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Trends and patterns of injury deaths using the ICE matrix, England and Wales, 1979­2004

Trends and patterns of injury deaths using the ICE matrix, England and Wales, 1979­2004. Cleo Rooney, Clare Griffiths & Oliver Wright Office for National Statistics, London, England. England and Wales data from start ICD-9 till now What Matrix tells us that traditional grouping doesn’t

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Trends and patterns of injury deaths using the ICE matrix, England and Wales, 1979­2004

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  1. Trends and patterns of injury deaths using the ICE matrix, England and Wales, 1979­2004 Cleo Rooney, Clare Griffiths & Oliver Wright Office for National Statistics, London, England

  2. England and Wales data from start ICD-9 till now • What Matrix tells us that traditional grouping doesn’t • General issues re includions/ exclusions in definition of injury death • Country specific data issues • Issues for ICD-11?

  3. Trends in injury mortality rates by intent, males, England and Wales, 1979-2004

  4. ICE Matrix + F10­F19 + M80­M81 2004

  5. Mechanisms in descending order: X59 + fracture moved

  6. Intent by mechanism, males 2004

  7. Mechanism by intent, males 2004

  8. injury mortality rates by mechanism, top 5 in 2004, males, E&W, 1979-2004

  9. injury mortality rates by mechanism, top 5 in 2004, females, E&W, 1979-2004

  10. injury mortality rates by mechanism, less common mechs, males, E&W, 1979-2004

  11. injury mortality rates by mechanism, less common mechs, females, E&W, 1979-2004

  12. Should we widen definition of injury deaths? • Add F10-19 to poisoning? • Osteoporosis with fracture? • How would we do it? • In ICE matrix? • Through WHO MRG coding rules ICD-10? • Through ICD-11 ? • Explore other countries data • Are these acute poisonings? Falls?

  13. Future work • Improve international comparability • Explore multicountry data on • Trends and patterns by mechanism • osteoporosis / falls • X59 • F10-F19 • ICE • Eurostat • WHO

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