Evidence map›Paper›PMID 33674337›Full record

ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2021

Accuracy of ICD-10-CM coding for physical child abuse in a paediatric level I trauma centre.

Holly Hughes Garza, Karen E Piper, Amanda N Barczyk, Adriana Pérez, Karla A Lawson

Open access · bronzeAbstract read
In one paragraph

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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
7.5field-weighted citation impact, top 3% of its field
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  6. 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 · 2025
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  7. Article
  8. Observational
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  11. Response to Stillwell and Merritt.The Journal of pediatrics · 2023
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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 at 2 institutions in 1 country.

Holly Hughes GarzaTrauma and Injury Research Center, Dell Children's Medical Center of Central Texas, Austin, Texas, USA.ORCID 0000-0001-9936-7950
Karen E PiperTrauma and Injury Research Center, Dell Children's Medical Center of Central Texas, Austin, Texas, USA.
Amanda N BarczykTrauma and Injury Research Center, Dell Children's Medical Center of Central Texas, Austin, Texas, USA.
Adriana PérezAustin Regional Campus, University of Texas Health Science Center at Houston, Austin, Texas, USA.
Karla A LawsonTrauma and Injury Research Center, Dell Children's Medical Center of Central Texas, Austin, Texas, USA kalawson@ascension.org.
Dell Children's Medical Center of Central Texas · USAustin Regional Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This retrospective study examined the accuracy of the International Classification of Diseases, Clinical Modification (ICD-10-CM) coding for physical child abuse among patients less than 18 years of age who were evaluated due to concern for physical abuse by a multidisciplinary child protection team (MCPT) during 2016-2017 (N=312) in a paediatric level I trauma centre. Sensitivity, specificity, predictive values and diagnostic OR for ICD-10-CM coding were calculated and stratified by admission status, using as a reference standard the abuse determination of the MCPT recorded in a hospital registry. Among inpatients, child physical abuse coding sensitivity was 55.6% (95% CI 41.4% to 69.1%) and specificity was 78.6% (95% CI 59.0% to 91.7%), with diagnostic OR of 4.58 (95% CI 1.64 to 12.70). Among outpatients, sensitivity was 22.2% (95% CI 15.5% to 30.2%) and specificity was 86.3% (95% CI 77.7% to 92.5%), with diagnostic OR of 1.80 (95% CI 0.89 to 3.64). Use of ICD-10-CM coded data sets alone for surveillance may significantly underestimate the occurrence of physical child abuse.

Indexed as

Child AbuseInternational Classification of DiseasesChildHumansPhysical AbuseRetrospective StudiesTrauma Centerschildchild abuseepidemiologyhospital caresurveillance

Identifiers

PMID33674337
PMCPMC7948192
OpenAlexW3133743911

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.