Analysis Specification - Injury Observatory for Britain and Ireland

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130510 Serious injury inpatient analysis specification for the Injury

Observatory for Britain and Ireland (IOBI)

The purpose of this paper is to develop a specification for comparative analysis of inpatient data for the five countries within IOBI. The inpatient analyses to be undertaken will focus specifically on very serious injuries, comprising a set of ICD 10 codes that identify injuries which from medical experience should be admitted anywhere. By focusing on serious injuries that should almost always be admitted it is possible to minimise the likely variation in the results between countries caused by varying admission thresholds.

Definition of serious injury

Two different sets of ICD 10 codes will be used to identify very serious injuries.

(i) Set 1 (Appendix A) will comprise those ICD 10 codes used as part of the serious admitted injury analyses conducted by IOBI in 2009

( http://www.injuryobservatory.net/iobi_inpatient_analysis.html

). This will allow comparisons to be made between the number of serious injuries reported in the 2009 analysis and the number reported as part of this current analysis. This list of serious injuries was defined by Professor Ronan Lyons, a medical expert in the area of injuries.

(ii) Set 2 (Appendix B) will comprise those ICD 10 codes used in the serious injury outcome indicators that were developed to monitor the New Zealand Injury Prevention Strategy

(NZIPS) [Statistics New Zealand (2011). Serious injury outcome indicators – technical

report. Wellington: Statistics New Zealand]. This report used the International

Classification of Diseases-based Injury Severity Score (ICISS) to define a serious injury.

Specifically, serious non-fatal injury cases were defined as hospitalisations with an ICISS score of less than or equal to 0.941. This is equivalent to selecting patients whose injuries give them a survival probability of 94.1% or worse – in other words, a probability of death (at admission) of at least 5.9%. This represents around 15% of all injury discharges (Cryer, C, Langley, J, & Stephenson, S (2004). Developing valid injury

indicators. A report for the New Zealand Injury Prevention Strategy (Injury Prevention

Research Unit Occasional Report OR 049). Dunedin: University of Otago).

Not every single ICD 10 code identified as defining a serious injury in the NZIPS report will be used as part of this IOBI analysis. Certain ICD 10 codes have been excluded, either due to them not being considered serious enough following further inspection by

Professor Ronan Lyons, or because they require the presence of a 5 th character ICD 10 code, which tends not to be frequently recorded in the UK. Also due to the inability to code to 5 characters some ICD 10 codes listed in the NZIPS report are only included in this IOBI analysis at the 4 character level. A list of the ICD 10 codes used in the NZIPS report but excluded for this IOBI analysis is provided in Appendix D, whilst a list of the

ICD 10 codes used in the NZIPS report but changed to 4 characters for this IOBI analysis is provided in Appendix E.

It should additionally be noted that several ICD 10 codes have been added to the NZIPS

ICD 10 list that will be used in this IOBI analysis. These codes, listed in Appendix F, have been included because it is illogical for them to be left out given the seriousness of the injury.

Unit of hospital activity

Inpatient spells will be used by all countries as the unit of hospital activity in this analysis. A caveat will be added to the final output file warning all readers that the way in which episodes of care are amalgamated to spells within the healthcare system of each country is likely to vary, and that, consequently, caution should be exercised when interpreting the cross-country results.

Time period

Inpatient spells will be searched for during the period 01.01.2011 and 31.12.2011

Type of admission

Only emergency hospital admissions will be considered.

Dealing with admissions with zero length of stay

All admissions will be considered irrespective of length. Research undertaken in Wales in 2009 showed that excluding hospitalisations with a zero length of stay led to 4% of deaths also being excluded (090825 inpatient analysis specification 7 th draft). Admissions with a zero length of stay were included in both the 2009 IOBI analysis and the New Zealand ICISS analysis (page 18 of

Developing valid injury indicators report).

Diagnosis criteria

For the repeat of the IOBI analysis undertaken in 2009 the S/T codes listed in Appendix A should be searched for in any diagnosis position. For the new analysis based on the ICD 10 codes derived in

New Zealand the S/T codes listed in Appendix B should also be searched for in any diagnosis position. For both of the analyses, the external cause/intent categories should be searched for in

any diagnostic position. In addition, for both of the analyses an inpatient admission will only be

counted if it has both the S/T diagnosis AND the external cause/intent diagnosis.

