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Surveillance of Injury Morbidity

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Injury Research

Abstract

Injury surveillance data can be analyzed for a variety of purposes including: detecting injury trends, measuring the size of the problem, identifying high-risk populations, projecting resource needs, establishing priorities, developing prevention strategies, supporting prevention activities, and evaluating prevention efforts. Nonfatal injury contributes much to the burden of injury, as only a small proportion of injuries result in death. Nonfatal injuries differ from fatal injuries not only in their magnitude but also in their attributes. This chapter complements the chapter on surveillance of injury mortality and emphasizes issues relevant to the surveillance of nonfatal injuries using existing data systems. Several issues concerning injury morbidity surveillance are described and discussed including: data sources, classification, definitions, presentation and dissemination, evaluation and improvement, and future directions. Examples and issues described in the chapter, unless otherwise noted, focus on surveillance in the USA.

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Abbreviations

AIS:

Abbreviated injury scale

ARRA:

American Recovery and Reinvestment Act of 2009

BRFSS:

Behavioral risk factor surveillance system

CAPI:

Computer-assisted personal interviewing

CASI:

Computer-assisted self-interviewing

CDC:

Centers for disease control and prevention

CODES:

Crash outcome data evaluation system

E-Code:

ICD external cause of injury and poisoning code

ED:

Emergency department

EMR/EHR:

Electronic medical records/electronic health records

HCUP:

Healthcare cost and utilization project

HCUP-NIS:

Healthcare cost and utilization project nationwide inpatient sample

HDDS:

Electronic hospital discharge data system

HEDDS:

Hospital ED data system

ICD:

International classification of diseases

ICD-9-CM:

Ninth revision of international classification of diseases, clinical modification

ICD-10-AM:

Tenth revision of international classification of diseases, Australian modifications

ICD-10-CM:

Tenth revision of international classification of diseases, clinical modification

ICE:

International collaborative effort

ICISS:

International classification of diseases-based injury severity sore

ISS:

Injury severity score

MEPS:

Medical expenditure panel survey

NASS-GES:

National automotive sampling system-general estimates system

NC DETECT:

North Carolina disease event tracking and epidemiologic collection tool

NCHS:

National center for health statistics

NEISS-AIP:

National electronic injury surveillance system-all injury program

NFIRS:

National fire incident reporting system

NHAMCS:

National hospital ambulatory medical care survey

NHIS:

National health interview survey

NHDS:

National hospital discharge survey

NISS:

New injury severity score

NSDUH:

National survey on drug use and health

NTDB:

National Trauma Data Bank

RSE:

Relative standard error

STIPDA:

State and Territorial Injury Prevention Directors Association

UB-04:

2004 Uniform billing form

WISQARS:

Web-based injury statistics query and reporting system

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Authors and Affiliations

  1. National Center for Health Statistics, Centers for Disease Control and Prevention, Office of Analysis and Epidemiology, 3311 Toledo Road, Room 6423, Hyattsville, MD, 20782, USA

    Li-Hui Chen PhD & Margaret Warner PhD

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  1. Li-Hui Chen PhD
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  2. Margaret Warner PhD
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Correspondence to Li-Hui Chen PhD .

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Editors and Affiliations

  1. Department of Epidemiology, Columbia University Mailman School of Public Health, New York, New York, USA

    Guohua Li

  2. Center for Injury Research and Policy, Johns Hopkins University Bloomberg School of Public Health, Baltimore, USA

    Susan P. Baker

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Chen, LH., Warner, M. (2012). Surveillance of Injury Morbidity. In: Li, G., Baker, S. (eds) Injury Research. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-1599-2_2

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