International Classification of External Causes of Injury: a cross sectional study on its coverage rate in Iran

2019 ◽  
Author(s):  
Fatemeh Salehi ◽  
Leila Ahmadian ◽  
Shabnam Padidar
Keyword(s):  
Similar Rate ◽  
Cross Sectional Study ◽  
Coverage Rate ◽  
Classification Systems ◽  
International Classification ◽  
Cross Sectional ◽  
Car Accidents ◽  
External Causes ◽  
Car Accident

Abstract Background Injuries are a major health issue worldwide and their prevention requires access to accurate statistics in this area. This can be achieved by using the data collected through the international classification systems. This study aimed at investigating the coverage rate of the International Classification of External Causes of Injury (ICECI) regarding the external causes of injury in Shahid Bahonar Hospital.Method This cross-sectional descriptive-analytical study was performed on 322 injured individuals visiting the emergency unit of Shahid Bahonar Hospital. The data were gathered through patients’ records, a designed form and interviews. The collected data were encoded based on the ICECI textbook by two encoders. Their agreement rate was calculated using the Kappa estimate of agreement. The coverage rate of the classification system and the degree of completeness of the required data for encoding in the patients’ records was measured. Data were analyzed by the SPSS software, ver. 19.Results The findings showed that 70% of the studied external causes of injury were covered by the ICECI system. Among the 322 cases, 138 (43%) had been referred due to car accidents. The injured were mostly drivers of land transport vehicles who had been unintentionally involved in a car accident. The least mechanism for injury was bite injury with 5 (2%) cases which had occurred at home or public transport with a similar rate and totally unintentional. ICECI was capable of classifying 92% of the data related to incident causes. The most incongruous coverage of this system belonged to the "activity when injured" axis (n=18). Lack of precise data recording in the medical files resulted in missing data in at least one of the axis of the incident causes in most records.Conclusion Given that some information regarding the external cause of injury was not categorized by the ICECI system, this research can identify the shortcomings of the system and help its developers to amend it in future revisions.

scholarly journals International classification of external causes of injury: a study on its content coverage

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Leila Ahmadian ◽  
Fatemeh Salehi ◽  
Shabnam Padidar
Keyword(s):  
Classification Systems ◽  
International Classification ◽  
Injury Incidence ◽  
Cross Sectional ◽  
Major Health ◽  
Car Crash ◽  
Spss Software ◽  
Content Coverage ◽  
External Causes

Abstract Background Injuries are a major health issue worldwide and their prevention requires access to accurate statistics in this regard. This can be achieved by classifying the collected data using the international classification systems. This study aimed at investigating the content coverage rate of the International Classification of External Causes of Injury (ICECI) regarding the external causes of injury in a hospital. Methods This cross-sectional descriptive-analytical study was performed on 322 injured individuals visiting the emergency unit of a hospital which is the biggest truma center in the southeast of Iran. The required data were collected via a designed questionnaire by the researcher visiting the Emergency ward. The collected data were encoded based on the ICECI textbook by two encoders. Their agreement rate was calculated using the Kappa estimate of agreement. The content coverage of the classification system and the degree of completeness of the required data for encoding in the patients’ records were measured. Data were analyzed by the SPSS software, ver 19. Results The findings showed that 70% of the external causes of injury were covered by ICECI. Among the 322 cases, 138 (43%) had been referred due to a car crash. The injured were mostly drivers of land transport vehicles who had been unintentionally involved in a car crash. The least mechanism for injury was bite injury with 5 (2%). ICECI was capable of classifying 92% of the data related to the external causes of the injuries. The most un-covered data has belonged to the "activity when injured" axis (n = 18). Lack of precise data recording in the medical records resulted in missing data about at least one of the axis of the external causes in most records. Conclusion The findings of the present study showed that ICECI has good content coverage for encoding the external causes of injuries. Before implementing ICECI for encoding the external causes of injuries, it is required to train clinicians regarding how to document all aspects of an injury incidence.

scholarly journals Application of International Classification of Functioning, Disability and Health (ICF) in individuals with spinal cord injury

