{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,26]],"date-time":"2025-09-26T00:10:56Z","timestamp":1758845456682,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2016,6,24]]},"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Governments wish to compare their performance in preventing serious injury. International comparisons based on hospital inpatient records are typically contaminated by variations in health services utilisation. To reduce these effects, a serious injury case definition has been proposed based on diagnoses with a high probability of inpatient admission (PrA). The aim of this paper was to identify diagnoses with estimated high PrA for selected developed countries.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The study population was injured persons of all ages who attended emergency department (ED) for their injury in regions of Canada, Denmark, Greece, Spain and the USA. International Classification of Diseases (ICD)-9 or ICD-10 4-digit\/character injury diagnosis-specific ED attendance and inpatient admission counts were provided, based on a common protocol. Diagnosis-specific and region-specific PrAs with 95% CIs were calculated.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The results confirmed that femoral fractures have high PrA across all countries studied. Strong evidence for high PrA also exists for fracture of base of skull with cerebral laceration and contusion; intracranial haemorrhage; open fracture of radius, ulna, tibia and fibula; pneumohaemothorax and injury to the liver and spleen. Slightly weaker evidence exists for cerebellar or brain stem laceration; closed fracture of the tibia and fibula; open and closed fracture of the ankle; haemothorax and injury to the heart and lung.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Using a large study size, we identified injury diagnoses with high estimated PrAs. These diagnoses can be used as the basis for more valid international comparisons of life-threatening injury, based on hospital discharge data, for countries with well-developed healthcare and data collection systems.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/injuryprev-2016-042020","type":"journal-article","created":{"date-parts":[[2016,8,8]],"date-time":"2016-08-08T22:34:04Z","timestamp":1470695644000},"page":"47-57","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Towards valid \u2018serious non-fatal injury\u2019 indicators for international comparisons based on probability of admission estimates"],"prefix":"10.1136","volume":"23","author":[{"given":"Colin","family":"Cryer","sequence":"first","affiliation":[{"name":"Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ted R","family":"Miller","sequence":"additional","affiliation":[{"name":"Pacific Institute for Research and Evaluation, Calverton, Maryland, USA"},{"name":"Curtin University Centre for Health Policy Research, Perth, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ronan A","family":"Lyons","sequence":"additional","affiliation":[{"name":"Farr Institute, Swansea University Medical School, Swansea, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison K","family":"Macpherson","sequence":"additional","affiliation":[{"name":"School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"P\u00e9rez","sequence":"additional","affiliation":[{"name":"Ag\u00e8ncia de Salut P\u00fablica de Barcelona (ASPB), Barcelona, Spain"},{"name":"CIBER Epidemiolog\u00eda y Salud P\u00fablica, Institute of Biomedical Research (IIBSP), Barcelona, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eleni Th","family":"Petridou","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Dessypris","sequence":"additional","affiliation":[{"name":"Department of Hygiene, Epidemiology and Medical Statistics, Medical School, National and Kapodistrian University of Athens, Athens, Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabrielle S","family":"Davie","sequence":"additional","affiliation":[{"name":"Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pauline J","family":"Gulliver","sequence":"additional","affiliation":[{"name":"School of Population Health, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jens","family":"Lauritsen","sequence":"additional","affiliation":[{"name":"Injury Prevention Group, Odense University Hospital, Odense, Denmark"},{"name":"Department of Clinical Medicine, University of Southern Denmark, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soufiane","family":"Boufous","sequence":"additional","affiliation":[{"name":"Transport and Road Safety Research, University of New South Wales, Sydney, New South Wales, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bruce","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Pacific Institute for Research and Evaluation, Calverton, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon","family":"de Graaf","sequence":"additional","affiliation":[{"name":"Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia A","family":"Steiner","sequence":"additional","affiliation":[{"name":"Division of Healthcare Delivery Data, Measures and Research, Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality (AHRQ), Rockville, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,8,8]]},"reference":[{"unstructured":"Cryer C , Langley J , Stephenson S . 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