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Transition to ICD-10: Impact on Australian deaths data

This research delves into the effects of transitioning to ICD-10 on Australian deaths data, analyzing trends, comparability ratios, and case flows for external cause groupings. Major groups such as Falls, Injuries, Suicides, and Homicides are examined to understand reporting challenges and proposed solutions.

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Transition to ICD-10: Impact on Australian deaths data

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  1. Transition to ICD-10: Impact on Australian deaths data Malinda Steenkamp Research Centre for Injury Studies, Flinders University of South Australia Incorporating the AIHW National Injury Surveillance Unit

  2. Background • Transition to ICD-10 (from 1999 for deaths) • Impact on reporting national data? • Dual-coded deaths data • 1997 and 1998 (16,000 cases) • Trends • Comparability ratios • external cause groupings + subgroups • Case flows Research Centre for Injury Studies, May 2002

  3. Major groups of external causes: Trends - all injury Research Centre for Injury Studies, May 2002

  4. Major groups of external causes: CRs Research Centre for Injury Studies, May 2002

  5. Falls (E880-E888) persons 65+ years Research Centre for Injury Studies, May 2002

  6. Falls: Case flows Research Centre for Injury Studies, May 2002

  7. Adjusted trends falls - persons 65+ yrs Research Centre for Injury Studies, May 2002

  8. Injury matrix - Unintentional categories Research Centre for Injury Studies, May 2002

  9. Injury matrix - Suicide Research Centre for Injury Studies, May 2002

  10. Injury matrix - Homicide Research Centre for Injury Studies, May 2002

  11. Injury matrix - Undetermined Research Centre for Injury Studies, May 2002

  12. Main points • ICD-10 results in 3% increase in overall case counts • +515, - 119; net = 369 • Falls (ICD-9 E880-E888) - particular problems • No equivalent to E887 - often used for persons aged 65+ yrs • Most E887 shift to X59 • Proposed solution - X59 + ‘Fractures’ • Injury matrix • 10 of 17 Unintentional categories - some problems • Less problems for suicide (and homicide) • Undetermined - some problems but small numbers Research Centre for Injury Studies, May 2002

  13. Major groups of external causes: CRs Research Centre for Injury Studies, May 2002

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