CODING EXTERNAL CAUSES OF INJURY (E-CODES) IN MARYLAND HOSPITAL DISCHARGES 1979-88 - A STATEWIDE STUDY TO EXPLORE THE UNCODED POPULATION

被引:17
作者
MARGANITT, B [1 ]
MACKENZIE, EJ [1 ]
SMITH, GS [1 ]
DAMIANO, AM [1 ]
机构
[1] JOHNS HOPKINS UNIV,CTR INJURY PREVENT,BALTIMORE,MD 21205
关键词
D O I
10.2105/AJPH.80.12.1463
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We examined the trends in hospital discharge E-coding in Maryland over a 10-year period. The overall proportion of E-coded discharges has increased from 40 percent in 1979 to 55 percent in 1988. E-coding was lower in the severely injured, the elderly, and patients with long hospital stays. Our findings demonstrate that E-code reporting varies because of the limited number of data fields available for coding of discharge diagnoses. Universal, systematic reporting of E-codes in hospital discharge data is essential if these data are to provide critically needed information about nonfatal injuries. Hospital discharge data formats should contain separate fields for E-codes and the use of these codes, we believe, should be mandated.
引用
收藏
页码:1463 / 1466
页数:4
相关论文
共 20 条
[1]   INJURY SEVERITY SCORE - METHOD FOR DESCRIBING PATIENTS WITH MULTIPLE INJURIES AND EVALUATING EMERGENCY CARE [J].
BAKER, SP ;
ONEILL, B ;
HADDON, W ;
LONG, WB .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1974, 14 (03) :187-196
[2]  
BERENHOLZ G, 1987, INJURIES EXTERNAL CA
[3]  
*CA OFF STAT HLTH, DISCH DAT
[4]   INCIDENCE AND OUTCOME OF HOSPITAL-TREATED HEAD-INJURY IN RHODE-ISLAND [J].
FIFE, D ;
FAICH, G ;
HOLLINSHEAD, W ;
BOYNTON, W .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1986, 76 (07) :773-778
[5]   THE DEVELOPMENT OF STATE AND LOCAL INJURY SURVEILLANCE SYSTEMS [J].
GRAITCER, PL .
JOURNAL OF SAFETY RESEARCH, 1987, 18 (04) :191-198
[6]  
*ICDMAP, 1988, DET INJ SEV HOSP DIS
[7]   THE POTENTIAL FOR USING A TRAUMA REGISTRY FOR INJURY SURVEILLANCE AND PREVENTION [J].
LLOYD, LE ;
GRAITCER, PL .
AMERICAN JOURNAL OF PREVENTIVE MEDICINE, 1989, 5 (01) :34-37
[8]  
*M I COMM PROF HOS, 1986, ANN INT CLASS DIS
[9]   CLASSIFYING TRAUMA SEVERITY BASED ON HOSPITAL DISCHARGE DIAGNOSES - VALIDATION OF AN ICD-9CM TO AIS-85 CONVERSION TABLE [J].
MACKENZIE, EJ ;
STEINWACHS, DM ;
SHANKAR, B .
MEDICAL CARE, 1989, 27 (04) :412-422
[10]   TRENDS IN HOSPITALIZED DISCHARGE RATES FOR HEAD-INJURY IN MARYLAND, 1979-86 [J].
MACKENZIE, EJ ;
EDELSTEIN, SL ;
FLYNN, JP .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1990, 80 (02) :217-219