ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2012
Emergency department coding of bicycle and pedestrian injuries during the transition from ICD-9 to ICD-10.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Validity and reliability International Classification of Diseases-10 codes for all forms of injury: A systematic review.PloS one · 2024Pooled it
- Development and Assessment of a New Framework for Disease Surveillance, Prediction, and Risk Adjustment: The Diagnostic Items Classification System.JAMA health forum · 2022Article
- National rates of non-fatal emergency department visits and hospitalisations due to fall-related injuries in older adults 2010-2014 and 2016: transitioning from ICD-9-CM to ICD-10-CM.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021Article
- The classic "Carrot-and-stick approach": Addressing underutilization of ICD-10 increased data granularity.North American Spine Society journal · 2020Article
- Validity of Principal Diagnoses in Discharge Summaries and ICD-10 Coding Assessments Based on National Health Data of Thailand.Healthcare informatics research · 2017Article
- Examination of adult and child bicyclist safety-relevant events using naturalistic bicycling methodology.Accident; analysis and prevention · 2017Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe international classification of diseases version 10 (ICD-10) uses alphanumeric expanded codes and external cause of injury codes (E-codes).
objectiveTo examine the reliability and validity of emergency department (ED) coders in applying E-codes in ICD-9 and -10.
methodsBicycle and pedestrian injuries were identified from the ED information system from one period before and two periods after transition from ICD-9 to -10 coding. Overall, 180 randomly selected bicycle and pedestrian injury charts were reviewed as the reference standard (RS). Original E-codes assigned by ED coders (ICD-9 in 2001 and ICD-10 in 2004 and 2007) were compared with charts (validity) and also to ICD-9 and -10 codes assigned from RS chart review, to each case by an independent (IND) coder (reliability). Sensitivity, specificity, simple, and chance-corrected agreements (κ statistics) were calculated.
resultsSensitivity of E-coding bicycle injuries by the IND coder in comparison with the RS ranged from 95.1% (95% CI 86.3 to 99.0) to 100% (95% CI 94.0 to 100.0) for both ICD-9 and -10. Sensitivity of ED coders in E-coding bicycle injuries ranged from 90.2% (95% CI 79.8 to 96.3) to 96.7% (95% CI 88.5 to 99.6). The sensitivity estimates for the IND coder ranged from 25.0% (95% CI 14.7 to 37.9) to 45.0% (95% CI 32.1 to 58.4) for pedestrian injuries for both ICD-9 and -10.
conclusionBicycle injuries are coded in a reliable and valid manner; however, pedestrian injuries are often miscoded as falls. These results have important implications for injury surveillance research.
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