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Short Report
Barbara Alison Gabella
Colorado Department of Public Health and Environment
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6301-116X
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background. The transition in 2015 to the Tenth Revision of the International Classification of Disease, Clinical Modification (ICD-10-CM) in the USA led public health professionals to propose a surveillance definition of traumatic brain injury (TBI) that uses ICD-10-CM codes. The proposed definition excludes “unspecified injury of the head,” previously included in the ICD-9-CM TBI definition. The purpose of this study was to evaluate this change in surveillance methods on monthly rates of TBI-related emergency department visits in Colorado from 2012 to 2017.
Results. The monthly rate of TBI-related emergency department visits in the transition month to ICD-10-CM (October 2015) decreased 41 visits per 100,000 population (p-value <0.0001), compared to September 2015, and remained low through December 2017, due to the exclusion of “unspecified injury of head” (ICD-10-CM code S09.90) in the proposed TBI definition.
Conclusion. This study highlights a challenge in creating a standardized set of TBI ICD-10-CM codes for public health surveillance that provides comparable yet clinically relevant estimates over time. The findings inform estimation of TBI magnitude based on ICD coded data and decisions about allocating TBI resources based on an estimated TBI magnitude.
Keywords
traumatic brain injury, hospital emergency department, regression analysis, International Classification of Disease Codes
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CURRENT STATUS: Published
View the published article at Injury Epidemiology.
Version 1
Posted 29 Dec, 2020
No community comments so far
Editorial decision: Minor revision
On 10 Jan, 2021
Review #4 received
Received 05 Jan, 2021
Review #1 received
Received 05 Jan, 2021
Review #2 received
Received 05 Jan, 2021
Review #3 received
Received 05 Jan, 2021
Reviewer #5 agreed
On 03 Jan, 2021
Reviewer #6 agreed
On 03 Jan, 2021
Reviewer #4 agreed
On 03 Jan, 2021
Review #5 received
Received 03 Jan, 2021
Reviewer #3 agreed
On 02 Jan, 2021
Reviewer #2 agreed
On 01 Jan, 2021
Editor assigned
On 01 Jan, 2021
Reviewers invited
Invitations sent on 01 Jan, 2021
Reviewer #1 agreed
On 01 Jan, 2021
Editor invited
On 01 Jan, 2021
Submission checks complete
On 27 Dec, 2020
First submitted
On 21 Dec, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Molecular Epidemiology
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A new preprint design is coming!
We have improved readability, clarity, accessibility, and opportunities for engagement.
See the published version of this preprint at Injury Epidemiology.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Short Report
Barbara Alison Gabella
Colorado Department of Public Health and Environment
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6301-116X
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at Injury Epidemiology.
Version 1
Posted 29 Dec, 2020
No community comments so far
Editorial decision: Minor revision
On 10 Jan, 2021
Review #4 received
Received 05 Jan, 2021
Review #1 received
Received 05 Jan, 2021
Review #2 received
Received 05 Jan, 2021
Review #3 received
Received 05 Jan, 2021
Reviewer #5 agreed
On 03 Jan, 2021
Reviewer #6 agreed
On 03 Jan, 2021
Reviewer #4 agreed
On 03 Jan, 2021
Review #5 received
Received 03 Jan, 2021
Reviewer #3 agreed
On 02 Jan, 2021
Reviewer #2 agreed
On 01 Jan, 2021
Editor assigned
On 01 Jan, 2021
Reviewers invited
Invitations sent on 01 Jan, 2021
Reviewer #1 agreed
On 01 Jan, 2021
Editor invited
On 01 Jan, 2021
Submission checks complete
On 27 Dec, 2020
First submitted
On 21 Dec, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Molecular Epidemiology
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at Injury Epidemiology.
Background. The transition in 2015 to the Tenth Revision of the International Classification of Disease, Clinical Modification (ICD-10-CM) in the USA led public health professionals to propose a surveillance definition of traumatic brain injury (TBI) that uses ICD-10-CM codes. The proposed definition excludes “unspecified injury of the head,” previously included in the ICD-9-CM TBI definition. The purpose of this study was to evaluate this change in surveillance methods on monthly rates of TBI-related emergency department visits in Colorado from 2012 to 2017.
Results. The monthly rate of TBI-related emergency department visits in the transition month to ICD-10-CM (October 2015) decreased 41 visits per 100,000 population (p-value <0.0001), compared to September 2015, and remained low through December 2017, due to the exclusion of “unspecified injury of head” (ICD-10-CM code S09.90) in the proposed TBI definition.
Conclusion. This study highlights a challenge in creating a standardized set of TBI ICD-10-CM codes for public health surveillance that provides comparable yet clinically relevant estimates over time. The findings inform estimation of TBI magnitude based on ICD coded data and decisions about allocating TBI resources based on an estimated TBI magnitude.
Figure 1
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