Term: Hospitalization Rates for Injuries

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Glossary Definition

Last Updated: 2009-10-19

Definition:

This measures the crude and adjusted rate of the number of hospital separations of area residents for which any injury code was included as one of the diagnoses (not necessarily the Most Responsible), per 1000 residents per year. In any given period, a resident could be hospitalized for injury more than once, so this measure indicates the total number of injury-related separations from acute care facilities by all residents of the area. This definition encompasses injuries by all causes (including self-inflicted). Rates were calculated for 5-year periods and were age- and sex-adjusted to the Manitoba population.

Injury hospitalizations were defined as any inpatient hospitalization with an external cause of injury diagnosis code (also known as an E-code) in any of the 16 / 25 diagnoses fields: ICD-9-CM codes E800-E999**; ICD-10-CA codes V01-Y89**.

** Excluded from the count of hospitalizations due to injury are those related to medical error or drug complications, as follows:

• misadventures during surgical or medical care, ICD-9-CM codes E870-E876; ICD-10-CA codes Y60-Y69, Y88.1
  
• reactions or complications due to medical care, ICD-9-CM codes E878-E879; ICD-10-CA codes Y70-Y84, Y88.2, Y88.3
  
• adverse effects due to drugs, ICD-9-CM codes E930-E949; ICD-10-CA codes Y40-Y59, Y88.0

Transfers between hospitals were tracked and only hospital episodes were counted, not individual separations, to reduce double-counting injuries. All Manitoba hospitals were included; PCHs and Long Term Care facilities were excluded (Riverview, Deer Lodge, Rehabilitation Centre for Children and Adolescent Treatment Centre). Newborn birth injuries or deaths, stillbirths and brain deaths were excluded.

Related concepts 

• External Cause of Injury Codes and Injury Categories

Related terms 

• External Cause of Injury Codes
• ICD-10-CA
• ICD-9-CM
• Injury Categories (External Causes, ICD-9-CM)
• Injury Hospitalization Rate
• Injury Hospitalizations
• Injury Indicators
• Injury Mortality
• Injury Mortality Causes
• Injury Resulting in Hospitalization or Death
• International Classification of Diseases, 10th Revision, with Canadian Enhancements (ICD-10-CA)
• International Classification of Diseases, 9th Revision, with Clinical Modifications (ICD-9-CM)

References 

• Fransoo R, Martens P, Burland E, The Need to Know Team, Prior H, Burchill C. Manitoba RHA Indicators Atlas 2009. Winnipeg, MB: Manitoba Centre for Health Policy, 2009. [Report] [Summary] [Additional Materials] (View)

Term used in 

• Brownell M, Chartier M, Santos R, Ekuma O, Au W, Sarkar J, MacWilliam L, Burland E, Koseva I, Guenette W. How are Manitoba's Children Doing? Winnipeg, MB: Manitoba Centre for Health Policy, 2012. [Report] [Summary] [Updates and Errata] [Additional Materials] (View)
• Smith M, Finlayson G, Martens P, Dunn J, Prior H, Taylor C, Soodeen RA, Burchill C, Guenette W, Hinds A. Social Housing in Manitoba. Part II: Social Housing and Health in Manitoba: A First Look. Winnipeg, MB: Manitoba Centre for Health Policy, 2013. [Report] [Summary] (View)