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Poisoning Deaths- Time for a new definition?

Poisoning Deaths- Time for a new definition?. Lois A. Fingerhut and Clare Griffiths May 2004. ICD-definition in mortality matrix Unintentional Suicide Homicide Undetermined. ICD codes are: Drug-related Alcohol- related Gases and vapors.

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Poisoning Deaths- Time for a new definition?

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  1. Poisoning Deaths-Time for a new definition? Lois A. Fingerhut and Clare Griffiths May 2004

  2. ICD-definition in mortality matrix Unintentional Suicide Homicide Undetermined ICD codes are: Drug-related Alcohol- related Gases and vapors Counting poisoning deaths as an underlying cause of death

  3. Drug-related codes in Mental Health Chapter of ICD • F10-F19 • Alcohol (F10) • Opioids (F11) • Cocaine (F14) • Other (F12-13, 15-16, 18-19) • 4th digits..

  4. 4th digits… (leading ones in US) • 0 acute intoxication (primarily alcohol) • 1 harmful use • 2 dependence syndrome (primarily alcohol) • 3-9 other

  5. ICD ‘definitions’ of drug poisoning: this analysis ICD-9

  6. Drug poisoning deaths, ages 35-54 by intent and abuse

  7. All (??) Poisoning deaths: US 2001

  8. National Academy of Science May 2004 • U.S. Institute of Medicine has recommended that WHO should review and reform the ICD codes for poisoning • NCHS should review the methodology of its existing surveys to maximize the value….for poison prevention and control. From: Forging a Poison Prevention and Control System (2004)

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