Home injuries mortality: Sensitivity and specificity analysis of different data sources and operative definitions

Sara Farchi, Laura Camilloni, Paolo Giorgi Rossi, Francesco Chini, Piero Borgia, Gabriella Guasticchi

Research output: Contribution to journalArticle

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 languageEnglish
Pages (from-to)716-720
Number of pages5
JournalAccident Analysis and Prevention
Volume39
Issue number4
DOIs
Publication statusPublished - Jul 2007

Fingerprint

Home Accidents
Information Storage and Retrieval
Accidents
mortality
Hospital Mortality
Sensitivity and Specificity
death
Mortality
Wounds and Injuries
accident
Emergency rooms
Hospital Information Systems
Death Certificates
Sensitivity analysis
Information systems
Longitudinal Studies
Registries
gold standard
Hospital Emergency Service
Emergencies

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 journalArticle

Farchi, Sara ; Camilloni, Laura ; Rossi, Paolo Giorgi ; Chini, Francesco ; Borgia, Piero ; Guasticchi, Gabriella. / Home injuries mortality : Sensitivity and specificity analysis of different data sources and operative definitions. In: Accident Analysis and Prevention. 2007 ; Vol. 39, No. 4. pp. 716-720.
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