Increasing Trend of Fatal Falls in Older Adults in the United States, 1992 to 2005: Coding Practice or Reporting Quality?
Increasing Trend of Fatal Falls in Older Adults in the United States, 1992 to 2005: Coding Practice or Reporting Quality?
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DOI：
10.1111/jgs.13591
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发表时间：
2015-09-01
影响因子：
6.3
通讯作者：
Mielenz, Thelma J.
中科院分区：
文献类型：
--
作者：
Kharrazi, Rebekah J.;Nash, Denis;Mielenz, Thelma J.
目的：调查死亡证明编码和报告实践的变化是否部分或全部解释了最近美国65岁及以上成年人致命福尔斯率的增加。设计：根据《国际疾病分类》（ICD）的死亡率编码方案，对致命性福尔斯的编码和报告做法的趋势进行了评价，九版（1992-1998年）和第十次修订本地点：美国，1992 - 2005年。参与者：年龄65岁及以上，在死亡证明书上被列为潜在死因（UCD）的福尔斯。主要结果是每10万名65岁及以上美国居民的年度致命福尔斯率。通过分析特定UCD下降ICD电子代码的比率随时间的趋势来评估编码实践。报告质量进行了评估，通过检查在死亡证书上的位置，下降的电子代码报告的变化，特别是下降的电子代码的百分比记录在适当的位置上的死亡certificate.RESULTS：死亡福尔斯率增加了两个时间段：1992年至1998年和1999年至2005年。从1992年至1998年（E888，其他和未指明的跌倒）和从1999年至2005年（W18，同一水平上的其他福尔斯），单个福尔斯电子代码导致致死性福尔斯总体呈上升趋势，而其他福尔斯电子代码的趋势保持稳定。报告质量稳步提高整个studyperiod.CONCLUSION：更好的报告质量，而不是编码的做法，促成了在美国的老年人从1992年至2005年的致命福尔斯率的增加。
OBJECTIVES: To investigate whether changes in death certificate coding and reporting practices explain part or all of the recent increase in the rate of fatal falls in adults aged 65 and older in the United States.DESIGN: Trends in coding and reporting practices of fatal falls were evaluated under mortality coding schemes for International Classification of Diseases (ICD), Ninth Revision (1992-1998) and Tenth Revision (1999-2005).SETTING: United States, 1992 to 2005.PARTICIPANTS: Individuals aged 65 and older with falls listed as the underlying cause of death (UCD) on their death certificates.MEASUREMENTS: The primary outcome was annual fatal falls rates per 100,000 U.S. residents aged 65 and older. Coding practice was assessed through analysis of trends in rates of specific UCD fall ICD e-codes over time. Reporting quality was assessed by examining changes in the location on the death certificate where fall e-codes were reported, in particular, the percentage of fall e-codes recorded in the proper location on the death certificate.RESULTS: Fatal falls rates increased over both time periods: 1992 to 1998 and 1999 to 2005. A single falls e-code was responsible for the increasing trend of fatal falls overall from 1992 to 1998 (E888, other and unspecified fall) and from 1999 to 2005 (W18, other falls on the same level), whereas trends for other falls e-codes remained stable. Reporting quality improved steadily throughout the study period.CONCLUSION: Better reporting quality, not coding practices, contributed to the increasing rate of fatal falls in older adults in the United States from 1992 to 2005.