Margaret Warner, PhD Li-Hui Chen, MS, PhD Office of Analysis and Epidemiology National Conference on Health Statistics Washington, DC August 2010 International.

Slides:

Advertisements

Similar presentations

Introduction to Violence Epidemiology With a focus on crime-related violence Thomas Songer, PhD University of Pittsburgh

Advertisements

Incidence of serious injury: A comparison of emergency hospital admissions for serious injury in Ireland, Northern Ireland, England, Scotland and Wales.

Lethality of suicide methods A A ElnourJ Harrison Research Centre for Injury Studies, Flinders University, Adelaide, SA, Australia.

2010 National Conference on Health Statistics August 17, 2010 Identifying Accidental Passenger Vehicle Non-transport Incidents in the NVSS Seymour Stern.

Suicide Trends Margaret Warner Manon Boudreault Lois A. Fingerhut Office of Analysis and Epidemiology APHA Washington DC 2004 National Center.

Unintentional Fall Injuries and Deaths Among MA Older Adults, Ages 65 Years and Over Carrie Huisingh, MPH, Epidemiologist Holly Hackman, MD, MPH, Epidemiologist.

Assessing Disease Frequency

Global Burden of Disease

Utilizing severity to interpret changing trends of hospitalized injury rates in the United States, Claudia A. Steiner, MD, MPH 1 Li-Hui Chen,

Injury Epidemiology An Introduction readings Thomas Songer, PhD University of Pittsburgh.

Comparison of injury questions for household surveys Melissa A. Heinen, MPH Margaret Warner, PhD Lois A. Fingerhut, MA Centers for Disease Control and.

Working with injury data Margaret Warner, PhD Office of Analysis and Epidemiology National Conference on Health Statistics Washington, DC August 2010 U.S.

1 Healthy Carolinians 10/08/09 State of the State: Injury and Violence Overview INJURY DATA 101 Healthy Carolinians & IOM Summit October 8, 2009 Scott.

Billings Area Indian Health Service WISQARS TM Centers For Disease Control & Prevention National Center for Injury Prevention and Control Intermediate.

U.S. National Health Interview Survey: Injury Questions Li-Hui Chen, MS, PhD ICE on Injury Statistics Washington DC 2006 U.S. DEPARTMENT OF HEALTH AND.

An Indicator for mortality: Thinking beyond external cause! (a.k.a. selecting a main injury) Margaret Warner, Ph.D. Li-Hui Chen, Ph.D. Rolf Gedeborg, Injury.

Wellington Injury Forum and ICE Meeting 2012 Welcome and overview Ronan Lyons Chair, ICE.

ICEHS ‘Data Wonks’ Roundtable Lois A. Fingerhut November 2004 Centers for Disease Control and Prevention National Center for Health Statistics.

The Economic Burden of Injury in Canada Philip Groff, PhD Director, Research & Evaluation SMARTRISK BCIRPU Teleconference Series September 24, 2009.

Multiple Cause of Death: An Update on Recommendations for Selecting a Main Injury Wellington, New Zealand 29 September 2012 Holly Hedegaard, MD, MSPH Office.

Injury Indicators Group (ICEIInG) Colin Cryer CHSS, University of Kent, England on behalf of ICEIInG.

What can we learn about injury data from NCHS ? U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center.

International Comparisons of Proportion of Unspecified External Causes of Death Tsung-Hsueh (Robert) Lu, MD, MPH Institute of Public Health, College of.

Internationally Comparable Diagnosis- Specific Survival Probabilities for Calculation of the ICD-10 Based Injury Severity Scores Wellington, New Zealand.

Comparing the health status of Australians to other developed countries Key knowledge: Health status of Australians compared with other developed countries,

Non-fatal injury indicators Colin Cryer and Rolf Gedeborg International Collaborative Effort on Injury Statistics, Swansea, Wales, September 2010 What.

External Cause of Injury Mortality Matrix Lois A. Fingerhut on behalf on the ICE on Injury Statistics October 2004 Centers for Disease Control and Prevention.

