External Cause of Injury Mortality Matrix

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External Cause of Injury Mortality Matrix
Lois A. Fingerhut on behalf on the ICE on Injury
Statistics October 2004
Centers for Disease Control and
Prevention National Center for Health Statistics
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Current WHO Tabulation Lists

• Not ideal for the analysis of injury data
• Mechanisms missing for intentional deaths
• Suicides
• Firearm, poisoning, suffocation
• Homicides
• Firearm, cut/pierce
• Undetermined intent not included

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External Cause Categories from the WHO Special
Tabulation Lists
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External Cause Categories from the WHO Special
Tabulation Lists
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External Causes in the WHO Mortality Database
Tabulation List
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External Causes in the WHO Mortality Database
Tabulation List
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What if we need to look at specific mechanisms of
injury?

• Firearms?
• No categories in the special tabulation lists
• Only accidental firearm deaths in the Mortality
  Database list
• Poisonings?
• Only accidental poisonings shown in both lists

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Proposed Modifications and Additions to Current
Lists

• Current lists modified to include all intent
  categories
• Add undetermined intent
• Add legal intervention/operations of war
• Ensure unintentional categories sum to total
  unintentional deaths

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External Causes in the WHO Mortality Database
Tabulation List
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Proposed Modifications and Additions to Current
Lists (cont.)

• Add External Cause of Injury Mortality Matrix as
  additional list
• Developed by the ICE on Injury Statistics
• Internationally accepted

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External Cause of Injury Mortality Matrix
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External Cause of Injury Mortality Matrix
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External Cause of Injury Mortality Matrix
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Two Proposed Levels of Detail

• Level 1
• Based on mechanism or cause only
• Level 2
• Includes each combination of mechanism and intent

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Injury deaths by mechanism US, 2002 (Level 1)
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Injury Deaths according to matrix US, 2002
(Level 2)
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Relationship between ICECI and ICD-10 Chapter XX
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Questions?

• Lois Fingerhut
• US National Center for Health Statistics
• LFingerhut_at_cdc.gov