By insisting that an admission must be associated with both an S/T and external cause/intent diagnosis it follows that the final counts will be influenced by the completeness of diagnosis coding. i.e. if there are a large number of admissions with an S/T code but no external cause/intent code, and vice-versa. For this reason it is important for coding completeness to be assessed within each country. To achieve this each country should count the number of emergency inpatient admissions taking place in 2011 which have an S/T ICD 10 code in any diagnosis position but which don’t have an

V/W/X/Y ICD 10 code in any diagnostic position, and vice-versa.

Cause/intent categories reported

The same external cause/intent categories will be used as in the 2009 analysis. An all injury figure will also be reported. The external cause categories are:

Cut/pierce

Drowning

Falls

Fire/hot object or substance

Firearm

Motor vehicle traffic crash (MVTC)

Poisoning

Struck by/against

Other unspecified

The intent categories are:

Unintentional

Self-harm

Assault

Other/unspecified/undetermined

The ICD 10 codes that will be used to identify the above categories are listed in Appendix C.

Order of precedence

An order of precedence ranking should be used to determine the primary cause and/or intent in cases where admissions were assigned multiple cause and intent categories.

The precedence list that should be applied in terms of the external cause of the admissions is: 1 –

MVTC; 2 – Fall; 3 – Cut; 4 – Drowning, 5 – Fire; 6 – Firearm; 7 – Struck by/against; 8 – Poisoning; 9 –

Other and unspecified.

With regards to the intent associated with each admission the order of precedence ranking that should be used is: 1 – Self-harm; 2 – Assault; 3 – Other/unspecified/undetermined; 4 –

Unintentional.

The use of these precedence lists is considered necessary to ensure that only the most likely cause/intent applicable to each admission is counted. However, their use additionally means that the true incidence of admissions associated with specific causes/intents further down the rankings may be underreported.

Output

The required output comprises counts of serious inpatient admissions by 5 year age group and gender. In addition, mid-year population estimates for 2011 by 5 year age group and gender need to be provided. The counts of inpatient admissions and population estimates will then be used to derive European Age Standardised Rates (EASR).

Note: the UK census in 2011 & re-basing of population denominators will need to be taken into account when comparing the results of this analysis with the previous IOBI analysis undertaken in

2009.

Appendix A: Set 1 list of ICD 10 codes to be applied in this IOBI analysis based on those ICD 10 codes used as part of the serious admitted injury analyses conducted by IOBI in 2009

( http://www.injuryobservatory.net/iobi_inpatient_analysis.html

).

The following S/T ICD 10 codes were used as part of the serious admitted injury analyses conducted by IOBI in 2009 ( http://www.injuryobservatory.net/iobi_inpatient_analysis.html

). They will be used again during this IOBI analysis in order to allow comparisons to be made between the number of serious injuries reported in the 2009 analysis and the number reported as part of this current analysis. This list of serious injuries was defined by Professor Ronan Lyons, a medical expert in the area of injuries.

The following ICD 10 codes should be searched for in any diagnostic position:

S02 (excluding 02.2, 02.5) Fracture of skull and facial bones

S06

S12

Intracranial injury

Fracture of neck

S14 Injury of nerves and spinal cord at neck level

S22.0, 22.1, 22.2 Fracture of thoracic vertebra and sternum

S22.5

S24

Flail chest

Injury of nerves and spinal cord at thorax level

S25, 26, 27, 28 Injury of blood vessels of thorax, injury of heart, injury of other unspecified intrathoracic organs, crushing injury of thorax and traumatic amputation of part of thorax

S32 (excluding 32.2) Fracture of lumbar spine and pelvis

S34 (34.0 to 34.5) Injury of nerves and lumbar spinal cord at abdomen, lower back and pelvis level.

S35 Injury of blood vessels at abdomen, lower back and pelvis level

S36, 37, 38

S48, 58, 68

Injury of intra-abdominal organs, injury of pelvic organs, crushing injury and traumatic amputation of part of abdomen, lower back and pelvis

Traumatic amputation of shoulder and upper arm, forearm, wrist and hand

S72 (72.0 to 72.3) Fracture of femur (neck and shaft)

S73.0 Dislocation of hip

S78, 88, 98 Traumatic amputation of hip and thigh, lower leg, ankle and foot

T02

T04

T05

T06

Fractures involving multiple body regions

Crushing injuries involving multiple body regions

Traumatic amputations involving multiple body regions

Other injuries involving multiple body regions, not elsewhere classified

S063

S064

S065

S066

S068

S069

S026

S027

S029

S040

S061

S062

Appendix B: Set 2 list of ICD 10 codes to be applied in this IOBI analysis based on the ICD 10 codes

used in the New Zealand serious injury outcome indicators report [Cryer, C, Langley, J, &

Stephenson, S (2004). Developing valid injury indicators. A report for the New Zealand Injury

Prevention Strategy (Injury Prevention Research Unit Occasional Report OR 049). Dunedin:

University of Otago]

The following ICD 10 codes were used in the serious injury outcome indicators that were developed to monitor the New Zealand Injury Prevention Strategy (NZIPS) [Statistics New Zealand (2011).