Influenza Mortality Surveillance… Making Real-Time National Mortality Surveillance a Reality National Center for Health Statistics Division of Vital Statistics.

What’s New from NCHS International Collaborative Effort (ICE) on Injury Statistics-Cuernavaca, June ‘05 Measuring injury severity Injury Mortality Diagnosis.

Data Analysis & Interpretation Intermediate Injury Prevention August 23-26, 2011 Billings, MT.

Enhancing injury mortality surveillance using National Vital Statistics System Margaret Warner, PhD Mortality Statistics Branch National Conference on.

Third African Road Safety Conference Midterm review of the African Road Safety Action Plan Road Safety Data Management Panel 9 July 2014 Addis Ababa, Ethiopia.

Studying Injuries Using the National Hospital Discharge Survey Marni Hall, Ph.D. Hospital Care Statistics Branch, Division of Health Care Statistics.

Welcome International Collaborative Effort on Injury Statistics June 6, 2004 Vienna, Austria Lois A. Fingerhut, Chair Centers for Disease Control and Prevention.

1 Trends in mechanism and manner of death from external causes across race and Hispanic origin categories -- U.S Arialdi M. Miniño Division.

MEASUREMENT OF HEALTH STATUS. MEASURING HEALTH STATUS What is meant by “health status”? There are many ways to measure the health status of Australians,

Arialdi M. Miniño, MPH Margaret Warner, PhD National Center for Health Statistics Presented at the National Conference on Health Statistics August 6, 2012.

Centre for Health Services Studies ICE on Injury Statistics Business Meeting, 6 June 2004 – Injury Indicators update Colin Cryer Senior.

From injury epidemiology to injury prevention: Lithuanian experience Skirmante Starkuviene MD, PhD Department of Social Medicine Kaunas University of Medicine.

Centers for Disease Control and Prevention National Center for Health Statistics Robert N. Anderson Arialdi M. Miniño Lois A. Fingerhut Margaret Warner.

Robert N. Anderson, Ph.D. Mortality Statistics Branch Division of Vital Statistics National Center for Health Statistics Analyzing Injury Mortality Data.

International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Special Assistant for Injury Epidemiology Office of Analysis and.

Australian Injury Indicators James Harrison Malinda Steenkamp Research Centre for Injury Studies, Flinders University of South Australia Incorporating.

Centers for Disease Control and Prevention National Center for Health Statistics ICE on Injury Statistics, Sept 2006 Margaret Warner, PhD Office of Analysis.

A healthier and safer Indiana ADDENDUM TO INJURY MORBIDITY AND MORTALITY IN INDIANA Injury Prevention Advisory Council Meeting June 21, 2012 Julie Wirthwein—Injury.

Multiple Cause of Injury Deaths Presented Using the ICD-10 Injury Mortality Diagnosis Matrix Margaret Warner, PhD Lois A Fingerhut, MA NCIPC Denver 2005.

International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut Chair, ICE on Injury Statistics Special Assistant for Injury Epidemiology.

Hospital Separations Identification of records for use in tabulating of national injury data Susan G. Mackenzie Presented at the ICE meeting in Washington,

National Center for Health Statistics Barell Matrix— moving to ICD-10 Lois A. Fingerhut May 2004.

Updating Recommendations for Injury Surveillance in State Health Departments Report from the Injury Surveillance Workgroup.

Evaluation of the New Jersey Silicosis Surveillance System, Jessie Gleason, MSPH CDC/CSTE Applied Epidemiology Fellow New Jersey Department of.

How has the ICE been a resource for problem response? Colin Cryer Injury Prevention Research Unit University of Otago 9 th World Conference on Injury Prevention.

Welcome to the 2008 meeting of the International Collaborative Effort -ICE- on Injury Statistics U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for.

National Center for Health Statistics DCC CENTERS FOR DISEASE CONTROL AND PREVENTION Measuring Injury Using the National Health Interview Survey Margaret.

Massachusetts Deaths 2004 Massachusetts Department of Public Health Center for Health Information, Statistics, Research, and Evaluation Division of Research.

