Assessing the accuracy of the International Classification of Diseases codes to identify abusive head trauma: a feasibility study.

ABSTRACT:

Objective

To assess the accuracy of an International Classification of Diseases (ICD) code-based operational case definition for abusive head trauma (AHT).

Methods

Subjects were children <5 years of age evaluated for AHT by a hospital-based Child Protection Team (CPT) at a tertiary care paediatric hospital with a completely electronic medical record (EMR) system. Subjects were designated as non-AHT traumatic brain injury (TBI) or AHT based on whether the CPT determined that the injuries were due to AHT. The sensitivity and specificity of the ICD-based definition were calculated.

Results

There were 223 children evaluated for AHT: 117 AHT and 106 non-AHT TBI. The sensitivity and specificity of the ICD-based operational case definition were 92% (95% CI 85.8 to 96.2) and

SUBMITTER: Berger RP 

PROVIDER: S-EPMC4757425 | biostudies-literature | 2015 Apr

REPOSITORIES: biostudies-literature