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Title: Implications of estimating road traffic serious injuries from hospital data
Authors: Perez, Katherine
Weijermars, Wendy
Bos, Niels
Filtness, Ashleigh J.
Bauer, Robert
Johannsen, Heiko
Nuyttens, Nina
Pascal, Lea
Thomas, Pete
Olabarria, M.
Working group of WP7
Keywords: Road traffic injury
Data linkage
Injury severity
Issue Date: 2018
Publisher: Elsevier
Citation: PEREZ, K. ...et al., 2018. Implications of estimating road traffic serious injuries from hospital data. Accident Analysis and Prevention, In Press.
Abstract: To determine accurately the number of serious injuries at EU level and to compare serious injury rates between different countries it is essential to use a common definition. In January 2013, the High Level Group on Road Safety established the definition of serious injuries as patients with an injury level of MAIS3+(Maximum Abbreviated Injury Scale). Whatever the method used for estimating the number or serious injuries, at some point it is always necessary to use hospital records. The aim of this paper is to understand the implications for (1) in/exclusion criteria applied to case selection and (2) a methodological approach for converting ICD (International Classification of Diseases/Injuries) to MAIS codes, when estimating the number of road traffic serious injuries from hospital data. A descriptive analysis with hospital data from Spain and the Netherlands was carried out to examine the effect of certain choices concerning in- and exclusion criteria based on codes of the ICD9-CM and ICD10. The main parameters explored were: deaths before and after 30 days, readmissions, and external injury causes. Additionally, an analysis was done to explore the impact of using different conversion tools to derive MAIS3 + using data from Austria, Belgium, France, Germany, Netherlands, and Spain. Recommendations are given regarding the in/exclusion criteria and when there is incomplete data to ascertain a road injury, weighting factors could be used to correct data deviations and make more real estimations.
Description: This is an Open Access Article. It is published by Elsevier under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND). Full details of this licence are available at: http://creativecommons.org/licenses/by-nc-nd/4.0/
Sponsor: This work has been funded by the SafetyCube (Safety CaUsation, Benefits and Efficiency) (H2020 N.633485).
Version: Published
DOI: 10.1016/j.aap.2018.04.005
URI: https://dspace.lboro.ac.uk/2134/32863
Publisher Link: https://doi.org/10.1016/j.aap.2018.04.005
ISSN: 1879-2057
Appears in Collections:Published Articles (Design School)

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