An introduction to the Barell body region by nature of injury diagnosis matrix

Abstract

Introduction:The Barell body region by nature of injury diagnosis matrix standardizes data selection and reports, using a two dimensional array (matrix) that includes allInternational Classification of Diseases(ICD)-9-CM codes describing trauma.Aim:To provide a standard format for reports from trauma registries, hospital discharge data systems, emergency department data systems, or other sources of non-fatal injury data. This tool could also be used to characterize the patterns of injury using a manageable number of clinically meaningful diagnostic categories and to serve as a standard for casemix comparison across time and place.Concept:The matrix displays 12 nature of injury columns and 36 body region rows placing each ICD-9-CM code in the range from 800 to 995 in a unique cell location in the matrix. Each cell includes the codes associated with a given injury. The matrix rows and columns can easily be collapsed to get broader groupings or expanded if more specific sites are required. The current matrix offers three standard levels of detail through predefined collapsing of body regions from 36 rows to nine rows to five rows.Matrix development:This paper presents stages in the development and the major concepts and properties of the matrix, using data from the Israeli national trauma registry, and from the US National Hospital Discharge Survey. The matrix introduces new ideas such as the separation of traumatic brain injury (TBI), into three types. Injuries to the eye have been separated from other facial injuries. Other head injuries such as open wounds and burns were categorized separately. Injuries to the spinal cord and spinal column were also separated as are the abdomen and pelvis. Extremities have been divided into upper and lower with a further subdivision into more specific regions. Hip fractures were separated from other lower extremity fractures.Forthcoming developments:The matrix will be used for the development of standard methods for the analysis of multiple injuries and the creation of patient injury profiles. To meet the growing use of ICD-10 and to be applicable to a wider range of countries, the matrix will be translated to ICD-10 and eventually to ICD-10-CM.Conclusion:The Barell injury diagnosis matrix has the potential to serve as a basic tool in epidemiological and clinical analyses of injury data.

Factors affecting hospital admission and recovery stay duration of in-patient motor victims in Spain

“…The crash severity behaviour of non-motorized road users has also been extensively investigated (Chong et al, 2010;Tarko and Azam, 2011;Eluru et al, 2008). Injuries described in the legislative scale are classified according to their nature and the body location in order to reduce the number of injuries on the legal scale into a manageable number of diagnostic categories, inspired by the diagnostic matrix of the International Classification of Diseases (ICD)-9-CM codes developed by Barell et al (2002). Specifically, a two-dimensional array is used to describe each injury.…”

Residential Injuries in U.S. Children and Adolescents

“…Unintentional injury visits were defined as visits with primary E-codes in the range of 800-929.9, and intentional injury visits as those with E-codes in the range of 950-978. Categories of E-codes relating mechanisms, body regions, and tissue injuries were developed based on matrices recommended by the Centers for Disease Control and Prevention (CDC) 16 and Barrel et al 17 NCHS coding rules for the place of occurrence of an injury were revised every two years during our study period; therefore, for consistency, we recoded all place of occurrence codes to "home," "school/daycare," "public," "other," and "unknown" (not missing). The location of injury was "unknown" for 23% of records.…”

The Association between Foot Morphology and Dynamic Balance Performance as Measured by the Star Excursion Balance Test

“…A sports injury was defined according to the recommendation made by the Council of Europe as ''any injury occurring as a result of sports activity and causing one or more of the following: the subject had to stop sports activity and/or could not fully participate in the next planned sports activity and/or could not go to work the next day and/or needed medical attention and /or suffered from pain or stiffness during 10 subsequent days while participating in sports" [11]. Injury report included type of injury and its anatomic location according to a modification of the ''Barell body region by nature of injury diagnosis matrix" [12]. The Barell matrix, designed by the Israeli Ministry of Health and a special medical team of the Israeli Defense Forces, provides information regarding anatomic locations of injuries (e.g.…”