ArticleInjury epidemiology2021
Impact of ICD-9-CM to ICD-10-CM coding transition on trauma hospitalization trends among young adults in 12 states.
Article in Injury epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed, 26 citations in OpenAlex.
- Clinical diagnosis groups developed to bridge the ICD-9-CM to ICD-10-CM coding transition and monitor trends in workers' compensation claims - Ohio, 2011-2018.Journal of safety research · 2025Article
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- Trends and disparities in violence-related injury morbidity among pregnant and postpartum individuals.Annals of epidemiology · 2024Article
- Risk of Dementia Diagnosis After Injurious Falls in Older Adults.JAMA network open · 2024Article
- The METRIC-framework for assessing data quality for trustworthy AI in medicine: a systematic review.NPJ digital medicine · 2024Review
- Trends in hospitalization and death rates among patients with head and neck cancer in Spain, 2009 to 2019.Human vaccines & immunotherapeutics · 2022Article
- Transitions between versions of the International Classification of Diseases and chronic disease prevalence estimates from administrative health data: a population-based study.BMC public health · 2022Article
- Impact of Medicaid expansion on young adult firearm and motor vehicle crash trauma patients.Surgery open science · 2022Article
- A National Analysis of Ophthalmic Features and Mortality in Abusive Head Trauma.JAMA ophthalmology · 2022Article
- Lessons in Linkage: combining administrative data using deterministic linkage for surveillance of sports and recreation injuries in Florida, United States.International journal of population data science · 2022Article
- Association of the Affordable Care Act Medicaid Expansion with Trauma Outcomes and Access to Rehabilitation among Young Adults: Findings Overall, by Race and Ethnicity, and Community Income Level.Journal of the American College of Surgeons · 2021Article
- Interrupted time series design to evaluate ICD-9-CM to ICD-10-CM coding changes on trends in Colorado emergency department visits related to traumatic brain injury.Injury epidemiology · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundWe aimed to estimate the impact of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) coding transition on traumatic injury-related hospitalization trends among young adults across a geographically and demographically diverse group of U.S. states.
methodsInterrupted time series analyses were conducted using statewide inpatient databases from 12 states and including traumatic injury-related hospitalizations in adults aged 19-44 years in 2011-2017. Segmented regression models were used to estimate the impact of the October 2015 coding transition on external cause of injury (ECOI) completeness (percentage of hospitalizations with a documented ECOI code) and on population-level rates of injury-related hospitalizations by nature, intent, mechanism, and severity of injury.
resultsThe transition to ICD-10-CM was associated with a drop in ECOI completion in the transition month (- 3.7%; P < .0001), but there was no significant change in the positive trend in ECOI completion from the pre- to post-transition periods. There were significant increases post-transition in the measured rates of hospitalization for traumatic brain injury (TBI), unintentional injury, mild injury (injury severity score (ISS) < 9), and injuries caused by drowning, firearms, machinery, other pedestrian, suffocation, and unspecified mechanism. Conversely, there were significant decreases in October 2015 in the rates of hospitalization for assault, injuries of undetermined intent, injuries of moderate severity (ISS 9-15), and injuries caused by fire/burn, other pedal cyclist, other transportation, natural/environmental, and other specified mechanism. A significant increase in the percentage of hospitalizations classified as resulting from severe injury (ISS > 15) was observed when the general equivalence mapping maximum severity method for converting ICD-10-CM codes to ICD-9-CM codes was used. State-specific results for the outcomes of ECOI completion and TBI-related hospitalization rates are provided in an online supplement.
conclusionsThe U.S. transition from ICD-9-CM to ICD-10-CM coding led to a significant decrease in ECOI completion and several significant changes in measured rates of injury-related hospitalizations by injury intent, mechanism, nature, and severity. The results of this study can inform the design and analysis of future traumatic injury-related health services research studies that use both ICD-9-CM and ICD-10-CM coded data. LEVEL OF EVIDENCE: II (Interrupted Time Series).
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