ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2021
Multisite medical record review of emergency department visits for unspecified injury of head following the ICD-10-CM coding transition.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- Validity and reliability International Classification of Diseases-10 codes for all forms of injury: A systematic review.PloS one · 2024Pooled it
- Optimal Volume of Moderate-to-Vigorous Physical Activity Postconcussion in Children and Adolescents.JAMA network open · 2024Trial
- Trial
- Incidences of Concussion in the United States: A Review of Health Insurance Claims.Brain sciences · 2026Article
- Smartphone App-Delivered Mindfulness-Based Intervention for Concussion in Adolescents (MBI-4-mTBI): Feasibility Randomized Controlled Trial.JMIR rehabilitation and assistive technologies · 2026Article
- Epidemiology and Outcomes of Battlefield-Related Penetrating and Closed Traumatic Brain Injuries Compared to Non-Head Injuries: A Retrospective Cohort Study.Military medicine · 2026Article
- Comparison of US TBI-related emergency department visits from two data sources: NEISS-AIP and HCUP-NEDS.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Initiation of Antiseizure Medications in Patients With Brain Abscess.JAMA network open · 2025Article
- Article
- Nightly Sleep Duration and Symptom Burden Over 1 Month Following Pediatric Concussion.JAMA network open · 2025Article
- Emergency Department Visits for Alcohol-Associated Falls Among Older Adults in the United States, 2011 to 2020.Annals of emergency medicine · 2023Article
- Care patterns and predictors of community residence among older patients after hospital discharge for traumatic brain injury.Journal of the American Geriatrics Society · 2023Article
- Neuroimaging for mild traumatic brain injury in children: cross-sectional study using national claims data.Pediatric radiology · 2023Article
- Trends in ICD-10-CM-Coded Administrative Datasets for Injury Surveillance and Research.Southern medical journal · 2022Review
- Multi-site medical record review for validation of intentional self-harm coding in emergency departments.Injury epidemiology · 2022Article
- Non-fatal injury data: characteristics to consider for surveillance and research.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2022Article
- 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
- Use of ICD-10-CM coded hospitalisation and emergency department data for injury surveillance.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021Article
- Multisite medical record review of emergency department visits for traumatic brain injury.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2021Article
- Validation of ICD-10-CM surveillance codes for traumatic brain injury inpatient hospitalizations.Brain injury · 2020Article
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Authors and funding
10 authors at 5 institutions in 1 country.
Funding
Abstract
introductionIn 2016, a proposed International Classification of Diseases, Tenth Edition, Clinical Modification surveillance definition for traumatic brain injury (TBI) morbidity was introduced that excluded the unspecified injury of head (S09.90) diagnosis code. This study assessed emergency department (ED) medical records containing S09.90 for evidence of TBI based on medical documentation.
methodsState health department representatives in Maryland, Kentucky, Colorado and Massachusetts reviewed a target of 385 randomly sampled ED records uniquely assigned the S09.90 diagnosis code (without proposed TBI codes), which were initial medical encounters among state residents discharged home during October 2015-December 2018. Using standardised abstraction procedures, reviewers recorded signs and symptoms of TBI, and head imaging results. A tiered case confirmation strategy was applied that assigned a level of certainty (high, medium, low, none) to each record based on the number and type of symptoms and imaging results present in the record. Positive predictive value (PPV) of S09.90 by level of TBI certainty was calculated by state.
resultsWide variation in PPV of sampled ED records assigned S09.90: 36%-52% had medium or high evidence of TBI, while 48%-64% contained low or no evidence of a TBI. Loss of consciousness was mentioned in 8%-24% of sampled medical records. DISCUSSION: Exclusion of the S09.90 code in surveillance estimates may result in many missed TBI cases; inclusion may result in counting many false positives. Further, missed TBI cases influenced by incidence estimates, based on the TBI surveillance definition, may lead to inadequate allocation of public health resources.
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