ICE Business meeting
5th World Injury Conference
New Delhi
March 8, 2000

A continuing request that issues and relevant ICE questions be placed on the AdvICE List serve…

Issues raised during the course of the meeting:

Occupational ICE-Currently with data from New Zealand, Australia and the US- contact: Anne-Marie Feyer, Ann Williamson and Nancy Stout

The biggest challenge to these comparisons is harmonizing definitional issues for numerator and denominator

Current group planning to publish 3 papers in the next year

Will present a session of research progress on work ICE at the National Occupational Injury Research Symposium 2000 in Pittsburgh PA OCT 17-19, 2000.

Would like to expand the number of countries included--invitation and criteria for other countries to participate will be presented at the NOIRS 2000 in October.

Diagnosis matrix-Israeli version was presented at the Conference. This version is more detailed than the one presented by Ellen Mackenzie and Howard Champion at the June 1999 symposium.
Contact: Vita Barell

Need to start testing it with data- both inpatient and emergency department based

Matrix being sent to Anita Morrison in Scotland for testing

Others will need to test it once the codes are fully verified

SAS codes will be on the AdvICE list serve

Vita asks for more help (especially for defining Traumatic Brain Injury)

Lois will coordinate combining/collapsing this version with one developed by Ellen Mackenzie.

Mortality matrix-Falls and E887

Gordon suggests that E887 should be in with falls because almost all are due to hip fractures in the elderly

Lois suggests you should tabulate without and with no change to the E-code matrix primarily because we are moving to ICD-10 and this issue doesn't exist because there is no code for "fracture, cause unspecified".

From Susan Mackenzie: Looking at trends in the Canadian fall mortality data, we get very different results depending on whether E887 is or is not included. (See the attached PowerPoint slide.) This is apparently because the coding changes between ICD-8 and ICD-9, which added the E887 code, were not consistently implemented when ICD-9 came into use. I don't know if the same sort of thing happened elsewhere, but it's something to be aware of.

ICD-10

U.S. is waiting for dual coded data (ICD-9 and ICD-10)- the final comparability study will not be ready until the summer of 2001 [this is a new note- added by Lois after the Delhi meeting]. A preliminary comparability study will be out summer of 2000. A new external cause matrix will then be proposed in the Fall and verified in final once final comparability study is completed.

Birthe Frimodt Moller indicated that the ICD-10 matrix used in Denmark was created with their data but not dual coded (Denmark went for ICD-8 to ICD-10)

Lois asked Birthe to put the SAS code on the list serve.

ED Surveillance

ICE should work on and define indicators for injury surveillance that account for severity of injury

We need more discussion on removing "non-serious injury" from ED data

John Langley was asked to head up group looking at defining injury indicators

News From CDC, NCIPC
Lee Annest announced the release of a new interactive U.S. injury mortality site, WISQARS

Display of data provides E-codes / uses the E-code matrix

Will tabulate the data and you can move to other software

Leading cause charts by age, race, sex, ethnicity, and state

Short ICECI for US EDs

Pilot study in Massachusetts

Field-tested in 13 hospitals and 7 NEISS hospitals

93 case scenarios, 4 coders who were trained in the field

Need to improve training and coding manual

Did have 80% agreement with ICECI

Coding time in field test was acceptable

Need to limit the number of mechanism codes

NEISS is being expanded to collect information for all injuries

Will report to WHO Heads of Collaborating Centers on their findings

More pilot tests are planned

ICECI—Contact Saakje Mulder, Malinda Steenkamp, Yvette Holder, or Lois Fingerhut with comments on selecting one

mechanism if there is more than one

Precipitating vs Direct

Need feedback from the group

Poison ICE-New efforts planned-Contact Robert Flanagan
e-mail Robert.Flanagan@gstt.sthames.nhs.uk

Researchers are interested in more than one poison, more than one external cause, drug abuse, suicide, driving, sports injuries, occupational injuries, unintentional poisonings, iatrogenic poisonings, adverse drug reactions

Need to standardize data collection and presentation of tabulation

Need new classification scheme for poisoning deaths?

May need to rethink the poisoning external cause codes and include more codes

Multiple cause of death- contact Cleo Rooney

More countries should join in

Will move towards using the codes for ICD-10 and adapting nature of injury matrix to ICD-10

Susan Mackenzie
Announcement of data release from Canada
Susan will announce on list serve

U.S. National Health Interview Survey-Section on injury and poisoning

Detailed report released from NCHS May 2000.

Next meeting
Planning pre-conference meeting in Montreal - June 2002
Next meeting-April 2001

Core ICE participants attending business meeting: Susan Mackenzie, Malinda Steenkamp, Ted Miller, Ann Williamson, Birthe Frimodt-Moller, Gordon Smith, Nancy Stout, Anne-Marie Feyer, Vita Barell, Margaret Warner, Chris Cox, Lois Fingerhut, Lee Annest