Abstract
The aim of this longitudinal study was to test different operational definitions of home accident mortality. Methods: The sources of data were the Emergency Information System, hospital discharge reports and the mortality registry of the Lazio Region, 2000-2001. We selected all emergency room visits for unintentional traumas that occurred at home. A 9-month follow-up was performed to calculate mortality rates. A sensitivity analysis of in-hospital mortality, deaths within 30 days and deaths from home accident E-codes was performed. A gold standard definition of home accident-related deaths was proposed. Results: We observed 598 home accident-related fatalities (29.1% of all the deaths found in the follow-up study). In-hospital mortality, deaths within 30 days and deaths for home accident E-codes had sensitivity values of 63.4%, 63.4% and 59.4%, respectively; positive predictive values were 78.1%, 67.1% and 100%, respectively. Conclusions: The best operational definition of home injury was based on in-hospital mortality, while mortality based on E-codes reported on death certificates was lacking. In order to measure the real burden of home injuries, hospital and mortality data must be integrated.
| Original language | English |
|---|---|
| Pages (from-to) | 716-720 |
| Number of pages | 5 |
| Journal | Accident Analysis and Prevention |
| Volume | 39 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Jul 2007 |
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Keywords
- Case definition
- Death certificate
- Emergency
- Home injuries
- Mortality
- Surveillance
ASJC Scopus subject areas
- Chemical Health and Safety
- Safety, Risk, Reliability and Quality
- Public Health, Environmental and Occupational Health
- Human Factors and Ergonomics
- Law
- Safety Research
- Transportation
Cite this
Home injuries mortality : Sensitivity and specificity analysis of different data sources and operative definitions. / Farchi, Sara; Camilloni, Laura; Rossi, Paolo Giorgi; Chini, Francesco; Borgia, Piero; Guasticchi, Gabriella.
In: Accident Analysis and Prevention, Vol. 39, No. 4, 07.2007, p. 716-720.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Home injuries mortality
T2 - Sensitivity and specificity analysis of different data sources and operative definitions
AU - Farchi, Sara
AU - Camilloni, Laura
AU - Rossi, Paolo Giorgi
AU - Chini, Francesco
AU - Borgia, Piero
AU - Guasticchi, Gabriella
PY - 2007/7
Y1 - 2007/7
N2 - The aim of this longitudinal study was to test different operational definitions of home accident mortality. Methods: The sources of data were the Emergency Information System, hospital discharge reports and the mortality registry of the Lazio Region, 2000-2001. We selected all emergency room visits for unintentional traumas that occurred at home. A 9-month follow-up was performed to calculate mortality rates. A sensitivity analysis of in-hospital mortality, deaths within 30 days and deaths from home accident E-codes was performed. A gold standard definition of home accident-related deaths was proposed. Results: We observed 598 home accident-related fatalities (29.1% of all the deaths found in the follow-up study). In-hospital mortality, deaths within 30 days and deaths for home accident E-codes had sensitivity values of 63.4%, 63.4% and 59.4%, respectively; positive predictive values were 78.1%, 67.1% and 100%, respectively. Conclusions: The best operational definition of home injury was based on in-hospital mortality, while mortality based on E-codes reported on death certificates was lacking. In order to measure the real burden of home injuries, hospital and mortality data must be integrated.
AB - The aim of this longitudinal study was to test different operational definitions of home accident mortality. Methods: The sources of data were the Emergency Information System, hospital discharge reports and the mortality registry of the Lazio Region, 2000-2001. We selected all emergency room visits for unintentional traumas that occurred at home. A 9-month follow-up was performed to calculate mortality rates. A sensitivity analysis of in-hospital mortality, deaths within 30 days and deaths from home accident E-codes was performed. A gold standard definition of home accident-related deaths was proposed. Results: We observed 598 home accident-related fatalities (29.1% of all the deaths found in the follow-up study). In-hospital mortality, deaths within 30 days and deaths for home accident E-codes had sensitivity values of 63.4%, 63.4% and 59.4%, respectively; positive predictive values were 78.1%, 67.1% and 100%, respectively. Conclusions: The best operational definition of home injury was based on in-hospital mortality, while mortality based on E-codes reported on death certificates was lacking. In order to measure the real burden of home injuries, hospital and mortality data must be integrated.
KW - Case definition
KW - Death certificate
KW - Emergency
KW - Home injuries
KW - Mortality
KW - Surveillance
UR - http://www.scopus.com/inward/record.url?scp=34247552915&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34247552915&partnerID=8YFLogxK
U2 - 10.1016/j.aap.2006.11.002
DO - 10.1016/j.aap.2006.11.002
M3 - Article
C2 - 17204235
AN - SCOPUS:34247552915
VL - 39
SP - 716
EP - 720
JO - Accident Analysis and Prevention
JF - Accident Analysis and Prevention
SN - 0001-4575
IS - 4
ER -