{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:37:46Z","timestamp":1761845866446,"version":"3.40.5"},"reference-count":41,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:00:00Z","timestamp":1714003200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Academic Emergency Medicine"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The U.S. Centers for Disease Control and Prevention (CDC) defines legal intervention injuries as injuries caused by law enforcement agents in the course of official duties. Public health databases utilize <jats:italic>International Classification of Diseases, 10th Revision<\/jats:italic> (ICD\u201010), coding to collect these data through the \u201cY35\u201d family ICD\u201010 code. Prior studies report deficiencies in public health recording of fatal legal intervention injuries. Few studies have characterized nonfatal injuries. This study investigates emergency department (ED) capture of legal intervention injury diagnostic coding.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review was performed on ED encounter data from January 1, 2017, to June 30, 2019, at an academic hospital in Washington, DC. Charts were identified using a keyword search program for \u201cpolice.\u201d Chart abstracters reviewed the flagged charts and abstracted those that met injury definition. Primary outcomes included injury severity, patient demographics, and documented ICD\u201010 codes. One sample proportion testing was performed comparing sample census ED data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 340 encounters had sufficient descriptions of legal intervention injuries. A total of 259 had descriptions consistent with the patient specifier of \u201csuspect.\u201d Hospital coders recorded 74 charts (28.6%) with the Y35 family legal intervention injury code. A total of 212 involved a Black patient. A total of 122 patients had Medicaid and 94 were uninsured. Black patients made up a higher proportion of individuals in the \u201csuspect identified legal intervention injury\u201d group than the total population (0.819 vs. 0.609, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01, 95% CI 0.772\u20130.866). Patients with Medicaid or who were uninsured made up substantial proportions as well (0.471 vs. 0.175, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01, 95% CI 0.410\u20130.532 for Medicaid patients and 0.363 vs. 0.155, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01, 95% CI 0.304\u20130.424 for the uninsured patients).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>A large proportion of nonfatal legal intervention injuries remain unreported. Black and low\u2010income patients are disproportionately affected. More research is needed but benefits from interprofessional data sharing, injury pattern awareness, and diagnostic coding guidance may improve reporting.<\/jats:p><\/jats:sec>","DOI":"10.1111\/acem.14927","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T11:59:21Z","timestamp":1714046361000},"page":"985-993","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Emergency department documentation of legal intervention injuries at a Washington, DC, hospital"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2038-6970","authenticated-orcid":false,"given":"Kevin Xerxes","family":"Durgun","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine George Washington University  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neal","family":"Sikka","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine George Washington University  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8350-4380","authenticated-orcid":false,"given":"Kevin","family":"Davey","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine George Washington University  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colton","family":"Hood","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine George Washington University  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Omair","family":"Khokhar","sequence":"additional","affiliation":[{"name":"George Washington University School of Medicine  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alana","family":"Sadur","sequence":"additional","affiliation":[{"name":"George Washington University School of Medicine  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Monica","family":"Labine","sequence":"additional","affiliation":[{"name":"George Washington University School of Medicine  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0682-1988","authenticated-orcid":false,"given":"Justin","family":"Zaslavsky","sequence":"additional","affiliation":[{"name":"George Washington University School of Medicine  Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,25]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Web\u2010based Injury Statistics Query and Reporting System (WISQARS\u2122) Fatal Injury Reports Help Menu|5.0 Definitions for WISQARS Fatal Injury. Centers for Disease Control and Prevention National Center for Injury Prevention and Control;2018. Accessed September 16 2023.\u00a0https:\/\/www.cdc.gov\/injury\/wisqars\/fatal_help\/definitions_fatal.html"},{"key":"e_1_2_9_3_1","unstructured":"ACEP Statement on Structural Racism and Public Health.American College of Emergency Physicians;2020."},{"key":"e_1_2_9_4_1","unstructured":"ABEM Statement against Racism.American Board of Emergency Medicine;2020."},{"key":"e_1_2_9_5_1","unstructured":"AAEM Releases Statement with SAEM on the Death of George Floyd.American Academy of Emergency Medicine;2020."},{"volume-title":"Police Brutality Must Stop","year":"2020","author":"Ehrenfeld JM","key":"e_1_2_9_6_1"},{"volume-title":"APHA Calls out Police Violence as a Public Health Crisis. A Statement from APHA Executive Director Georges C. 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White Paper Report on Excited Delirium Syndrome.2009. 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