Serious injury outcome indicators – technical report. Wellington: Statistics New Zealand]. As mentioned on page 1 not every single ICD 10 code used in the above report will be applied in this

IOBI analysis. Certain ICD 10 codes have been excluded from the list below, either due to them not being considered serious enough following further inspection by Professor Ronan Lyons, or because they require the presence of a 5 th character ICD 10 code, which tends not to be frequently recorded in the UK (Appendix D). Also due to the inability to code to 5 characters some ICD 10 codes in the below list are only included at the 4 character level (Appendix E).

The following ICD 10 codes should be searched for in any diagnostic position.

S020

S021

Fracture of vault of skull

Fracture of base of skull

Fracture of mandible, part unspecified

Multiple fractures involving skull and facial bones

Fracture of skull and facial bones, part unspecified

Injury of optic nerve and pathways

Traumatic cerebral oedema

Diffuse brain injury

Focal brain injury

Epidural haemorrhage

Traumatic subdural haemorrhage

Traumatic subarachnoid haemorrhage

Other intracranial injuries

Intracranial injury, unspecified

S179

S220

S224

S225

S231

S241

S141

S142

S150

S151

S153

S158

S070

S110

S120

S121

S122

S129

S131

S140

S243

S250

S251

S252

S254

S255

S257

Crushing injury of face

Open wound involving larynx and trachea

Fracture of first cervical vertebra

Fracture of second cervical vertebra

Fracture of other specified cervical vertebra

Fracture of neck, part unspecified

Dislocation of cervical vertebrae

Concussion and oedema of cervical spinal cord

Other and unspecified injuries of cervical spinal cord

Injury of nerve root of cervical spine

Injury of carotid artery

Injury of vertebral artery

Injury of internal jugular vein

Injury of other blood vessels at neck level

Crushing injury of neck, part unspecified

Fracture of thoracic vertebra

Multiple rib fractures

Flail chest

Dislocation of thoracic vertebrae

Other and unspecified injuries of thoracic spinal cord

Injury of peripheral nerves of thorax

Injury of thoracic aorta

Injury of innominate or subclavian artery

Injury of superior vena cava

Injury of pulmonary blood vessels

Injury of intercostal blood vessels

Injury of multiple blood vessels of thorax

S358

S359

S360

S361

S362

S365

S320

S328

S332

S351

S352

S354

S268

S269

S271

S272

S273

S278

S279

S318

S367

S368

S369

S370

S373

S379

S427

Other injuries of heart

Injury of heart, unspecified

Traumatic haemothorax

Traumatic haemopneumothorax

Other injuries of lung

Injury of other specified intrathoracic organs

Injury of unspecified intrathoracic organ

Open wound of other and unspecified parts of abdomen

Fracture of lumbar vertebra

Fracture of other and unspecified parts of lumbar spine and pelvis

Dislocation of sacroiliac and sacrococcygeal joint

Injury of inferior vena cava

Injury of coeliac or mesenteric artery

Injury of renal blood vessels

Injury of other blood vessels at abdomen, lower back and pelvis level

Injury of unspecified blood vessel at abdomen, lower back and pelvis level

Injury of spleen

Injury of liver or gallbladder

Injury of pancreas

Injury of colon

Injury of multiple intra-abdominal organs

Injury of other intra-abdominal organs

Injury of unspecified intra-abdominal organ

Injury of kidney

Injury of urethra

Injury of unspecified pelvic organ

Multiple fractures of clavicle, scapula and humerus

S781

S789

S880

S881

S889

S933

S723

S724

S727

S728

S729

S780

S429

S443

S450

S481

S489

S720

S721

S722

S983

T016

T018

T019

T042

T063

T09

Fracture of shoulder girdle, part unspecified

Injury of axillary nerve

Injury of axillary artery

Traumatic amputation at level between shoulder and elbow

Traumatic amputation of shoulder and upper arm, level unspecified

Fracture of neck of femur

Pertrochanteric fracture

Subtrochanteric fracture

Fracture of shaft of femur

Fracture of lower end of femur

Multiple fractures of femur

Fractures of other parts of femur

Fracture of femur, part unspecified

Traumatic amputation at hip joint

Traumatic amputation at level between hip and knee

Traumatic amputation of hip and thigh, level unspecified

Traumatic amputation at knee level

Traumatic amputation at level between knee and ankle

Traumatic amputation of lower leg, level unspecified

Dislocation of other and unspecified parts of foot

Traumatic amputation of other parts of foot

Open wounds involving multiple regions of upper limb(s) with lower limb(s)

