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


  • 351 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

PowerPoint Slideshow about 'Multiple Cause of Injury Deaths Presented Using the ICD-10 Injury Mortality Diagnosis Matrix' - adamdaniel


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