2011 ◽  
Vol 69 (3) ◽  
pp. 513-518 ◽  
Author(s):  
Janaina Vall ◽  
Carlos Mauricio de Castro Costa ◽  
Laura França Pereira ◽  
Tatiane Temmy Friesen
Keyword(s):  
Spinal Cord ◽  
Spinal Cord Injury ◽  
Cross Sectional Study ◽  
Social Attitudes ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Cross Sectional ◽  
Cord Injury ◽  
The City

After spinal cord injury is common functionality is affected. OBJECTIVE: To evaluate the functionality of patients with spinal cord injury. METHOD: Cross-sectional study by means of the International Classification of Functionality (ICF). 109 adults with spinal cord injury in the city of Curitiba, Brazil were evaluated. RESULTS: The categories most compromised in body were intestines and bladder, sexuality, energy, sleep, emotion and weight. In the domain activities and participation, there was greater difficulty in tasks of bathing, toilet and dressing, self care and leisure. In the domain environmental factors, the categories classified as facilitators were: medications, orthoses and wheelchair, attitude of family, transport, social foresight and health services. The categories classified as barriers were: attitude of authorities, social attitudes, education and work. CONCLUSION: The application of the ICF in persons with spinal cord injury demonstrated a series of disabilities and limitations.

scholarly journals Nursing diagnoses in hospitalized elderly, according to the International Classification of Nursing Practice

Rev Rene ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Marina Moralles Caldeira de Andrada ◽  
Marlon França ◽  
Angela Maria Alvarez ◽  
Karina Silveira de Almeida Hammerschmidt
Keyword(s):  
Nursing Practice ◽  
Endocrine System ◽  
Regulatory System ◽  
The Elderly ◽  
Cross Sectional Study ◽  
International Classification ◽  
Cross Sectional ◽  
Hospitalized Elderly ◽  
Nursing Diagnoses

Objective: to identify the nursing diagnoses characteristic of hospitalized elderly at the Medical Clinic of a university hospitalin southern Brazil, according to the International Classification of Nursing Practice, version 1.0. Methods: it is a descriptive,cross-sectional study involving 24 elderly. Results: 158 nursing diagnoses were obtained gathered in 23 groups, groupedinto 14 macro-groups presented by similarities: cardiovascular system, impaired self-care, compromised respiratory system,impaired locomotion system, risk of infection, altered dietary patterns and body weight, impaired endocrine system, alteredgastrointestinal system, committed genitourinary system, altered neurological system, compromised perceptive system,sensorial system, altered cutaneous and hydric system and affected thermal regulatory system. Conclusion: the hospitalizedelderly experienced physiological and pathological alterations and the gerontologist nurse can contribute with the planningaimed at maintaining the physical integrity of the elderly in an individualized and complete manner.

scholarly journals Family practitioners' top medical priorities when managing patients with multimorbidity: a cross-sectional study

BJGP Open ◽  
2019 ◽  
Vol 3 (1) ◽  
pp. bjgpopen18X101622 ◽  
Author(s):  
Lilli Herzig ◽  
Yolanda Mueller ◽  
Dagmar M Haller ◽  
Andreas Zeller ◽  
Stefan Neuner-Jehle ◽  
...  
Keyword(s):  
Primary Care ◽  
Chronic Conditions ◽  
Cross Sectional Study ◽  
International Classification ◽  
Sectional Study ◽  
Cross Sectional ◽  
Family Practitioners ◽  
Acute Conditions ◽  
Priority Ranking

BackgroundManaging multiple chronic and acute conditions in patients with multimorbidity requires setting medical priorities. How family practitioners (FPs) rank medical priorities between highly, moderately, or rarely prevalent chronic conditions (CCs) has never been described. The authors hypothesised that there was no relationship between the prevalence of CCs and their medical priority ranking in individual patients with multimorbidity.AimTo describe FPs’ medical priority ranking of conditions relative to their prevalence in patients with multimorbidity.Design & settingThis cross-sectional study of 100 FPs in Switzerland included patients with ≥3 CCs on a predefined list of 75 items from the International Classification of Primary Care 2 (ICPC-2); other conditions could be added. FPs ranked all conditions by their medical priority.MethodPriority ranking and distribution were calculated for each condition separately and for the top three priorities together.ResultsThe sample contained 888 patients aged 28–98 years (mean 73), of which 48.2% were male. Included patients had 3–19 conditions (median 7; interquantile range [IQR] 6–9). FPs used 74/75 CCs from the predefined list, of which 27 were highly prevalent (>5%). In total, 336 different conditions were recorded. Highly prevalent CCs were only the top medical priority in 66%, and the first three priorities in 33%, of cases. No correlation was found between prevalence and the ranking of medical priorities.ConclusionFPs faced a great diversity of different conditions in their patients with multimorbidity, with nearly every condition being found at nearly every rank of medical priority, depending on the patient. Medical priority ranking was independent of the prevalence of CCs.

