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Use of alcohol intoxication codes for serious non-fatal hospitalised injury
Authors:J. Langley  P. Gulliver  C. Cryer  K. Kypri  I. Civil  G. Davie
Affiliation:1. Injury Prevention Research Unit, University of Otago, Injury Prevention Research Unit, Dept of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, PO Box 913 Dunedin, New Zealand;2. Centre for Clinical Epidemiology & Biostatistics, School of Medicine and Public Health, University of Newcastle, HMRI Building, Callaghan NSW 2308, Australia;3. Trauma Services, Auckland City Hospital, PO Box 92024, Auckland, New Zealand
Abstract:

Aim

To determine the extent to which ICD-10 alcohol intoxication codes are used for serious hospitalised injury and the distribution of these codes according to gender, age, injury mechanism and intent, severity of injury, and whether the patient was treated in an Intensive Care Unit.

Design

Cross-sectional study.

Setting

New Zealand.

Participants

All injury hospital discharges in 2010 that met specified severity criteria.

Measurements

Cases which had a measurement of BAC (Y90) coded, or only a subjective assessment of alcohol intoxication (F10.0).

Findings

2.5% had a blood alcohol recorded (Y90) and a further 3% were coded as being intoxicated but there was no blood alcohol code. All factors investigated were shown to be independently associated with the assignation of codes. Notable findings were the elevated odds of an alcohol code for males, assault and the more severe injuries.

Conclusions

Assessment of alcohol intoxication among seriously injured persons appears to be very uncommon. The development of a standardised instrument for clinical judgement of intoxication would be highly desirable.
Keywords:Injury   Indicators   Alcohol   Monitoring   Hospitalisation   Coding
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