ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2021
Multisite medical record review of emergency department visits for traumatic brain injury.
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 11 papers.
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Who cites it
11 citing papers in PubMed, 13 citations in OpenAlex.
- Discordance Between Electronic Health Records and Self-Reported Data: Evidence from Traumatic Brain Injury and Colorectal Cancer.Healthcare (Basel, Switzerland) · 2026Article
- Epidemiology of Traumatic Brain Injury in Medicare Beneficiaries over the Last Decade: A Retrospective Observational Study.Health science reports · 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
- Traumatic brain injury and mortality in older adults with and without pre-injury dementia.Age and ageing · 2025Article
- Comparison of different definitions of traumatic brain injury: implications for cohort characteristics and survival in women, Philadelphia, USA.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Article
- Effect of continuous hypertonic saline infusion on clinical outcomes in patients with traumatic brain injury.Neurosurgical review · 2024Article
- 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
- 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
Corrections and comments
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Authors and funding
7 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn 2016, the CDC in the USA proposed codes from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for identifying traumatic brain injury (TBI). This study estimated positive predictive value (PPV) of TBI for some of these codes.
methodsFour study sites used emergency department or trauma records from 2015 to 2018 to identify two random samples within each site selected by ICD-10-CM TBI codes for (1) intracranial injury (S06) or (2) skull fracture only (S02.0, S02.1-, S02.8-, S02.91) with no other TBI codes. Using common protocols, reviewers abstracted TBI signs and symptoms and head imaging results that were then used to assign certainty of TBI (none, low, medium, high) to each sampled record. PPVs were estimated as a percentage of records with medium-certainty or high-certainty for TBI and reported with 95% confidence interval (CI).
resultsPPVs for intracranial injury codes ranged from 82% to 92% across the four samples. PPVs for skull fracture codes were 57% and 61% in the two university/trauma hospitals in each of two states with clinical reviewers, and 82% and 85% in the two states with professional coders reviewing statewide or nearly statewide samples. Margins of error for the 95% CI for all PPVs were under 5%. DISCUSSION: ICD-10-CM codes for traumatic intracranial injury demonstrated high PPVs for capturing true TBI in different healthcare settings. The algorithm for TBI certainty may need refinement, because it yielded moderate-to-high PPVs for records with skull fracture codes that lacked intracranial injury codes.
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