TITLE

Reliability of Routinely Collected Hospital Data for Child Maltreatment Surveillance

AUTHOR(S)
McKenzie, Kirsten; Scott, Debbie A.; Waller, Garry S.; Campbell, Margaret
PUB. DATE
January 2011
SOURCE
BMC Public Health;2011, Vol. 11 Issue 1, p1
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Internationally, research on child maltreatment-related injuries has been hampered by a lack of available routinely collected health data to identify cases, examine causes, identify risk factors and explore health outcomes. Routinely collected hospital separation data coded using the International Classification of Diseases and Related Health Problems (ICD) system provide an internationally standardised data source for classifying and aggregating diseases, injuries, causes of injuries and related health conditions for statistical purposes. However, there has been limited research to examine the reliability of these data for child maltreatment surveillance purposes. This study examined the reliability of coding of child maltreatment in Queensland, Australia. Methods: A retrospective medical record review and recoding methodology was used to assess the reliability of coding of child maltreatment. A stratified sample of hospitals across Queensland was selected for this study, and a stratified random sample of cases was selected from within those hospitals. Results: In 3.6% of cases the coders disagreed on whether any maltreatment code could be assigned (definite or possible) versus no maltreatment being assigned (unintentional injury), giving a sensitivity of 0.982 and specificity of 0.948. The review of these cases where discrepancies existed revealed that all cases had some indications of risk documented in the records. 15.5% of cases originally assigned a definite or possible maltreatment code, were recoded to a more or less definite strata. In terms of the number and type of maltreatment codes assigned, the auditor assigned a greater number of maltreatment types based on the medical documentation than the original coder assigned (22% of the auditor coded cases had more than one maltreatment type assigned compared to only 6% of the original coded data). The maltreatment types which were the most 'under-coded' by the original coder were psychological abuse and neglect. Cases coded with a sexual abuse code showed the highest level of reliability. Conclusion: Given the increasing international attention being given to improving the uniformity of reporting of child-maltreatment related injuries and the emphasis on the better utilisation of routinely collected health data, this study provides an estimate of the reliability of maltreatment-specific ICD-10-AM codes assigned in an inpatient setting.
ACCESSION #
58027208

 

Related Articles

  • Using Routinely Collected Hospital Data for Child Maltreatment Surveillance: Issues, Methods and Patterns. McKenzie, Kirsten; Scott, Debbie A. // BMC Public Health;2011, Vol. 11 Issue 1, p1 

    Background: International data on child maltreatment are largely derived from child protection agencies, and predominantly report only substantiated cases of child maltreatment. This approach underestimates the incidence of maltreatment and makes inter-jurisdictional comparisons difficult. There...

  • How to Treat a Cut. Coutts, Cherylann // Parenting;Aug2001, Vol. 15 Issue 6, p30 

    Presents tips on treating cuts in children. Wound inspection; How to stop the bleeding; Prevention of infection.

  • Childhood sexual trauma in women with interstitial cystitis/bladder pain syndrome: a case control study. Curtis Nickel, J.; Tripp, Dean A.; Pontari, Michel; Moldwin, Robert; Mayer, Robert; Carr, Lesley K.; Doggweiler, Ragi; Yang, Claire C.; Mishra, Nagendra; Nordling, Jorgen // Canadian Urological Association Journal; 

    Background: The impact of early lifetime trauma on symptom severity and quality of life of patients with interstitial cystitis/bladder pain syndrome (IC/BPS) has not been fully elucidated. We wanted to determine and compare the prevalence and impact of childhood traumatic events, with an...

  • Childhood trauma and adulthood physical health in Mexico. Baker, Charlene K.; Norris, Fran H.; Jones, Eric C.; Murphy, Arthur D. // Journal of Behavioral Medicine;Jun2009, Vol. 32 Issue 3, p255 

    The present study examined the effect of childhood trauma on adulthood physical health among a randomly selected sample of adults ( N = 2,177) in urban Mexico. Adults were interviewed about their experiences of trauma, post-traumatic stress disorder, depression, and physical health symptoms...

  • Anorectal injuries in children. Ameh, Emmanuel A. // Pediatric Surgery International;Jul2000, Vol. 16 Issue 5/6, p388 

    Anorectal injuries (ARI) are uncommon in children in civil practice. In developed countries the injuries are mainly due to sexual abuse and firearms. This report reviews the experience in tropical Africa. A retrospective study of children aged 12 years or less managed for ARI over 10 years was...

  • Backpack Injuries.  // Pediatrics for Parents;2003, Vol. 20 Issue 9, p7 

    Reports on the back-pain among children caused by heavy load of back-packs full of books. Effects of backpack injury on the health of children; Percentage of children prone to backpack injury as per the report of a study in the U.S.

  • Poor children injured more in informal care. Morton, Katy // Nursery World (Haymarket Business Publications Ltd);1/7/2010, Vol. 110 Issue 4201, p5 

    The article reports on the results of a study which showed that children from poor families have the greater possibility of sustaining accidental injuries while in informal childcare.

  • NEED-TO-KNOW news.  // Parenting School Years;Jul2010, Vol. 24 Issue 6, p37 

    This section offers news briefs relating to children's health, including a study showing that children in sunnier climates in the southern U.S. can suffer from vitamin D deficiency, increases in pediatric injuries during Fourth of July holidays, and the low incidence of injury among children at...

  • Is your medicine chest well stocked? Gilbert, Susan // Redbook;Feb96, Vol. 186 Issue 4, p142 

    Gives information on necessary first aid supplies that parents should have for their children.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics