Skip to main content

Injury Profiling

  • Chapter
  • First Online:
Injury Research
  • 1918 Accesses

Abstract

The Barell Body Region by Nature of Injury Diagnosis matrix has been used since 2002 to characterize the patterns of injury in various reports. The Matrix includes all ICD-9-CM codes describing trauma; thus it reduces the volume of ICD categories into a manageable number of clinically meaningful diagnostic categories, enabling standardized case-mix comparison across time and place. The matrix concept is adaptable to AIS injury codes as well, enabling a wider application for the analysis of traumatic injuries. The summation of injury diagnoses, including multiple injuries in a single patient using the matrix, formed the standardized multiple injury profiles (MIPs), a tool for epidemiological analysis of injuries in a population. MIP offers a standardized approach to statistical and epidemiological reports on injured patients, taking into account not only the first-listed/primary diagnosis but also additional ones.

The tools detailed in this chapter are described with the vision of future developments and the relationship between the matrix and injury severity indices. The Barell matrix and its derivatives enable standardized comparisons of injury statistics across time and place and facilitate the provision of epidemiological reports. The application of these methods will raise awareness to the burden of injury on populations worldwide.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 279.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aharonson-Daniel, L. (2007). What affects outcomes of injuries with identical AIS severity? APHA 135th Annual Meeting. Washington, DC. http://apha.confex.com/apha/135am/techprogram/paper_158822.htm

  • Aharonson-Daniel, L., Boyko, V., Ziv, A., Avitzour, M., & Peleg, K. (2003). A new approach to the analysis of multiple injuries using data from a national trauma registry. Injury Prevention, 9, 156–162.

    Article  CAS  PubMed  Google Scholar 

  • Aharonson-Daniel, L., Giveon, A., & Peleg, K. (2005). Gaps in injury statistics: Multiple injury profiles reveal them and provide a comprehensive account. Injury Prevention, 11, 197–200.

    Article  CAS  PubMed  Google Scholar 

  • Aharonson-Daniel, L., Giveon, A., & Peleg, K. (2006). AIS triplets – different mortality predictions in identical ISS and NISS. Journal of Trauma, 61, 711–717.

    Article  PubMed  Google Scholar 

  • Aharonson-Daniel, L., Avitzour, M., Giveon, A., & Peleg, K. (2007). A decade to the Israeli Trauma Registry. Israel Medical Association Journal, 9, 347–351.

    PubMed  Google Scholar 

  • American college of surgeons, Committee On Trauma. (1999). Resources for optimal care of the injured patient. Chicago, IL: American College of Surgeons.

    Google Scholar 

  • Association for the Advancement of Automotive Medicine, Committee on Injury Scaling. (1990). The Abbreviated Injury Scale – 1990 revision (AIS-90). Des Plains, IL: Association for the Advancement of Automotive Medicine.

    Google Scholar 

  • Baker, S. P., & O’Neill, B. (1976). The injury severity score: An update. Journal of Trauma, 16(11), 882–885.

    Article  CAS  PubMed  Google Scholar 

  • Baker, S. P., O’Neill, B., Haddon, W., & Long, W. B. (1974). The severity score: A method for describing patients with multiple injuries and evaluating emergency care. Journal of Trauma, 14, 187–196.

    Article  CAS  PubMed  Google Scholar 

  • Barell, V. (1996, November). Assigning circumstances of injury in the emergency department. Planning Session, International Collaborative Effort on Injury Statistics (ICE), Washington, DC.

    Google Scholar 

  • Barell, V., & Zadka, P. (1996, November). Matrix approach to classifying injury – application to Israel. Proceedings of the international collaborative effort on injury statistics (Vol. I), Washington, DC.

    Google Scholar 

  • Barell, V., Heruti, R. J., Abargel, A., & Ziv, A. (1999, June). The Israeli “Nature of Injury by Site” diagnostic matrix. Proceeding of the International Collaborative Effort on Injury Statistics, Symposium. Washington, DC: Centers for Disease Control and Prevention, National Center for Health Statistics.

    Google Scholar 

  • Barell, V., Heruti, R. J., Daniel-Aharonson, L., Ziv, A., & Abargel, A. (1999, June). Nature of injury by site diagnostic matrix: Differences between the Israeli and the U.S. versions. Proceeding of the International Collaborative Effort on Injury Statistics, Symposium. Washington, DC: Centers for Disease Control and Prevention, National Center for Health Statistics.

    Google Scholar 

  • Barell, V., Aharonson-Daniel, L., Fingerhut, L. A., Mackenzie, E. J., Ziv, A., Boyko, V., Abargel, A., Avitzour, M., & Heruti, R. J. (2002). An introduction to the Barell body region by nature of injury diagnosis matrix. Injury Prevention, 8, 91–96.

    Article  CAS  PubMed  Google Scholar 

  • Bertillon, J. (1913). Classification of the causes of death (abstract). In: Transactions of the 15th International Congress on Hygiene Demography. Washington, DC: Government Printing Offices.

    Google Scholar 

  • CDC. (1997). ICD-9 Framework for presenting injury mortality. MMWR Recommendations and Reports, 46(14), 1–30.

    Google Scholar 

  • Champion, H. R., Bellamy, R. F., Roberts, P., & Leppaniemi, A. (2003). A profile of combat injury. Journal of Trauma, 54, S13–S19.

    PubMed  Google Scholar 

  • Christi, P., & Stone, D. H. (2004). The final report of the European Monitoring of Trans-national Injury and Violence Epidemiology (EUROMOTIVE) project. Glasgow, Scotland

    Google Scholar 

  • Clark, D. E., & Ahmad, S. (2006). Estimating injury severity using the Barell matrix. Injury Prevention, 12, 111–116.

