ArticleAcademic pediatrics
The Accuracy of ICD Codes: Identifying Physical Abuse in 4 Children's Hospitals.
Article in Academic pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Predictive value of indicators for identifying child maltreatment and intimate partner violence in coded electronic health records: a systematic review and meta-analysis.Archives of disease in childhood · 2021Pooled it
- Prevalence of Abuse Among Young Children With Rib Fractures: A Systematic Review.Pediatric emergency care · 2019Pooled it
- The use of ICD-10 coding for children hospitalized with suspected child physical abuse at a tertiary care pediatric hospital in Greece.European journal of pediatrics · 2025Article
- Explanatory capacity of measures of community context for paediatric injury hospitalisations in the USA.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Machine-Learned Codes from EHR Data Predict Hard Outcomes Better than Human-Assigned ICD Codes.Machine learning and knowledge extraction · 2025Article
- Article
- Early predictors for maltreatment-related injuries in infancy and long-term mortality: a population-based study.BMC public health · 2023Article
- Validating Use of ICD-10 Diagnosis Codes in Identifying Physical Abuse Among Young Children.Academic pediatrics · 2023Article
- Increased severity of abusive head trauma during the first year of the COVID-19 pandemic.Child abuse & neglect · 2023Article
- Do children evaluated for maltreatment have higher subsequent emergency department and inpatient care utilization compared to a general pediatric sample?Child abuse & neglect · 2022Article
- Violence in the Great Recession.American journal of epidemiology · 2022Article
- Article
- Reports and Removals of Child Maltreatment-Related Hospitalizations: A Population-Based Study.Child maltreatment · 2022Article
- Human Trafficking ICD-10 Code Utilization in Pediatric Tertiary Care Centers Within the United States.Frontiers in pediatrics · 2022Article
- Measuring the hidden burden of violence: use of explicit and proxy codes in Minnesota injury hospitalizations, 2004-2014.Injury epidemiology · 2021Article
- Identification of physical abuse-related hospitalizations in young children: Impact of the transition to ICD-10-CM coding.Child abuse & neglect · 2021Article
- United States ED Visits by Adult Women for Nonfatal Intimate Partner Strangulation, 2006 to 2014: Prevalence and Associated Characteristics.Journal of emergency nursing · 2021Article
- How Experiences of Child Abuse Pediatricians and Lessons Learned May Inform Health Care Providers Focused on Improving Elder Abuse Geriatrics Clinical Practice and Research.Journal of family violence · 2021Article
- 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 · 2021Article
- Research priorities for a multi-center child abuse pediatrics network - CAPNET.Child abuse & neglect · 2017Article
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Authors and funding
7 authors.
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Abstract
objectiveTo assess the accuracy of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), codes in identifying cases of child physical abuse in 4 children's hospitals.
methodsWe included all children evaluated by a child abuse pediatrician (CAP) for suspicion of abuse at 4 children's hospitals from January 1, 2007, to December 31, 2010. Subjects included both patients judged to have injuries from abuse and those judged to have injuries from accidents or to have medical problems. The ICD-9-CM codes entered in the hospital discharge database for each child were compared to the decisions made by the CAPs on the likelihood of abuse. Sensitivity and specificity were calculated. Medical records for discordant cases were abstracted and reviewed to assess factors contributing to coding discrepancies.
resultsOf 936 cases of suspected physical abuse, 65.8% occurred in children <1 year of age. CAPs rated 32.7% as abuse, 18.2% as unknown cause, and 49.1% as accident/medical cause. Sensitivity and specificity of ICD-9-CM codes for abuse were 73.5% (95% confidence interval 68.2, 78.4), and 92.4% (95% confidence interval 90.0, 94.0), respectively. Among hospitals, sensitivity ranged from 53.8% to 83.8% and specificity from 85.4% to 100%. Analysis of discordant cases revealed variations in coding practices and physicians' notations among hospitals that contributed to differences in sensitivity and specificity of ICD-9-CM codes in child physical abuse.
conclusionsOverall, the sensitivity and specificity of ICD-9-CM codes in identifying cases of child physical abuse were relatively low, suggesting both an under- and overcounting of abuse cases.
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