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Using Hospitalization Data for Injury Surveillance in Agriculture, Forestry and Fishing: A Crosswalk Between ICD10CM External Cause of Injury Coding and the Occupational Injury and Illness Classification System



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  • Personal Author:
  • Description:
    Background: While statistics related to occupational injuries exist at state and national levels, there are notable difficulties with using these to understand non-fatal injuries trends in agriculture, forestry, and commercial fishing. This paper describes the development and testing of a crosswalk between ICD-10-CM external cause of injury codes (E-codes) for agriculture, forestry, and fishing (AFF) and the Occupational Injury and Illness Classification System (OIICS). By using this crosswalk, researchers can efficiently process hospitalization data and quickly assemble relevant cases of AFF injuries useful for epidemiological tracking. Methods: All 6810 ICD-10-CM E- codes were double-reviewed and tagged for AFF- relatedness. Those related to AFF were then coded into a crosswalk to OIICS. The crosswalk was tested on hospital data (inpatient, outpatient, and emergency department) from New York, Massachusetts, and Vermont using SAS9.3. Injury records were characterized by type of event, source of injury, and by general demographics using descriptive epidemiology. Results: Of the 6810 E-codes available in the ICD-10-CM scheme, 263 different E-codes were ultimately classified as 1 = true case, 2 = traumatic/acute and suspected AFF, or 3 = AFF and suspected traumatic/acute. The crosswalk mapping identified 9969 patient records either confirmed to be or suspected to be an AFF injury out of a total of 38,412,241 records in the datasets, combined. Of these, 963 were true cases of agricultural injury. The remaining 9006 were suspected AFF cases, where the E-code was not specific enough to assign certainty to the record's work-relatedness. For the true agricultural cases, the most frequent combinations presented were contact with agricultural/garden equipment (301), non-roadway incident involving off-road vehicle (222), and struck by cow or other bovine (150). For suspected agricultural cases, the majority (68.2%) represent animal-related injuries. Conclusions: The crosswalk provides a reproducible, low-cost, rapid means to identify and code AFF injuries from hospital data. The use of this crosswalk is best suited to identifying true agricultural cases; however, capturing suspected cases of agriculture, forestry, and fishing injury also provides valuable data. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    2197-1714
  • Document Type:
    Text
  • Funding:
    Cooperative Agreement
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Pages in Document:
    6
  • Volume:
    8
  • Issue:
    1
  • NIOSHTIC Number:
    nn:20062060
  • Citation:
    Inj Epidemiol 2021 Feb; 8(1):6
  • Contact Point Address:
    Erika Scott, Northeast Center for Occupational Health and Safety in Agriculture, Forestry, and Fishing, Bassett Medical Center, One Atwell Road, Cooperstown, NY 13326
  • Email:
    Erika.scott@bassett.org
  • Federal Fiscal Year:
    2021
  • NORA Priority Area:
    Agriculture, Forestry and Fishing
  • Performing Organization:
    Mary Imogene Bassett Hospital, Cooperstown, New York
  • Peer Reviewed:
    True
  • Start Date:
    20010930
  • Source Full Name:
    Injury Epidemiology
  • End Date:
    20270831
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:9fc192fc133260514e18c0eba4d463335264dfe6b53d9366306b3757b262bc6a66031904b87570b6eb7123993d66069e598a521517d61e7bef46444782541101
  • Download URL:
  • File Type:
    Filetype[PDF - 600.62 KB ]
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