Comparing ICD-10 external cause codes for pedal cyclists with self-reported crash details

Ben Beck, Christina L Ekegren, Peter Cameron, Mark Stevenson, Rodney Judson, Andrew Bucknill, Elton Edwards, Belinda Gabbe

Research output: Contribution to journalArticleResearchpeer-review

1 Citation (Scopus)


Accurate coding of injury event information is critical in developing targeted injury prevention strategies. However, little is known about the validity of the most universally used coding system, the International Classification of Diseases (ICD-10), in characterising crash counterparts in pedal cycling events. This study aimed to determine the agreement between hospitalcoded ICD-10-AM (Australian modification) external cause codes with self-reported crash characteristics in a sample of pedal cyclists admitted to hospital following bicycle crashes. Interview responses from 141 injured cyclists were mapped to a single ICD-10-AM external cause code for comparison with ICD-10-AM external cause codes from hospital administrative data. The percentage of agreement was 77.3% with a ? value of 0.68 (95% CI 0.61 to 0.77), indicating substantial agreement. Nevertheless, studies reliant on ICD-10 codes from administrative data should consider the 23% level of disagreement when characterising crash counterparts in cycling crashes.

Original languageEnglish
Pages (from-to)157-160
Number of pages4
JournalInjury Prevention
Issue number2
Publication statusPublished - 22 Mar 2018

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