multiple cause data using ICD-10 injury diagnosis matrix
  • Discuss some methodological considerations
multiple cause data for injury deaths
Multiple cause data for injury deaths

Up to 20 conditions mentioned on death certificate including …

  • External cause of injury
    • Underlying cause
    • *U,V,W,X,Y codes
  • Injury diagnoses
    • S and T codes
  • Other diagnoses
    • A,B,C…R codes
external cause
External cause
  • External cause of death
    • Always selected as underlying cause for injury deaths
    • Mechanism (e.g. car crash, firearm)
    • Intent (e.g. unintentional, suicide)
  • External cause matrix
    • Cross classifies by mechanism & intent
    • Gaining widespread national and international use
icd revisions and modifications in us
ICD revisions and modifications in US
  • International Classification of Diseases
  • Classifies ALL health conditions
    • 9th and 10th revisions
      • ICD-9 Mortality: 1979 - 1998
      • ICD-10 Mortality: 1999 - present
    • Clinical modifications for morbidity
      • ICD-9 CM currently in use in US
      • ICD-10 CM developed – implementation?
barell matrix
Barell Matrix
  • Standard for presenting injury morbidity data
  • Body region by nature of injury
  • ICD-9 CM codes
  • STIPDA recommended as method to present morbidity data
  • Chartbook from NCHS on National Hospital Discharge Survey and included in annual tables
icd 10 injury mortality diagnosis matrix
ICD-10 Injury mortality diagnosis matrix
  • Over 1,200 ‘S’ or ‘T’ codes describe fatal injuries
  • Summarized ….
    • Body region (e.g. thorax, extremities)
      • 43  17  5 categories
    • Nature (e.g. fracture, open wounds)
      • 19  16 categories
slide9

ICD-10 Injury Mortality Diagnosis Matrix

ICD-10 ‘S’ or ‘T’ code

slide10

ICD-10

Body region

of injury

Categories

appropriate

for mortality

Full matrix

43 categories

More detail

To make it comparable to morbidity. Level of detail not available in mortality data.

slide11

ICD-10 mortality

Nature of injury

categories

injury deaths us 2002
Injury deaths, US, 2002
  • 161,269 deaths with underlying cause injury
  • 246,065 injuries mentioned on death certificate
  • 1.5 injury diagnoses per death
  • Ratio varied by cause & intent
multiple injury deaths
Multiple injury deaths

Many methods to analyze. For example:

  • Total mentions of injury diagnoses
  • Any mention in a category (selected)
  • Main injury or first listed injury
  • Weighted total mention –

weight = 1/total number of injuries per death

number of mentions total any weighted total by body region us 2002
Number of Mentions: ‘Total’, ‘Any’ & ‘Weighted total’ by body region US, 2002

Body region

total mentions body region us 2002
Total mentions Body region US, 2002

Head & Neck

Not classifiable

Spine & Back

Torso

Extremities

Body region

thank you
THANK YOU !!!

Visit the injury website www.cdc.gov/nchs/injury.htm

Email general injury questions nchsinjury@cdc.gov

Contact me directly MWarner@cdc.gov