Journal article
Validating injury-related diagnoses by physicians: an analysis of 62,269 hospitalizations from a large hospital in Changsha, China
Injury, Vol.51(10), pp.2230-2234
10/01/2020
DOI: 10.1016/j.injury.2020.07.004
PMID: 32641231
Abstract
•Physicians’ diagnoses only reported 405 (40%) of the 1011 injury-related hospitalizations.•The proportions of under-reporting, lack of cause specificity, and misclassification errors were 50.5%, 7.9% and 1.5%, respectively.•The proportion of diagnostic errors remained relatively similar across patient sex, intent of injury, and cause of injury subgroups, but varied substantially across patient age groups.
To assess the accuracy of injury-related hospitalization diagnoses by physicians in China.
62,269 hospitalizations between 2014 and 2016 at a large hospital in Changsha, China were assessed. We considered three types of diagnostic errors: under-reporting, lack of cause specificity, and misclassification across injury causes. Diagnosis and coding of diseases were ascertained by professional coders based on the tenth International Classification of Disease (ICD-10). Chi square tests examined the proportion difference across subgroups of patient demographics, injury intent, and injury cause.
The 62,269 records included 1011 injury-induced hospitalizations, but physicians’ diagnoses only reported 405 (40%) of the 1011 hospitalizations as injury-related. The proportions of under-reporting, lack of cause specificity, and misclassification errors, respectively, were 50.5%, 7.9% and 1.5%. The proportion of diagnostic errors was relatively similar across patient sex, intent of injury, and cause of injury subgroups, but varied substantially across patient age groups.
Physicians’ diagnoses frequently omitted injury-induced hospitalizations. Such errors will impact injury research and policy-making when they are undetected and uncorrected.
Details
- Title: Subtitle
- Validating injury-related diagnoses by physicians: an analysis of 62,269 hospitalizations from a large hospital in Changsha, China
- Creators
- Qiong He - Xiangya Hospital Central South UniversityJin Tong - Central South UniversityMin Jin - Xiangya Hospital Central South UniversityJunjie Hua - Central South UniversityDavid C. Schwebel - University of Alabama at BirminghamJing Zhang - Xiangya Hospital Central South UniversityGuoqing Hu - Central South University
- Resource Type
- Journal article
- Publication Details
- Injury, Vol.51(10), pp.2230-2234
- DOI
- 10.1016/j.injury.2020.07.004
- PMID
- 32641231
- NLM abbreviation
- Injury
- ISSN
- 0020-1383
- eISSN
- 1879-0267
- Publisher
- Elsevier Ltd
- Number of pages
- 5
- Language
- English
- Date published
- 10/01/2020
- Academic Unit
- Research Administration
- Record Identifier
- 9984949475002771
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