Healthy People 2020 Progress Review: Violence Across the Lifespan Appendix Slides National Center for Health Statistics Centers for Disease Control and.

Centers for Disease Control and Prevention National Center for Health Statistics Margaret Warner, Ph.D. Office of Analysis and Epidemiology ICE on Injury,

International Collaborative Effort -ICE- on Injury Statistics Lois A. Fingerhut, Chair Cuernavaca, Mexico June 1 st -2 nd,, 2005 U.S. DEPARTMENT OF HEALTH.

Injury Surveillance Thomas Songer, PhD University of Pittsburgh.

The Global Burden of Injuries Thomas Songer, PhD University of Pittsburgh.

ICE Collaboration with EU Anne Mette T. Johansen & Birthe Frimodt-Møller Denmark International Collaborative Effort on Injury Statistics May.

Desirable properties for our indicators Colin Cryer Injury Prevention Research Unit University of Otago New Zealand ICE Business Meeting, Merida, 22 March.

International Collaborative Effort on Injury Statistics Swansea, Wales September Margaret Warner, PhD Office of Analysis and Epidemiology U.S. DEPARTMENT.

The role of NCHS in providing guidance for defining injuries in administrative data sets Lois A. Fingerhut, MA Office of Analysis and Epidemiology National.

ICE Injury Indicators Group Update of work Colin Cryer John Langley Injury Prevention Research Unit University of Otago.

Closer to home “…older farmers, faced with financial difficulties, hint that the only way out may be to commit suicide so that their families can receive.

Lois A. Fingerhut, MA and Margaret Warner, PhD Special Projects Branch, Office of Analysis and Epidemiology U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES.

Suicide among adolescents aged in the United States

EMR burden of Diseases Operation of Civil Registration, Vital Statistics and Identity Management Systems and the Production of Vital Statistics Reports,

Incidence Incidence of a disease is: “the rate at which new cases occur in a population in a given period, usually in the past 12 months (one calendar.

Presentation transcript:

Margaret Warner, PhD Li-Hui Chen, MS, PhD Office of Analysis and Epidemiology National Conference on Health Statistics Washington, DC August 2010 International comparisons of injury using the ICE indicators U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics

What we’ll talk about…. International Collaborative Effort on Injury Statistics (ICE) criteria for indicators Barriers to comparability Coding rules Unspecified codes Global Injury Mortality Database Fatal injury indicators All injury Motor vehicle traffic Suicide Homicide Discussion

Desirable qualities of injury indicators: 1. Case Definition. The indicator should reflect the occurrence of injury satisfying some case definition of anatomical or physiological damage. 2. Serious Injury. The indicator should be based on events that are associated with significantly increased risk of impairment, functional limitation, disability or death, decreased quality of life, or increased cost (i.e. serious injury). 3. Case Ascertainment. The probability of a case being ascertained should be independent of social, economic and demographic factors, as well as service supply and access factors. The ICE on Injury Statistics criteria for indicators

Desirable qualities of injury indicators (con’t) 4. Representativeness. The indicator should be derived from data that are inclusive or representative of the target population that the indicator aims to reflect. 5. Data Availability. It should be possible to use existing data systems, or it should be practical to develop new systems, to provide data for computing the indicator. 6. Specification. The indicator should be fully specified to allow calculation to be consistent at any place and at any time. The ICE on Injury Statistics criteria for indicators Cryer C, Langley J. Developing indicators of injury incidence that can be used to monitor global, regional and local trends, 2008.

Barriers to international comparability Coding rules Example: Manner of death Data quality Example: Unspecified codes ICE developed fixes Categorization of ICD codes into meaningful groups: External cause of injury matrices, Injury Mortality Diagnosis Matrix, and Barell Matrix for body region and nature

Example: International comparison of drowning death rates Unintentional drowning CountryDeath rate per 100,000 Australia 9.9 United Kingdom 3.4 United States 11.1 Why is the UK rate so low? Source: Bhalla, K., Harrison, J., Fingerhut, L., Shahraz, S., Abraham, J., Hsiu-Yeh, P., on behalf of the GBD Injury Expert Group, The Global Injury Mortality Database, Version 2.0, Released on October , Available from

Source: Bhalla, K., Harrison, J., Fingerhut, L., Shahraz, S., Abraham, J., Hsiu-Yeh, P., on behalf of the GBD Injury Expert Group, The Global Injury Mortality Database, Version 2.0, Released on October , Available from Age adjusted rate per 100,000 Drowning rates per million population for selected countries, 2004

External cause of injury mortality matrix UnintentionalSuicideHomicideUndeterminedLegal intervention / war All injury Cut / pierce Drowning Suffocation Unspecified intent mechanism ICD External cause codes

Exposure to Unspecified Factor * Death rates, Selected countries, 2005 * ICD-10 X59 Exposure to Unspecified factor Source: Bhalla, K., Harrison, J., Fingerhut, L., Shahraz, S., Abraham, J., Hsiu-Yeh, P., on behalf of the GBD Injury Expert Group, The Global Injury Mortality Database, Version 2.0, Released on October , Available from

Data Source Global Injury Mortality Database Data included: Country level cause of death (injury) tabulations disaggregated by age-sex external cause categories (based on Global Burden of Diseases (GBD) & ICE definitions) Sources of data: National civil registration systems If possible, from the WHO Mortality Database Other data submitted by the GBD Injury Expert Group* *

Data Source Global Injury Mortality Database Processing of data: Reclassified external causes to GBD and ICE definitions Quality checked by accessing the proportion of deaths coded to partially specified causes Redistributed cases with unspecified causes Data access: GBD Injury Expert Group Website at Use the Mortality Data : ICE Matrix Definitions

Injury death rates Selected countries, 2005 Source: Bhalla, K., Harrison, J., Fingerhut, L., Shahraz, S., Abraham, J., Hsiu-Yeh, P., on behalf of the GBD Injury Expert Group, The Global Injury Mortality Database, Version 2.0, Released on October , Available from Age adjusted rate per 100,000 South America Europe Pacific Rim

Injury death rates Selected countries and years Source: Bhalla, K., Harrison, J., Fingerhut, L., Shahraz, S., Abraham, J., Hsiu-Yeh, P., on behalf of the GBD Injury Expert Group, The Global Injury Mortality Database, Version 2.0, Released on October , Available from Age adjusted rate per 100,000

Source: Bhalla, K., Harrison, J., Fingerhut, L., Shahraz, S., Abraham, J., Hsiu-Yeh, P., on behalf of the GBD Injury Expert Group, The Global Injury Mortality Database, Version 2.0, Released on October , Available from Age adjusted rate per 100,000 South America Europe Pacific Rim Motor vehicle traffic death rates Selected countries, 2005

Source: Bhalla, K., Harrison, J., Fingerhut, L., Shahraz, S., Abraham, J., Hsiu-Yeh, P., on behalf of the GBD Injury Expert Group, The Global Injury Mortality Database, Version 2.0, Released on October , Available from Age adjusted rate per 100,000 South America Europe Pacific Rim Suicide rates Selected countries, 2005

Source: Bhalla, K., Harrison, J., Fingerhut, L., Shahraz, S., Abraham, J., Hsiu-Yeh, P., on behalf of the GBD Injury Expert Group, The Global Injury Mortality Database, Version 2.0, Released on October , Available from Age adjusted rate per 100,000 South America Europe Pacific Rim Homicide rates Selected countries, 2005

ICE mortality indicators Progress on mortality indicators Defined criteria Identified potential indicators Compared trends for selected countries Limitations of mortality indicators Quality and completeness of data Non-comparable data sources Potential measurement of extraneous factors

Traumatic Brain Injury mortality indicator Morbidity indicators Severity threshold for inclusion Probability of death Probability of admission Functional outcomes/ disability More ICE indicators to come …

us at or For more information on injury data and resources from NCHS, see: Questions?