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


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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
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U.S. Branch 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

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Overview Multiple reason for death information ICD amendments and alterations Matrices for ICD grouping 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 numerous reason information utilizing ICD-10 harm analysis lattice Discuss some methodological contemplations

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Multiple reason information for damage passings Up to 20 conditions said on death endorsement including … External reason for harm Underlying reason *U,V,W,X,Y codes Injury analyze S and T codes Other findings A,B,C…R codes

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External reason External reason for death Always chose as basic reason for harm passings Mechanism (e.g. auto collision, gun) Intent (e.g. inadvertent, suicide) External reason grid Cross groups by component & expectation Gaining far reaching national and worldwide utilization

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External reason network fundamental structure

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ICD amendments and alterations in US International Classification of Diseases Classifies ALL wellbeing conditions 9 th and 10 th updates ICD-9 Mortality: 1979 - 1998 ICD-10 Mortality: 1999 - present Clinical changes for horribleness ICD-9 CM as of now being used in US ICD-10 CM created – usage?

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Barell Matrix Standard for showing harm bleakness information Body locale by nature of damage ICD-9 CM codes STIPDA prescribed as technique to present grimness information Chartbook from NCHS on National Hospital Discharge Survey and included in yearly tables

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ICD-10 Injury mortality determination framework Over 1,200 ‘S’ or ‘T’ codes portray deadly wounds Summarized …. Body locale (e.g. thorax, limits) 43  17  5 classifications Nature (e.g. crack, open injuries) 19  16 classes

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ICD-10 Injury Mortality Diagnosis Matrix ICD-10 ‘S’ or ‘T’ code

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ICD-10 Body district of damage Categories proper for mortality Full grid 43 classifications More detail To make it similar to bleakness. Level of point of interest not accessible in mortality information.

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ICD-10 mortality Nature of harm classes

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Injury passings, US, 2002 161,269 passings with basic reason damage 246,065 wounds specified on death declaration 1.5 damage analyze per demise Ratio shifted by reason & aim

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Multiple damage passings Many strategies to examine. For instance: Total notice of damage analyses Any notice in a classification (chose) Main harm or initially recorded harm Weighted aggregate notice – weight = 1/aggregate number of wounds per passing

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Number of Mentions: ‘Total’, ‘Any’ & ‘Weighted total’ by body district US, 2002 Body locale

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Total notice Body area US, 2002 Head & Neck Not classifiable Spine & Back Torso Extremities Body area

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Total notice Nature of harm US 2002 Nature of harm

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Percent of all wounds specified by body locale and nature of harm US, 2002

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Percent of all wounds said by outer cause and body locale US, 2002 Percent

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Percent of all wounds said by outside reason and nature of damage US, 2002 Percent

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THANK YOU !!! Visit the damage site www.cdc.gov/nchs/injury.htm Email general harm questions nchsinjury@cdc.gov Contac