Evidence map›Paper›PMID 33674335›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2021

Exploring injury intentionality and mechanism via ICD-10-CM injury codes and self-reported injury in a large, urban emergency department.

Michael J Clery, Philip Joseph Hudson, Jasmine C Moore, Laura M Mercer Kollar, Daniel T Wu

Abstract read
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

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0cells of the map it votes in
5citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Michael J CleryDepartment of Emergency Medicine, School of Medicine, Emory University, Atlanta, Georgia, USA michael.j.clery@emory.edu.ORCID 0000-0002-1701-1289
Philip Joseph HudsonInjury Prevention Program, Georgia Department of Public Health, Atlanta, Georgia, USA.ORCID 0000-0002-2958-8181
Jasmine C MooreGrady Health System, Atlanta, Georgia, USA.
Laura M Mercer KollarDivision of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.ORCID 0000-0001-9517-7690
Daniel T WuDepartment of Emergency Medicine, School of Medicine, Emory University, Atlanta, Georgia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Health systems capture injuries using International Statistical Classification of Diseases and Related Health Problems, 10th Revision, Clinical Modification (ICD-10-CM) diagnostic codes and share data with public health to inform injury surveillance. This study analyses provider-assigned ICD-10-CM injury codes among self-reported injuries to determine the effectiveness of ICD-10-CM coding in capturing injury and assault.

methodsSelf-reported injury screen records from an urban, level 1 trauma centre collected between 20 November 2015 and 30 September 2019 were compared with corresponding provider-assigned ICD-10-CM codes discerning the frequency in which intentions are indicated among patients reporting (1) any injury and (2) assault.

resultsOf 380 922 patients screened, 32 788 (8.61%) reported any injury and 6763 (1.78%) reported assault. ICD-10-CM codes had a sensitivity of 67.40% (95% CI 66.89% to 67.91%) for any injury and specificity of 89.79% (95% CI 89.69% to 89.89%]). For assault, ICD-10-CM codes had sensitivity of 2.25% (95% CI 1.91% to 2.63%) and specificity of 99.97% (95% CI 99.97% 99.98%). DISCUSSION: This study found provider-assigned ICD-10-CM had limited sensitivity to identify injury and low sensitivity for assault. This study more fully characterises ICD-10-CM coding system effectiveness in identifying assaults.

Indexed as

Emergency Service, HospitalInternational Classification of DiseasesHumansSelf ReportTrauma Centersepidemiologymultiple injurypublic healthtrauma systemsviolence

Identifiers

PMID33674335
PMCPMC7948174

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.