Classifying external causes of injury : history, current approaches, and future directions

McKenzie, Kirsten, Fingerhut, Lois, Walker, Sue M., Harrison, Adam, & Harrison, James E. (2012) Classifying external causes of injury : history, current approaches, and future directions. Epidemiologic Reviews, 34(1), pp. 4-16.

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The International Classification of Diseases (ICD) is used to categorise diseases, injuries and external causes, and is a key epidemiological tool enabling the storage and retrieval of data from health and vital records to produce core international mortality and morbidity statistics. The ICD is updated periodically to ensure the classification remains current and work is now underway to develop the next revision, ICD-11. There have been almost 20 years since the last ICD edition was published and over 60 years since the last substantial structural revision of the external causes chapter. Revision of such a critical tool requires transparency and documentation to ensure that changes made to the classification system are recorded comprehensively for future reference. In this paper, the authors provide a history of external causes classification development and outline the external cause structure. Approaches to manage ICD-10 deficiencies are discussed and the ICD-11 revision approach regarding the development of, rationale for and implications of proposed changes to the chapter are outlined. Through improved capture of external cause concepts in ICD-11, a stronger evidence base will be available to inform injury prevention, treatment, rehabilitation and policy initiatives to ultimately contribute to a reduction in injury morbidity and mortality.

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9 citations in Web of Science®

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ID Code: 48542
Item Type: Journal Article
Refereed: Yes
Additional Information: Articles free to read on journal website after 12 months
Keywords: accidents, classification, public health, wounds and injuries
DOI: 10.1093/epirev/mxr014
ISSN: 0193-936X
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > OTHER MEDICAL AND HEALTH SCIENCES (119900)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Current > Research Centres > National Centre for Health Information Research & Training
Current > Schools > School of Public Health & Social Work
Copyright Owner: Copyright 2011 The Authors
Copyright Statement: Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health.
All rights reserved. For permissions, please e-mail:
Deposited On: 09 Feb 2012 23:02
Last Modified: 05 Feb 2015 17:34

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