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NCJ Number: 237017 Find in a Library
Title: Diagnostic Coding of Abuse Related Fractures at Two Children's Emergency Departments
Journal: Child Abuse & Neglect  Volume:35  Issue:11  Dated:November 2011  Pages:905-914
Author(s): Zeeshanefatema Somji; Amy Plint; Candice McGahern; Ahmed Al-Saleh; Kathy Boutis
Date Published: November 2011
Page Count: 10
Type: Research (Applied/Empirical)
Format: Article
Language: English
Country: United Kingdom
Annotation: This study examined the proportion of fracture cases investigated in hospital emergency departments for abuse that had corresponding classification codes documenting suspicion of abuse.
Abstract: The study found that 11.5 percent of patients in this sample had emergency department (ED) ICD (International Classification of Diseases) codes that included the possibility of abuse, 22.7 percent had the possibility for abuse noted by a physician in an ED discharge diagnosis, and 35.6 percent of all admitted patients and almost 62 percent of confirmed abuse cases had abuse-related admission ICD codes in their files. The study also found that being female was associated with a greater probability of having ED ICD abuse codes. This study examined the proportion of fracture cases investigated in hospital EDs for abuse that had corresponding ICD codes documenting suspicion of abuse. Data for the study were obtained from a sample (n=216) of children under the age of 3 who presented primarily with a fracture to 2 large academic children’s hospitals between 1997 and 2007. The data were analyzed to determine the proportion of cases where abuse suspicion was reflected in ED discharge ICD codes. The findings indicate that current standards for ICD coding do not properly reflect the significant number of children assessed in EDs and hospital wards for possible and confirmed fractures resulting from child physical abuse. Figure, tables, and references
Main Term(s): Child abuse
Index Term(s): Child abuse as crime factor; Child abuse causes; Child abuse detection; Child abuse investigations; Child abuse reporting; Child abuse treatment; Hospitals; Medical evaluation; Physician child abuse neglect role
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