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Transition to ICD-10: Impact on Australian deaths data

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. Background. Transition to ICD-10 (from 1999 for deaths)

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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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