    Article  CAS  PubMed  Google Scholar 

  • Committee on Medical Aspects of Automotive Safety. (1971). Rating the severity of tissue damage. I. The abbreviated scale. JAMA, 215, 277–280.

    Article  Google Scholar 

  • Copes, W. S., Champion, H. R., Sacco, W. J., et al. (1990). Progress in characterizing anatomic injury. Journal of Trauma, 30, 1200–1207.

    Article  CAS  PubMed  Google Scholar 

  • Fingerhut, L. A., & Warner, M. (2006). The ICD-10 injury mortality diagnosis matrix. Injury Prevention, 12, 24–29.

    Article  CAS  PubMed  Google Scholar 

  • Gilpin, D. A., & Nelson, P. G. (1991). Revised trauma score: A triage tool in the accident and emergency department. Injury, 22(1), 35–37.

    Article  CAS  PubMed  Google Scholar 

  • Graunt, J. (1975). Natural and political observations mentioned in a following index and made upon the bills of mortality. New York: Arno Press. (Reprint of the 1662 ed. printed by T. Roycroft, London)

    Google Scholar 

  • Greenspan, A. I., Coronado, V. G., Mackenzie, E. J., Schulman, J., Pierce, B., & Provenzano, G. (2006). Injury hospitalizations: Using the nationwide inpatient sample. Journal of Trauma, 61(5), 1234–1243.

    Article  PubMed  Google Scholar 

  • Holder, Y. (2006). Injury surveillance systems in low and middle income countries (LMIC): Challenges prospsects and lessons. African Safety Promotion, 4(1), 109–118.

    Google Scholar 

  • Horan, J. M., & Mallonee, S. (2003). Injury Surveillance. Epidermiology Reviews, 25, 24–42.

    Article  Google Scholar 

  • Injury Surveillance Workgroup. (2003). Consensus recommendations for using hospital discharge data for injury surveillance. Marietta, GA: State and Territorial Injury Prevention Directors Association.

    Google Scholar 

  • Israel, R. A. (1978). The International Classification of Disease. Two hundred years of development. Public Health Reports, 93(2), 150–152.

    CAS  PubMed Central  PubMed  Google Scholar 

  • Langmuir, A. D. (1976). William Farr: Founder of modern concepts of surveillance. International Journal of Epidemiology, 5, 13–18.

    Article  CAS  PubMed  Google Scholar 

  • Lilienfeld, D. E. (2007). Celebration: William Farr (1807–1883) an appreciation on the 200th anniversary of his birth. International Journal of Epidemiology, 36(5), 985–987.

    Article  Google Scholar 

  • Lu, T. H., Jen, I., Chou, Y. J., & Chang, H. J. (2005). Evaluating the comparability of different grouping schemes for mortality and morbidity. Health Policy, 71, 151–159.

    Article  PubMed  Google Scholar 

  • MacKenzie, E. J., & Sacco, W. J. (1997). ICDMAP-90: A users guide. Baltimore, MD: The Johns Hopkins University School of Public Health and Tri-Analytics, Inc.

    Google Scholar 

  • MacKenzie, E. J., Steinwachs, D. M., & Shankar, B. (1989). Classifying trauma severity based on hospital discharge diagnoses. Medical Care, 27, 412–422.

    Article  CAS  PubMed  Google Scholar 

  • Osler, T., Rutledge, R., Deis, J., & Bedrick, E. (1996). ICISS: An international classification of disease-based injury severity score. Journal of Trauma, 41, 380–388.

    Article  CAS  PubMed  Google Scholar 

  • Osler, T., Baker, S. P., & Long, W. (1997). A modification to the Injury Severity Score that both improves accuracy and simplifies scoring. Journal of Trauma, 43, 922–926.

    Article  CAS  PubMed  Google Scholar 

  • Stone, R. (1997). Some British empiricists in the social sciences 1650–1900 (p. 260). Italy: Cambridge University Press.

    Google Scholar 

  • The International Classification of Diseases. http://www.who.int/classifications/icd/ICDRevision/en/ Accessed February 15, 2011.

  • Warner, M. W., Schenker, N., Heinen, M. A., & Fingerhut, L. A. (2005). The effects of recall on reporting injury and poisoning episodes in the National Health Interview. Injury Prevention, 11, 282–287.

    Article  CAS  PubMed  Google Scholar 

  • Warner, M., Fingerhut, L. A., & Chen, L. H. (2006). How can we pick which injury is most severe among all injury diagnoses listed on death certificates? APHA 134th annual meeting, Boston.

    Google Scholar 

  • Wojcik, B. E., Stein, C. R., Orosco, J., Bagg, K. A., & Humphrey, R. J. (2010). Creation of an expanded Barell matrix to identify traumatic brain injuries of U.S. military members. Journal of Defense Modeling and Simulation: Applications, Methodology, Technology, 7(3), 157–166.

    Article  Google Scholar 

  • World Health Organization. (1949). Manual of the international statistical classification of diseases, injuries, and causes of death (6th rev.) Geneva: World Health Organization.

    Google Scholar 

  • World Health Organization. (1992). International statistical classification of diseases and related health problems (Vol. 1, 10th rev.) Geneva, Switzerland: World Health Organization.

    Google Scholar 

  • World Health Organization. (1992). International statistical classification of diseases and related health problems (10th rev.). Geneva: World Health Organization.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Limor Aharonson-Daniel PhD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Aharonson-Daniel, L. (2012). Injury Profiling. In: Li, G., Baker, S. (eds) Injury Research. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-1599-2_13

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-1599-2_13

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4614-1598-5

  • Online ISBN: 978-1-4614-1599-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics