Identification of alcohol involvement in injury-related hospitalisations using routine data compared to medical record review

McKenzie, Kirsten, Harrison, James E., & McClure, Roderick J. (2010) Identification of alcohol involvement in injury-related hospitalisations using routine data compared to medical record review. Australian and New Zealand Journal of Public Health, 34(2), pp. 146-152.

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Objective: To quantify the extent to which alcohol related injuries are adequately identified in hospitalisation data using ICD-10-AM codes indicative of alcohol involvement. Method: A random sample of 4373 injury-related hospital separations from 1 July 2002 to 30 June 2004 were obtained from a stratified random sample of 50 hospitals across 4 states in Australia. From this sample, cases were identified as involving alcohol if they contained an ICD-10-AM diagnosis or external cause code referring to alcohol, or if the text description extracted from the medical records mentioned alcohol involvement.
Results: Overall, identification of alcohol involvement using ICD codes detected 38% of the alcohol-related sample, whilst almost 94% of alcohol-related cases were identified through a search of the text extracted from the medical records. The resultant estimate of alcohol involvement in injury-related hospitalisations in this sample was 10%. Emergency department records were the most likely to identify whether the injury was alcohol-related with almost three-quarters of alcohol-related cases mentioning alcohol in the text abstracted from these records. Conclusions and Implications: The current best estimates of the frequency of hospital admissions where alcohol is involved prior to the injury underestimate the burden by around 62%. This is a substantial underestimate that has major implications for public policy, and highlights the need for further work on improving the quality and completeness of routine administrative data sources for identification of alcohol-related injuries.

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7 citations in Scopus
7 citations in Web of Science®
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ID Code: 31670
Item Type: Journal Article
Refereed: Yes
Keywords: Wounds and Injuries, Alcohol Related Disorders, Hospitalisation, International Classification of Diseases, medical records
DOI: 10.1111/j.1753-6405.2010.00499.x
ISSN: 1326-0200
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > PUBLIC HEALTH AND HEALTH SERVICES (111700) > Health Information Systems (incl. Surveillance) (111711)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2010 Public Health Association of Australia
Deposited On: 15 Apr 2010 01:19
Last Modified: 10 Apr 2013 00:05

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