Comparison of two sources of U.S. Air Force injury mortality data.

Is the military's casualty (mortality) reporting system a reliable surrogate for International Classification of Diseases-coded death certificate information? To answer this question, the investigators compare official casualty data to the Air Force Mortality Registry for injury-related deaths occur...

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Publicado en:Military Medicine Vol. 168; no. 10; pp. 792 - 797
Autores principales: Copley GB, Smith GS, Grayson JK, Gibson RL, Copley, G Bruce, Smith, Gordon S, Grayson, J Kevin, Gibson, Roger L
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Oct2003
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Comparison of two sources of U.S. Air Force injury mortality data.
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        au:
          Copley GB
          Smith GS
          Grayson JK
          Gibson RL
          Copley, G Bruce
          Smith, Gordon S
          Grayson, J Kevin
          Gibson, Roger L
        affil: Air Force Safety Center, Research, and Epidemiology Branch, 9700 G Avenue SE, Building 24499, Kirtland Air Force Base, NM 87117-5670, USA
      sug:
        subj:
          Data Collection Standards
          Military Personnel
          Wounds and Injuries Mortality
          Cause of Death
          Coding
          Comparative Studies
          Data Analysis Software
          Databases
          Death Certificates
          Interrater Reliability
          kappa Statistic
          Patient Record Systems Standards
          United States
          Wounds and Injuries Epidemiology
          Human
      ab: Is the military's casualty (mortality) reporting system a reliable surrogate for International Classification of Diseases-coded death certificate information? To answer this question, the investigators compare official casualty data to the Air Force Mortality Registry for injury-related deaths occurring in 1991-1997. The investigators first derived International Classification of Diseases, Ninth Revision and Supplementary Classification of External Causes of Injury and Poisoning (E) codes for each death from casualty data and then compared the precision of those codes with the registry's E codes derived and medically coded from death certificates and autopsy reports. Sixty-five percent of registry E codes were "precise" vs. 35% from casualty data. The registry listed nonspecific E codes for 1% (12 deaths) vs. 6% (81 deaths) for casualty data. Unlike casualty data, the registry included expectant deaths that occurred within 120 days after medical retirement. The study concludes that casualty information compares poorly with that of the registry. Air Force Mortality Registry data should be used instead of casualty data for epidemiological research.
      pubtype: Academic Journal
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        research
        tables/charts
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      ougenre: Article
    language: English
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