Home injuries mortality: sensitivity and specificity analysis of different data sources and operative definitions.
The aim of this longitudinal study was to test different operational definitions of home accident mortality.


METHODS
The sources of data were the Emergency Information System, hospital discharge reports and the mortality registry of the Lazio Region, 2000-2001. We selected all emergency room visits for unintentional traumas that occurred at home. A 9-month follow-up was performed to calculate mortality rates. A sensitivity analysis of in-hospital mortality, deaths within 30 days and deaths from home accident E-codes was performed. A gold standard definition of home accident-related deaths was proposed.


RESULTS
We observed 598 home accident-related fatalities (29.1% of all the deaths found in the follow-up study). In-hospital mortality, deaths within 30 days and deaths for home accident E-codes had sensitivity values of 63.4%, 63.4% and 59.4%, respectively; positive predictive values were 78.1%, 67.1% and 100%, respectively.


CONCLUSIONS
The best operational definition of home injury was based on in-hospital mortality, while mortality based on E-codes reported on death certificates was lacking. In order to measure the real burden of home injuries, hospital and mortality data must be integrated.
Farchi
Sara
S
Agency for Public Health, Lazio Region, Via di S. Costanza 53, 00198 Rome, Italy. farchi@asplazio.it
Camilloni
Laura
L
Giorgi Rossi
Paolo
P
Chini
Francesco
F
Borgia
Piero
P
Guasticchi
Gabriella
G
D000061:Accidents, Home / Q000401:mortality* / Q000706:statistics & numerical data*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003644:Death Certificates; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D017052:Hospital Mortality; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D012042:Registries; D012680:Sensitivity and Specificity