@article{ref1,
title="Validating injury-related diagnoses by physicians: an analysis of 62,269 hospitalizations from a large hospital in Changsha, China",
journal="Injury",
year="2020",
author="He, Qiong and Tong, Jin and Jin, Min and Hua, Junjie and Schwebel, David C. and Zhang, Jing and Hu, Guoqing",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: To assess the accuracy of injury-related hospitalization diagnoses by physicians in China.   METHODS: 62,269 hospitalizations between 2014 and 2016 at a large hospital in Changsha, China were assessed. We considered three types of diagnostic errors: under-reporting, lack of cause specificity, and misclassification across injury causes. Diagnosis and coding of diseases were ascertained by professional coders based on the tenth International Classification of Disease (ICD-10). Chi square tests examined the proportion difference across subgroups of patient demographics, injury intent, and injury cause.   RESULTS: The 62,269 records included 1011 injury-induced hospitalizations, but physicians' diagnoses only reported 405 (40%) of the 1011 hospitalizations as injury-related. The proportions of under-reporting, lack of cause specificity, and misclassification errors, respectively, were 50.5%, 7.9% and 1.5%. The proportion of diagnostic errors was relatively similar across patient sex, intent of injury, and cause of injury subgroups, but varied substantially across patient age groups.   CONCLUSION: Physicians' diagnoses frequently omitted injury-induced hospitalizations. Such errors will impact injury research and policy-making when they are undetected and uncorrected.<p /> <p>Language: en</p>",
language="en",
issn="0020-1383",
doi="10.1016/j.injury.2020.07.004",
url="http://dx.doi.org/10.1016/j.injury.2020.07.004"
}