1 / 8

Defining injuries with emergency department data: a recommendation from the United States

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics. Defining injuries with emergency department data: a recommendation from the United States. Lois Fingerhut.

jmolly
Download Presentation

Defining injuries with emergency department data: a recommendation from the United States

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. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Defining injuries with emergency department data: a recommendation from the United States Lois Fingerhut

  2. US “traditional” NHAMCS-ED injury definition and inclusion criteria Measure of burden of injury on the ED • Reason for Visit Classification (up to 3) • All ICD–9– CM diagnoses from Chapter 17 • All ICD-9-CM external causes from Supplementary Classification • Both the diagnoses and the external cause codes can include complications of care and adverse effects codes. • Check box “Is visit related to injury, or poisoning or adverse effect of medical treatment?”

  3. Recommended incidence-based injury visit definition • Initial visit to an ED with either • a first-listed injury diagnosis regardless of any mention of an external cause of injury or • a valid external cause of injury. • Visits with a first-listed diagnosis code of either complications of care or an adverse effect are excluded.

  4. Modified recommended injury visit definition • A first-listed injury diagnosis regardless of any mention of an external cause of injury code, or • Visit witha valid first-listed external cause of injury • Visits with a first-listed diagnosis code of either complications of care or an adverse effect are excluded. • Initial visit status is not part of this definition as the variable was not introduced until 2001.

  5. Trends in number of injury visits to EDs, alternative definitions: US, 1995-2004

  6. Alternative estimates of injury visits: US, 2004

  7. Derivation of recommended definition for 2004 number of visits

  8. Questions?

More Related