National Centre for Health Information Research and Training, School of Public Health, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Queensland, Australia 4059.
Epidemiol Rev. 2012;34:4-16. doi: 10.1093/epirev/mxr014. Epub 2011 Nov 1.
The International Classification of Diseases (ICD) is used to categorize diseases, injuries, and external causes of injury, and it is a key epidemiologic tool enabling storage and retrieval of data from health and vital records to produce core international mortality and morbidity statistics. The ICD is updated periodically to ensure the classification system remains current, and work is now under way to develop the next revision, ICD-11. It has been almost 20 years since the last ICD edition was published and over 60 years since the last substantial structural revision of the external causes chapter. Revision of such a critical tool requires transparency and documentation to ensure that changes made to the classification system are recorded comprehensively for future reference. In this paper, the authors provide a history of the development of external causes classification and outline the external cause structure. They discuss approaches to manage ICD-10 deficiencies and outline the ICD-11 revision approach regarding the development of, rationale for, and implications of proposed changes to the chapter. Through improved capture of external cause concepts in ICD-11, a stronger evidence base will be available to inform injury prevention, treatment, rehabilitation, and policy initiatives to ultimately contribute to a reduction in injury morbidity and mortality.
《国际疾病分类》（ICD）用于对疾病、损伤和外部原因导致的损伤进行分类，它是一个重要的流行病学工具，能够存储和检索来自卫生和生命记录的数据，从而生成核心的国际死亡率和发病率统计数据。ICD 定期更新，以确保分类系统保持最新，目前正在进行下一次修订，即 ICD-11。自上一次 ICD 版本发布以来，已经过去了将近 20 年，而上一次对外因章节进行实质性结构修订已经过去了 60 多年。修订这样一个关键工具需要透明度和文档记录，以确保对分类系统所做的更改得到全面记录，以备将来参考。本文作者提供了外部原因分类发展的历史，并概述了外部原因结构。他们讨论了管理 ICD-10 缺陷的方法，并概述了 ICD-11 修订方法，包括该章节提议更改的制定、理由和影响。通过在 ICD-11 中更好地捕捉外部原因概念，将为伤害预防、治疗、康复和政策倡议提供更有力的证据基础，最终有助于降低伤害发病率和死亡率。