Open wounds involving other combinations of body regions

Multiple open wounds, unspecified

Crushing injuries involving multiple regions of upper limb(s)

Injuries of blood vessels involving multiple body regions

Other injuries of spine and trunk, level unspecified

T280

T281

T290

T293

T311

T312

T212

T213

T223

T264

T270

T271

T10

T11

T13

T14

T17

T203

T210

T211

T313

T314

T315

T316

T317

T318

T319

Fracture of upper limb, level unspecified

Other injuries of upper limb, level unspecified

Other injuries of lower limb, level unspecified

Injury of unspecified body region

Foreign body in respiratory tract

Full thickness burn of head and neck

Burn of unspecified degree of trunk

Burn of first degree of trunk

Burn of second degree of trunk

Burn of third degree of trunk

Burn of third degree of shoulder and upper limb, except wrist and hand

Burn of eye and adnexa, part unspecified

Burn of larynx and trachea

Burn involving larynx and trachea with lung

Burn of mouth and pharynx

Burn of oesophagπus

Burns of multiple regions, unspecified thickness

Burns of multiple regions, at least one burn of full thickness mentioned

Burns involving 10–19% of body surface

Burns involving 20–29% of body surface

Burns involving 30–39% of body surface

Burns involving 40–49% of body surface

Burns involving 50–59% of body surface

Burns involving 60–69% of body surface

Burns involving 70–79% of body surface

Burns involving 80–89% of body surface

Burns involving 90% or more of body surface

T462

T467

T493

T504

T603

T68

T71

Poisoning by other antidysrhythmic drugs, not elsewhere classified

Poisoning by peripheral vasodilators

Poisoning by emollients, demulcents and protectants

Poisoning by drugs affecting uric acid metabolism

Toxic effect of herbicides and fungicides

Hypothermia

Asphyxiation

Appendix C – Cause/intent categories and ICD 10 codes

All injury category

All injuries - ICD 10 code in the range V01-V99, W00-W99, X00-X99,Y00-Y369 in any diagnostic position

External cause categories

Cut/pierce - ICD 10 code in the range 'W25'-'W299', 'W45'-'W459', 'X78'-'X789', 'X99'-'X999',

'Y28'-'Y289', 'Y354' in any diagnostic position

Drowning – ICD 10 code in the range ‘W65’-‘W749’, ‘X71’-‘X719’, ‘X92’-‘X929’, ‘Y21’-‘Y219’ in any diagnostic position

Falls - ICD 10 code in the range 'W00'-'W199', 'X80'-'X809', 'Y01'-'Y019', 'Y30'-'Y309' in any diagnostic position

Fire/hot object or substance – ICD 10 code in the range ‘X00’-‘X199’, ‘X76’-‘X779’, ‘X97’-

‘X989’, ‘Y26’-‘Y279’, ‘Y363’ in any diagnostic position

Firearm related - ICD 10 code in the range 'W32'-'W349', 'X72'-'X749', 'X93'-'X959', 'Y22'-

'Y249', 'Y350' in any diagnostic position

MVTC - ICD 10 code in the range 'V304'-'V309', 'V314'-'V319', 'V324'-'V329', 'V334'-'V339',

