Highlights
of the International Collaborative Effort on Injury Statistics, Paris
Meeting, April 2003*
ICE
Workgroup Project Areas
Ice Injury Indicators Group Much
of the discussion was on the criteria for validating injury indicators.The group agreed that an ideal indicator should:
have
a case definition based on diagnosis,
focus
on serious injury,
have
unbiased case ascertainment,
come
from data that are representative of the target population,
be
based on existing data systems, and
be
fully specified.
Selecting
a main injury from among the multiple causes of death
In
certain circumstances, selecting a main injury from the multiple causes is
necessary for international comparisons.
The
selection rules for main injury changed between ICD-9 and ICD-10.
The
Mortality Reference Group has concerns about the new rules.
ICE
will analyze multiple cause data from several countries and develop
methodologies for selecting a main injury.
Household
Injury Survey Comparison
Currently,
there is no international consensus on the questions or inclusion
criteria.
A
multi-country report of 10 national household survey questions is being
finalized.
Findings
from this report will be used as a guide for developing a standard injury
module.
Occupational ICE on Injury
Collaborative
work has resulted in three journal articles on fatalwork-related injuries
between US, New Zealand, and Australia.
The
collaborative group is exploring an international comparison of
work-related motor vehicle fatalities (leading cause of death to workers).
The
Occupational ICE group is seeking information from other ICE members on
their data systems for occupational fatal injuries.
An
inquiry on ICD-10 activity codes will be conducted through the ICE
Listserv (these codes in ICD-10 were incorporated to provide data on the
activity at the time of the death, but theiractual
use may be infrequent).
An
international comparison of occupational drowning incidents was proposed
and partners are being sought for this effort.
Proposed
methodology for building multiple injury profiles
Currently
there is no uniform/universal tool for the analysis and description of
multiple injuries.
A
method for building multiple injury profiles that uses the Barell Matrix
was developed: ICD-9-CM are allocated to matrix cells, the units of
reference become matrix cells.
This
process was agreed upon and accepted by discussion group members, the
group is exploring the possibility of excluding injuries that are of an
Abbreviated Injury Scale severity of 1.
*Proceedings of the International Collaborative Effort on Injury
Statistics Volume IV, Paris Meeting April
2003
found at: www.cdc.gov/nchs/advice.htm
Disability
Incorporating
Disability Measures Into Injury Measurement
Nonfatal
injuries have the potential for contributing to long-term consequences:
these limitations or restrictions in tasks or other social role activities
are conceptualized as disability.
Two
theoretical models of disability commonly in use:Institute of Medicine model and the
International Classification of Functioning model.
To
translate from the conceptual models to the measurement of disability, the
Washington City Group Measurement Matrix can be used as a guide for data
collection which varies depending on the research goals.
No
single measure of “disability.”
Measures
developed at the Washington City Group for use in international
measurement will be shared with and assessed by the workgroups.
Strategic
Planning
Strategic
Planning Work Group-Summary of efforts to Date
Continued
funding is an issue, both for annual meeting and for actual project work.
With the goal of increased funding is the need to increase
accountability (via a strategic plan).
To
aid in the development of the strategic plan, results from a survey
identified seven critical components: infrastructure, research,
dissemination/outreach, training, evaluation with measurable objectives,
collaborators, and operations.
Five-Year
Strategic Plan for ICE on Injury Statistics Components
General
guidance and steps were developed for the following components:
Infrastructure:
Develop an expanded infrastructure tosupport
the work of the ICE.
Research:
Develop and implement a research agenda relatedto
the ICE mission.
Dissemination
& Outreach (marketing): Develop a marketingand
training plan.
Training
Evaluation
of ICE with measurable objectives
Collaborators:
Expand ICE member countries
Operations:
Funding, Participants, Meetings, and Products
ICE
Updates
Results
of the ICD-10 bridge coding study in England and Wales
European
Union Public Health Programme: 2003 to 2008
International
Classification of External Cause of Injuries (ICECI): an update
ECOSA
Working Group on quantifying post-injury levels of functioning and
disability
Developing
a set of indicators for injuries/accidents for the European Union: a
practical approach
Update
on injury registration in the Nordic countries
Deaths
Due to Terror Acts – Coding the external cause for statistical purposes