Professional Practice and Innovation: Level of Agreement between Coding Sources of Percentage Total Body Surface Area Burnt (%TBSA)

Author:

Watterson Dina,Cleland Heather1,Picton Natalie2,Simpson Pam M3,Gabbe Belinda J4

Affiliation:

1. Heather Cleland MBBS, FRACS, Director, Victorian Adult Burns Service, Alfred Hospital, Department of Surgery, Central & Eastern Clinical School, Monash University, 99 Commercial Road, Melbourne VIC 3004, AUSTRALIA

2. Natalie Picton BHS(Nurs), Project Co-Ordinator, Department of Epidemiology and Preventive Medicine, Monash University, 99 Commercial Road, Melbourne VIC 3004, AUSTRALIA

3. Pam M Simpson BSc(Hons), Biostatistician, School of Public Health and Preventive Medicine, Monash University, 99 Commercial Road, Melbourne VIC 3004, AUSTRALIA

4. Belinda J Gabbe BPhysio(Hons), GradDipBiostat, MAppSc, PhD, Senior Research Fellow, Department of Epidemiology and Preventive Medicine, Monash University, 99 Commercial Road, Melbourne VIC 3004, AUSTRALIA

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.

Publisher

SAGE Publications

Subject

Health Policy,Leadership and Management

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