{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:15:16Z","timestamp":1789841716979,"version":"4.0.1"},"reference-count":53,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T00:00:00Z","timestamp":1491350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The primary objective of this study was to identify patients with heat-related illness (HRI) using codes for heat-related injury diagnosis and external cause of injury in 3 administrative data sets: emergency department (ED) visit records, hospital discharge records, and death certificates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We obtained data on ED visits, hospitalizations, and deaths for Florida residents for May 1 through October 31, 2005-2012. To identify patients with HRI, we used codes from the International Classification of Diseases, Ninth Revision, Clinical Modification ( ICD-9-CM) to search data on ED visits and hospitalizations and codes from the International Classification of Diseases, Tenth Revision ( ICD-10) to search data on deaths. We stratified the results by data source and whether the HRI was work related.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>We identified 23\u2009981 ED visits, 4816 hospitalizations, and 140 deaths in patients with non\u2013work-related HRI and 2979 ED visits, 415 hospitalizations, and 23 deaths in patients with work-related HRI. The most common diagnosis codes among patients were for severe HRI (heat exhaustion or heatstroke). The proportion of patients with a severe HRI diagnosis increased with data source severity. If ICD-9-CM code E900.1 and ICD-10 code W92 (excessive heat of man-made origin) were used as exclusion criteria for HRI, 5.0% of patients with non\u2013work-related deaths, 3.0% of patients with work-related ED visits, and 1.7% of patients with work-related hospitalizations would have been removed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Using multiple data sources and all diagnosis fields may improve the sensitivity of HRI surveillance. Future studies should evaluate the impact of converting ICD-9-CM to ICD-10-CM codes on HRI surveillance of ED visits and hospitalizations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354917699826","type":"journal-article","created":{"date-parts":[[2017,4,5]],"date-time":"2017-04-05T13:51:34Z","timestamp":1491400294000},"page":"326-335","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Evaluation of Diagnostic Codes in Morbidity and Mortality Data Sources for Heat-Related Illness Surveillance"],"prefix":"10.1177","volume":"132","author":[{"given":"Laurel","family":"Harduar Morano","sequence":"first","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Watkins","sequence":"additional","affiliation":[{"name":"Bureau of Epidemiology, Pennsylvania Department of Health, Harrisburg, PA, USA"},{"name":"Public Health Research Unit, Florida Department of Health, Tallahassee, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,4,5]]},"reference":[{"key":"bibr1-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1007\/s00484-013-0752-x"},{"key":"bibr2-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.29.020907.090843"},{"key":"bibr3-0033354917699826","volume-title":"Heat Waves and Health: Guidance on Warning System Development","author":"McGregor G","year":"2015"},{"key":"bibr4-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6947-9-14"},{"key":"bibr5-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/750236"},{"key":"bibr6-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1007\/s10584-008-9441-x"},{"key":"bibr7-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.1003198"},{"key":"bibr8-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1186\/1476-069X-8-40"},{"key":"bibr9-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.11594"},{"key":"bibr10-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1007\/s00484-008-0169-0"},{"key":"bibr11-0033354917699826","volume-title":"Memorandum: Cal\/OSHA Investigations of Heat Related Illnesses 2005","author":"Prudhomme JC","year":"2006"},{"key":"bibr12-0033354917699826","volume-title":"Memorandum: Cal\/OSHA Investigations of Heat Related Illnesses 2006","author":"Prudhomme JC","year":"2007"},{"key":"bibr13-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxf007"},{"key":"bibr14-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2008.08.021"},{"key":"bibr15-0033354917699826","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2006.100081"},{"key":"bibr16-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-007-0173-4"},{"key":"bibr17-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0055459"},{"key":"bibr18-0033354917699826","doi-asserted-by":"publisher","DOI":"10.1016\/j.scitotenv.2011.11.038"},{"key":"bibr19-0033354917699826","unstructured":"Centers for Disease Control and Prevention. 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