'V344'-'V349', 'V354'-'V359', 'V364'-'V369', 'V374'-'V379', 'V384'-'V389', 'V394'-'V399',

'V404'-'V409', 'V414'-'V419', 'V424'-'V429', 'V434'-'V439', 'V444'-'V449', 'V454'-'V459',

'V464'-'V469', 'V474'-'V479', 'V484'-'V489', 'V494'-'V499', 'V504'-'V509', 'V514'-'V519',

'V524'-'V529', 'V534'-'V539', 'V544'-'V549', 'V554'-'V559', 'V564'-'V569', 'V574'-'V579',

'V584'-'V589', 'V594'-'V599', 'V604'-'V609', 'V614'-'V619', 'V624'-'V629', 'V634'-'V639',

'V644'-'V649', 'V654'-'V659', 'V664'-'V669', 'V674'-'V679', 'V684'-'V689', 'V694'-'V699',

'V704'-'V709', 'V714'-'V719', 'V724'-'V729', 'V734'-'V739', 'V744'-'V749', 'V754'-'V759',

'V764'-'V769', 'V774'-'V779', 'V784'-'V789', 'V794'-'V799', 'V830'-'V833', 'V840'-'V843',

'V850'-'V853', 'V860'-'V863', 'V203'-'V209', 'V213'-'V219', 'V223'-'V229', 'V233'-'V239',

'V243'-'V249', 'V253'-'V259', 'V263'-'V269', 'V273'-'V279', 'V283'-'V289', 'V294'-'V299',

'V123'-'V129', 'V133'-'V139', 'V143'-'V149', 'V194'-'V196', 'V021'-'V029', 'V031'-'V039',

'V041'-'V049', 'V092', 'V803'-'V805', 'V811', 'V821', 'V870'-'V878', 'V892' in any diagnostic position

Poisoning - ICD 10 code in the range 'X40'-'X499', 'X60'-'X699', 'X85'-'X909', 'Y10'-'Y199',

'Y352' in any diagnostic position

Struck by/against - ICD 10 code in the range 'W20'-'W229', 'W50'-'W529', 'X79'-'X799', 'Y00'-

'Y009', 'Y04'-'Y049', 'Y29'-'Y299', 'Y353' in any diagnostic position

Other/unspecified – remaining ICD 10 codes not mentioned above but within V01-V99, W00-

W99, X00-X99, and Y01-Y369 in any diagnostic position

Intent categories

Unintentional - ICD 10 code in the range 'V01'-'X599', 'Y85'-'Y869' in any diagnostic position

Self-harm - ICD 10 code in the range 'X60'-'X849', 'Y870' in any diagnostic position

Assault - ICD 10 code in the range 'X85'-'Y099', 'Y871' in any diagnostic position

Other/unspecified/undetermined - remaining ICD 10 codes not mentioned above but within

V01-V99, W00-W99, X00-X99, and Y01-Y369 in any diagnostic position

Appendix D - List of the ICD 10 codes used in the NZIPS report but excluded for this IOBI analysis

List of NZIPS ICD 10 codes excluded from this IOBI analysis due to them not being considered serious enough (following further inspection by Professor Ronan Lyons)

S0090

S100

S1098

Superficial injury of head, part unspecified, unspecified

Contusion of throat

Superficial injury of neck, part unspecified, other

S529

S6082

S9088

T0901

T1101

T1305

Fracture of forearm, part unspecified

Blister of wrist and hand

Other superficial injuries of ankle and foot

Abrasion of trunk, level unspecified

Abrasion of upper limb, level unspecified

Contusion of lower limb, level unspecified

T139

T1401

T337

Unspecified injury of lower limb, level unspecified

Abrasion of unspecified body region

Superficial frostbite of knee and lower leg

List of NZIPS ICD 10 codes excluded from this IOBI analysis because they require the presence of a 5 th character ICD 10 code, which tends not to be frequently recorded in the UK

S0139

S0181

S0603

S0605

S2231

S1470

Open wound of other and multiple parts of ear and auditory structures

Open wound (of any part of head) communicating with a fracture

Loss of consciousness of moderate duration (30 minutes to 24 hours)

Loss of consciousness of prolonged duration (more than 24 hours), without return to pre-existing conscious level

Fracture of first rib

Functional spinal cord injury, cervical level unspecified

S1471

S1472

S1474

S2472

S2477

S3475

Functional spinal cord injury, C1

Functional spinal cord injury, C2

Functional spinal cord injury, C4

Functional spinal cord injury, T2/T3

Functional spinal cord injury, T12

Functional spinal cord injury, L5

S1312

S1315

S1317

S1410

S1411

S1412

S0633

S0634

S1102

S1221

S1222

S1311

S1413

S1500

S1503

Appendix E - List of NZIPS ICD 10 codes included in this IOBI analysis but only at the 4 character level

Note: the 4 character version of the ICD 10 codes listed below already appear in Appendix B, the Set

2 list of ICD 10 codes used in this IOBI analysis.

