Gaps in Injury Statistics: Multiple Injury Profiles Reveal Them and Provide a Comprehensive Account

Although injuries are often characterized by multiple diagnoses, methods for presenting the details of multiple injuries have not been standardized. Multiple injury profiles (MIPs) are a new approach used to record injury diagnosis combinations. This paper demonstrates the benefit of using MIPs as an alternative to primary diagnosis for the presentation and analysis of multiple injuries in populations. A retrospective analysis of national trauma registry data in Israel between January 1, 1998 and December 31, 2002 was conducted. The study population included 23,909 casualties of transportation accidents. Multiple diagnoses per patient were recorded. A primary diagnosis was selected for each patient and data were presented twice: first by selecting a primary diagnosis and then using MIPs. Findings show that MIPs enabled the identification of all patients with a specific injury, even where secondary. The proportion of additional injuries recorded when using MIP ranged from 12% in head injuries and 270% for facial injuries. Based on the primary diagnosis patients with head, chest and abdominal injuries had a 5-6% inpatient death rate each. Multiple injury profiles of the same population reveal that an isolated head injury had a 3% inpatient death rate, isolated chest and isolated abdomen have a 1% inpatient death rate, while combined head and chest casualties have a 21% inpatient death rate. These findings suggest that MIPs improve the ability to present injury in the individual and in a population, and can provide a better description of the full pattern of injury.

  • Availability:
  • Authors:
    • Aharonson-Daniel, L
    • Giveon, A
    • Peleg, K
  • Publication Date: 2005-8

Language

  • English

Media Info

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Filing Info

  • Accession Number: 01003350
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Aug 24 2005 10:47PM