An introduction to the Barell body region by nature of injury diagnosis matrix
An introduction to the Barell body region by nature of injury diagnosis matrix
复制标题
DOI：
10.1136/ip.8.2.91
复制
发表时间：
2002-06-01
影响因子：
3.7
通讯作者：
Heruti, R
中科院分区：
文献类型：
--
作者：
Barell, V;Aharonson-Daniel, L;Heruti, R
介绍：barll身体区域损伤诊断矩阵的本质是标准化数据选择和报告，使用二维数组（矩阵），包括所有国际疾病分类(ICD)-9-CM代码描述创伤。目的：为创伤登记、出院数据系统、急诊科数据系统或其他非致命伤害数据来源的报告提供一种标准格式。该工具还可用于通过可管理的数量有临床意义的诊断类别来描述损伤模式，并作为跨时间和地点的病例混合比较的标准。概念：矩阵显示12个损伤性质列和36个身体区域行，将每个ICD-9-CM代码在800到995的范围内放置在矩阵中唯一的细胞位置。每个细胞都包含与特定损伤相关的密码。可以很容易地折叠矩阵行和列以获得更广泛的分组，或者在需要更具体的站点时展开。当前的矩阵通过预定义的body区域折叠（从36行到9行再到5行）提供了三个标准的细节级别。矩阵发展：本文介绍了矩阵的发展阶段和主要概念和特性，使用来自以色列国家创伤登记处和美国国家医院出院调查的数据。该矩阵引入了创伤性脑损伤（TBI）分离等新思想，分为三种类型。眼睛的伤已经和面部的其他伤分开了。其他头部损伤，如开放性伤口和烧伤，则被单独分类。脊髓和脊柱的损伤也与腹部和骨盆分开。四肢分为上肢和下肢，并进一步细分为更具体的区域。髋部骨折与其他下肢骨折分离。未来发展：该矩阵将用于开发标准方法，用于分析多重损伤和创建患者损伤概况。为了满足对《国际疾病分类-10》日益增长的使用并使其适用于更广泛的国家，该矩阵将被翻译成《国际疾病分类-10》，并最终翻译成《国际疾病分类-10- cm》。结论：Barell损伤诊断矩阵可作为损伤资料流行病学和临床分析的基础工具。
Introduction: The Barell body region by nature of injury diagnosis matrix standardizes data selection and reports, using a two dimensional array (matrix) that includes all International Classification of Diseases (ICD)-9-CM codes describing trauma.Aim: To provide a standard format for reports from trauma registries, hospital discharge data systems, emergency department data systems, or other sources of non-fatal injury data. This tool could also be used to characterize the patterns of injury using a manageable number of clinically meaningful diagnostic categories and to serve as a standard for casemix comparison across time and place.Concept: The matrix displays 12 nature of injury columns and 36 body region rows placing each ICD-9-CM code in the range from 800 to 995 in a unique cell location in the matrix. Each cell includes the codes associated with a given injury. The matrix rows and columns can easily be collapsed to get broader groupings or expanded if more specific sites are required. The current matrix offers three standard levels of detail through predefined collapsing of body regions from 36 rows to nine rows to five rows.Matrix development: This paper presents stages in the development and the major concepts and properties of the matrix, using data from the Israeli national trauma registry, and from the US National Hospital Discharge Survey. The matrix introduces new ideas such as the separation of traumatic brain injury (TBI), into three types. Injuries to the eye have been separated from other facial injuries. Other head injuries such as open wounds and burns were categorized separately. Injuries to the spinal cord and spinal column were also separated as are the abdomen and pelvis. Extremities have been divided into upper and lower with a further subdivision into more specific regions. Hip fractures were separated from other lower extremity fractures.Forthcoming developments: The matrix will be used for the development of standard methods for the analysis of multiple injuries and the creation of patient injury profiles. To meet the growing use of ICD-10 and to be applicable to a wider range of countries, the matrix will be translated to ICD-10 and eventually to ICD-10-CM.Conclusion: The Barell injury diagnosis matrix has the potential to serve as a basic tool in epidemiological and clinical analyses of injury data.