S0260

S0620

S0621

S0622

Fracture of mandible, part unspecified

Diffuse cerebral and cerebellar brain injury, unspecified

Diffuse cerebral contusions

Diffuse cerebellar contusions

S0623

S0628

S0630

S0632

Multiple intracerebral and cerebellar haematomas

Other diffuse cerebral and cerebellar injury

Focal cerebral and cerebellar injury, unspecified

Focal cerebellar contusion

Focal cerebral haematoma

Focal cerebellar haematoma

Open wound of trachea

Fracture of third cervical vertebra

Fracture of fourth cervical vertebra

Dislocation of C1/C2 cervical vertebrae

Dislocation of C2/C3 cervical vertebrae

Dislocation of C5/C6 cervical vertebrae

Dislocation of C7/T1 cervicothoracic vertebrae

Injury of cervical spinal cord, unspecified

Complete lesion of cervical spinal cord

Central cord syndrome (incomplete cord injury) of cervical spinal cord

Other incomplete cord syndrome of cervical spinal cord

Injury of carotid artery, unspecified

Injury of internal carotid artery

S2412

S2682

S2683

S2688

S2731

S2732

S2738

S2781

S2788

S3181

S3200

S2200

S2201

S2240

S2241

S2315

S2316

S2410

S2411

S3283

S3289

S3603

S3604

S3608

S3610

S3612

S3615

Fracture of thoracic vertebra, level unspecified

Fracture of thoracic vertebra, T1 and T2 level

Multiple rib fractures, unspecified

Multiple rib fractures, involving first rib

Dislocation of T9/T10 and T10/T11 thoracic vertebrae

Dislocation of T11/T12 thoracic vertebrae

Injury of thoracic spinal cord unspecified

Complete lesion of thoracic spinal cord

Incomplete cord syndrome of thoracic spinal cord

Laceration of heart without penetration into heart chamber

Laceration of heart with penetration into heart chamber

Other injuries of heart

Contusion and haematoma of lung

Laceration of lung

Other and unspecified injuries of lung

Injury of diaphragm

Injury of other specified intrathoracic organs and structures

Open wound (of any part of lower back and pelvis) communicating with a fracture

Fracture of lumbar vertebra, level unspecified

Fracture of pelvis, part unspecified

Other and multiple pelvic fractures

Laceration of spleen extending into parenchyma

Massive parenchymal disruption of spleen

Other injury of spleen

Injury of liver, unspecified

Laceration of liver, unspecified

Major laceration of liver

S7203

S7205

S7210

S7211

S7243

S9330

T1420

T2231

S3617

S3618

S3629

S3659

S3683

S3703

S3733

S7200

T2232

T3110

Injury of gallbladder

Injury of bile duct

Injury of other and multiple parts of pancreas

Injury of other and multiple parts of colon

Injury of retroperitoneum

Complete disruption of kidney parenchyma

Injury of prostatic urethra

Fracture of neck of femur, part unspecified

Fracture of subcapital section of femur

Fracture of base of neck of femur

Fracture of trochanteric section of femur, unspecified

Fracture of intertrochanteric section of femur

Supracondylar fracture of femur

Dislocation of foot, part unspecified

Fracture of unspecified body region, closed

Full thickness burn of shoulder and upper limb, except wrist and hand, forearm and elbow

Full thickness burn of shoulder and upper limb, except wrist and hand, upper arm and shoulder region

Burns involving 10–19% of body surface, less than 10% full thickness or unspecified

S889

T212

T312

T313

T314

T315

S723

S727

S728

S780

S789

S880

T316

T317

T318

T319

Appendix F – List of ICD 10 codes that have been added to the list of NZIPS ICD 10 codes used in this IOBI analysis

In addition to certain NZIPS ICD 10 codes being excluded from this analysis several ICD 10 codes have been added to the NZIPS ICD 10 list that will be used in this IOBI analysis (Appendix B). These codes have been added because it is illogical for them to be left out given the seriousness of the injury.

S722 Subtrochanteric fracture

Fracture of shaft of femur

Multiple fractures of femur

Fractures of other parts of femur

Traumatic amputation at hip joint

Traumatic amputation of hip and thigh, level unspecified

Traumatic amputation at knee level

Traumatic amputation of lower leg, level unspecified

Burn of second degree of trunk

Burns involving 20–29% of body surface

Burns involving 30–39% of body surface

Burns involving 40–49% of body surface

Burns involving 50–59% of body surface

Burns involving 60–69% of body surface

Burns involving 70–79% of body surface

Burns involving 80–89% of body surface

Burns involving 90% or more of body surface

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