Article

Level of agreement between coding sources of percentage total body surface area burnt (%TBSA).

Department of Epidemiology and Preventive Medicine, Monash University, The Alfred Centre, Melbourne, VIC 3004, Australia.
The HIM journal (impact factor: 0.62). 01/2011; 40(1):21-4. pp.21-4
Source: PubMed

ABSTRACT The percentage of total body surface area burnt (%TBSA) is a critical measure of burn injury severity and a key predictor of burn injury outcome. This study evaluated the level of agreement between four sources of %TBSA using 120 cases identified through the Victorian State Trauma Registry. Expert clinician, ICD-10-AM, Abbreviated Injury Scale, and burns registry coding were compared using measures of agreement. There was near-perfect agreement (weighted Kappa statistic 0.81-1) between all sources of data, suggesting that ICD-10-AM is a valid source of %TBSA and use of ICD-10-AM codes could reduce the resource used by trauma and burns registries capturing this information.

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Keywords

%TBSA
 
burns registries
 
burns registry coding
 
critical measure
 
Expert clinician
 
ICD-10-AM
 
ICD-10-AM codes
 
key predictor
 
measures
 
total body surface area
 
valid source
 
Victorian State Trauma Registry
 
weighted Kappa statistic 0.81-1
 

Dina Watterson