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
ICECIContact Saakje
Mulder, Malinda Steenkamp, Yvette Holder, or Lois Fingerhut with comments on
selecting one
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
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