Evidence map›Paper›PMID 24167034›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2015

Assessing the accuracy of the International Classification of Diseases codes to identify abusive head trauma: a feasibility study.

Rachel P Berger, Sharyn Parks, Janet Fromkin, Pamela Rubin, Peter J Pecora

Abstract read
In one paragraph

Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Accuracy of ICD-10-CM coding for physical child abuse in a paediatric level I trauma centre.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021
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  12. Paid family leave's effect on hospital admissions for pediatric abusive head trauma.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2016
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4 · The record

Corrections and comments

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.

Rachel P BergerDepartment of Pediatrics, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA.
Sharyn ParksNational Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
Janet FromkinDepartment of Pediatrics, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA.
Pamela RubinDepartment of Pediatrics, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA.
Peter J PecoraCasey Family Programs, School of Social Work, University of Washington, Seattle, Washington, USA.

Funding

Novel Approaches to Screening for Inflicted Childhood NeurotraumaR01HD055986 · NICHD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI BERGER, RACHEL P · 2009 to 2014
$2.8M
Intramural CDC HHS CC999999NICHD NIH HHS R01 HD055986NICHD NIH HHS R01HD055986
6 · The paper itself

Abstract

objectiveTo assess the accuracy of an International Classification of Diseases (ICD) code-based operational case definition for abusive head trauma (AHT).

methodsSubjects were children <5 years of age evaluated for AHT by a hospital-based Child Protection Team (CPT) at a tertiary care paediatric hospital with a completely electronic medical record (EMR) system. Subjects were designated as non-AHT traumatic brain injury (TBI) or AHT based on whether the CPT determined that the injuries were due to AHT. The sensitivity and specificity of the ICD-based definition were calculated.

resultsThere were 223 children evaluated for AHT: 117 AHT and 106 non-AHT TBI. The sensitivity and specificity of the ICD-based operational case definition were 92% (95% CI 85.8 to 96.2) and 96% (95% CI 92.3 to 99.7), respectively. All errors in sensitivity and three of the four specificity errors were due to coder error; one specificity error was a physician error.

conclusionsIn a paediatric tertiary care hospital with an EMR system, the accuracy of an ICD-based case definition for AHT was high. Additional studies are needed to assess the accuracy of this definition in all types of hospitals in which children with AHT are cared for.

Indexed as

Brain InjuriesChild AbuseChild, PreschoolCraniocerebral TraumaFeasibility StudiesFemaleHumansInfantInternational Classification of DiseasesMaleSensitivity and Specificity

Identifiers

PMID24167034
PMCPMC4757425

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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 OpenQuestion graph.