TY  - JOUR
PY  - 2020//
TI  - Validating injury-related diagnoses by physicians: an analysis of 62,269 hospitalizations from a large hospital in Changsha, China
JO  - Injury
A1  - He, Qiong
A1  - Tong, Jin
A1  - Jin, Min
A1  - Hua, Junjie
A1  - Schwebel, David C.
A1  - Zhang, Jing
A1  - Hu, Guoqing
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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>
LA  - en
SN  - 0020-1383
UR  - http://dx.doi.org/10.1016/j.injury.2020.07.004
ID  - ref1
ER  -