Field-testing of the ICHD-3 beta diagnostic criteria for classical trigeminal neuralgia

Cephalalgia ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 291-300 ◽  
Author(s):  
Stine Maarbjerg ◽  
Morten Togo Sørensen ◽  
Aydin Gozalov ◽  
Lars Bendtsen ◽  
Jes Olesen
Keyword(s):  
Trigeminal Neuralgia ◽  
Diagnostic Criteria ◽  
False Negative ◽  
Field Testing ◽  
International Classification Of Diseases ◽  
Cross Sectional Study ◽  
International Classification ◽  
Cross Sectional ◽  
Classical Trigeminal Neuralgia

Introduction We aimed to field-test the beta version of the third edition of the International Classification of Headache Disorders (ICHD-3 beta) diagnostic criteria for classical trigeminal neuralgia (TN). The proposed beta draft of the 11th version of the International Classification of Diseases (ICD-11 beta) is almost exclusively based on the ICHD-3 beta classification structure although slightly abbreviated. We compared sensitivity and specificity to ICHD-2 criteria, and evaluated the needs for revision. Methods Clinical characteristics were systematically and prospectively collected from 206 consecutive TN patients and from 37 consecutive patients with persistent idiopathic facial pain in a cross-sectional study design. Results: The specificity of ICHD-3 beta was similar to ICHD-2 (97.3% vs. 89.2%, p = 0.248) and the sensitivity was unchanged (76.2% vs. 74.3%, p = 0.134). The majority of false-negative diagnoses in TN patients were due to sensory abnormalities at clinical examination. With a proposed modified version of ICHD-3 beta it was possible to increase sensitivity to 96.1% ( p < 0.001 compared to ICHD-3 beta) while maintaining specificity at 83.8% ( p = 0.074 compared to ICHD-3 beta). Conclusion ICHD-3 beta was not significantly different from ICHD-2 and both lacked sensitivity. A modification of the criteria improved the sensitivity greatly and is proposed for inclusion in the forthcoming ICHD-3.

scholarly journals Measuring Disability in Patients With Cervical Dystonia According to the International Classification of Functioning, Disability and Health

2017 ◽  
Vol 37 (3) ◽  
pp. 132-140 ◽  
Author(s):  
Joke De Pauw ◽  
Kevin van der Velden ◽  
Reen Cox ◽  
Steven Truijen ◽  
Patrick Cras ◽  
...  
Keyword(s):  
Cervical Dystonia ◽  
Rating Scales ◽  
Cross Sectional Study ◽  
International Classification ◽  
International Classification Of Functioning ◽  
Disability And Health ◽  
Major Life ◽  
Cross Sectional ◽  
The Individual

Cervical Dystonia (CD) is a rare movement disorder characterized by an abnormal head position. This cross-sectional study describes the health status and severity of disability using an internationally agreed language by applying the International Classification of Functioning, Disability and Health (ICF). Two disease-specific rating scales were administered to 30 patients with CD. By linking the individual answers to the ICF model, the frequency and severity of reported impairments and restrictions were estimated using a count-based method. Results showed that patients most frequently reported impairments linked to “neuromusculoskeletal and movement-related functions” and “mental functions.” Most restrictions in activities were related to “interpersonal interactions and relations,” “major life areas,” and “community, social, and civic life.” One third of the reported impairments can be labeled as severe disability. The findings show that CD causes disability in multiple levels of a patients’ functioning in life, well beyond the cervical area.

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