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Child injury deaths: comparing prevention information from two coding systems

Patricia G Schnitzer1, Bernard G Ewigman

  • 1Department of Family and Community Medicine, MA306, Medical Sciences Building, University of Missouri, Columbia, Missouri 65212, USA. schnitzerp@health.missouri.edu

Journal of Pediatric Psychology
|June 10, 2005
PubMed

Insights

The new B-codes classification system provides more detailed information on childhood injury circumstances than the standard E-codes, aiding in the development of targeted prevention strategies for child injuries.

Area of Science:

  • Pediatrics
  • Public Health
  • Injury Prevention

Background:

  • International Classification of Disease (ICD) external cause of injury E-codes lack specificity for injury prevention.
  • Childhood injuries require detailed data on behavioral and environmental factors for effective prevention.

Purpose of the Study:

  • To develop and evaluate an alternative classification system (B-codes) for childhood injury research.
  • To compare the utility of B-codes versus E-codes in identifying injury circumstances.

Main Methods:

  • Fatal injuries in children under five (1992-1994) were classified using both B-codes and E-codes.
  • Analysis focused on identifying specific behavioral and environmental factors contributing to injury deaths.

Main Results:

  • E-codes identified homicide, fires, motor vehicle incidents, drowning, and suffocation as leading causes of injury death.
  • B-codes provided specific details: shaken/struck for homicide, playing with fire for fire deaths, natural water bodies for drowning, and unsafe sleep for suffocation.

Conclusions:

  • B-codes offer enhanced data crucial for understanding and preventing childhood injuries.
  • The B-code system is a valuable tool for targeted injury prevention research in children.
Abstract

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