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The Measurement of Intimate Partner Violence Using International Classification of Diseases Diagnostic Codes: A Systematic Review
Trauma, Violence, & Abuse ( IF 5.4 ) Pub Date : 2022-05-04 , DOI: 10.1177/15248380221090977
Rebecca Rebbe 1 , Avanti Adhia 2, 3 , Andrea Lane Eastman 1 , May Chen 4 , Jade Winn 5
Affiliation  

Intimate partner violence (IPV) is challenging to measure yet systematic surveillance of IPV is critical to informing public health prevention and response efforts. Administrative medical data provide opportunities for such surveillance, and often use the International Classification of Diseases (ICD). The primary purpose of this systematic review was to document which ICD codes have been used in empirical literature to identify IPV, understand the justification used to select specific codes to develop IPV case definitions, and identify the data sources and types of research questions addressed by the existing literature. We searched 11 databases and of the initial 2182 results, 21 empirical studies from 2000 to 2020 met the study inclusion criteria including using ICD codes to measure IPV. The majority of these studies (90.5%) used either national samples of data or population-based administrative data from emergency departments (52.4%) or inpatient hospitalizations (38.1%). We found wide variation of ICD diagnostic codes to measure IPV and categorized the sets of codes used based on the number of codes. The most commonly used ICD-9 codes were E967.3, 995.81, 995.80, 995.85 and the most common ICD-10 codes were T74.1 and Z63.0. Few studies validated the ICD codes used to measure IPV. Most included studies (81.0%) answered epidemiological research questions. The current study provides suggestions for future research, including justifying the selection of ICD codes and providing a range of estimates based on narrow and broad sets of codes. Implications for policy and practice, including enhanced training for healthcare professionals in documenting IPV, are discussed.



中文翻译:

使用国际疾病分类诊断代码测量亲密伴侣暴力:系统评价

亲密伴侣暴力 (IPV) 难以衡量,但对 IPV 的系统监测对于告知公共卫生预防和应对工作至关重要。行政医疗数据为此类监测提供了机会,并且经常使用国际疾病分类 (ICD)。本系统评价的主要目的是记录经验文献中使用了哪些 ICD 代码来识别 IPV,了解用于选择特定代码来制定 IPV 病例定义的理由,并确定数据来源和研究问题的类型。现有文献。我们检索了 11 个数据库,在最初的 2182 个结果中,2000 年至 2020 年的 21 个实证研究符合研究纳入标准,包括使用 ICD 代码测量 IPV。这些研究中的大多数(90. 5%) 使用来自急诊科 (52.4%) 或住院患者 (38.1%) 的国家数据样本或基于人群的行政数据。我们发现了用于测量 IPV 的 ICD 诊断代码的广泛变化,并根据代码的数量对所使用的代码集进行了分类。最常用的 ICD-9 代码是 E967.3、995.81、995.80、995.85,最常用的 ICD-10 代码是 T74.1 和 Z63.0。很少有研究验证用于测量 IPV 的 ICD 代码。大多数纳入的研究(81.0%)回答了流行病学研究问题。目前的研究为未来的研究提供了建议,包括证明 ICD 代码的选择是合理的,并提供基于狭义和广义代码集的一系列估计。讨论了对政策和实践的影响,包括加强医疗保健专业人员记录 IPV 的培训。

更新日期:2022-05-09
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