Ahmadian Leila, Salehi Fatemeh, Padidar Shabnam
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Haftbagh Highway, Kerman, 7616911313, Iran.
Health Human Resources Research Center, School of Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC Med Inform Decis Mak. 2021 May 13;21(1):155. doi: 10.1186/s12911-021-01515-9.
Injuries are a major health issue worldwide and their prevention requires access to accurate statistics in this regard. This can be achieved by classifying the collected data using the international classification systems. This study aimed at investigating the content coverage rate of the International Classification of External Causes of Injury (ICECI) regarding the external causes of injury in a hospital.
This cross-sectional descriptive-analytical study was performed on 322 injured individuals visiting the emergency unit of a hospital which is the biggest truma center in the southeast of Iran. The required data were collected via a designed questionnaire by the researcher visiting the Emergency ward. The collected data were encoded based on the ICECI textbook by two encoders. Their agreement rate was calculated using the Kappa estimate of agreement. The content coverage of the classification system and the degree of completeness of the required data for encoding in the patients' records were measured. Data were analyzed by the SPSS software, ver 19.
The findings showed that 70% of the external causes of injury were covered by ICECI. Among the 322 cases, 138 (43%) had been referred due to a car crash. The injured were mostly drivers of land transport vehicles who had been unintentionally involved in a car crash. The least mechanism for injury was bite injury with 5 (2%). ICECI was capable of classifying 92% of the data related to the external causes of the injuries. The most un-covered data has belonged to the "activity when injured" axis (n = 18). Lack of precise data recording in the medical records resulted in missing data about at least one of the axis of the external causes in most records.
The findings of the present study showed that ICECI has good content coverage for encoding the external causes of injuries. Before implementing ICECI for encoding the external causes of injuries, it is required to train clinicians regarding how to document all aspects of an injury incidence.
伤害是全球主要的健康问题，预防伤害需要获取这方面准确的统计数据。这可以通过使用国际分类系统对收集的数据进行分类来实现。本研究旨在调查国际伤害外部原因分类（ICECI）在一家医院中对伤害外部原因的内容覆盖率。
本横断面描述性分析研究对322名前往伊朗东南部最大创伤中心医院急诊科就诊的受伤个体进行。所需数据由研究人员在急诊病房通过设计好的问卷收集。收集的数据由两名编码员根据ICECI教科书进行编码。使用卡帕一致性估计计算他们的一致率。测量分类系统的内容覆盖率以及患者记录中编码所需数据的完整程度。数据采用SPSS软件19版进行分析。
研究结果表明，ICECI涵盖了70%的伤害外部原因。在322例病例中，138例（43%）因车祸前来就诊。受伤者大多是陆地运输车辆的司机，他们无意中卷入了车祸。最少见的致伤机制是咬伤，占5例（2%）。ICECI能够对92%与伤害外部原因相关的数据进行分类。最未涵盖的数据属于“受伤时的活动”轴（n = 18）。医疗记录中缺乏精确的数据记录导致大多数记录中至少有一个伤害外部原因轴的数据缺失。
本研究结果表明，ICECI在编码伤害外部原因方面具有良好的内容覆盖率。在实施ICECI对伤害外部原因进行编码之前，需要对临床医生进行关于如何记录伤害事件各方面情况的培训。
