EUGLOREH project
THE STATUS OF HEALTH IN THE EUROPEAN UNION:
TOWARDS A HEALTHIER EUROPE

FULL REPORT

PART II - HEALTH CONDITIONS

7. ACCIDENTS AND INJURIES AND RELATED TIME TRENDS: PREVALENCE, INCIDENCE AND MORTALITY

7.2. Data sources

7.2.1. Data on causes of death (COD)

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7.2.1. Data on causes of death (COD)

 

Data on causes of death (COD) provide information on mortality patterns and form a major element of public health information. COD data are derived from death certificates. The medical certification of death is an obligation in all Member States. Countries code the information of the death certificate into ICD (International Statistical Classification of Diseases and Related Health Problems) codes. The tenth version of ICD is used as standard in most Member States of the EU and is submitted to EuroStat (the statistical information service of the European Union) on a yearly basis.

http://epp.eurostat.ec.europa.eu/ (EuroStat)

 

ICD Chapters on accidents and injuries

 

ICD-10:

- Chapter XIX: Injury, poisoning and certain other consequences of external causes   

  (S00-T98).

- Chapter XX: External causes of morbidity and mortality (V01-Y98)

 

ICD-9:

- Chapter 17 on INJURY AND POISONING (800-999)

- Supplementary Classification of external causes of injury and poisoning (E800-E999)

 

The quality of the data is subject to the way in which the information on causes of death is reported and classified in each country (certification and coding procedures). Procedures for the collection of COD data are relatively homogenous between European countries (death certificate, use of ICD). However, important quality and comparability issues remain (e.g. common coding practices of certain external causes like long term consequences and fatalities of non-residents like tourists). The information on injuries  which is collected via death certificate also differs across countries.

 

For an evaluation of data reliability and quality see the ANAMORT project (http://www.dsi.univ-paris5.fr/AcVC/anamort.htm).

 

ICECIInternational Classification of External Causes of Injuries

 

ICECI has been developed as a related classification with respect to the ICD-10 chapter XX; ICECI does not replace this ICD chapter but rather includes the external causes and can be used as a complementary instrument. It is a free practical tool for classifying the circumstances in which injuries occur on voluntary basis and belongs to the WHO family of classification systems The ICECI was the basis for developing the EU Injury Database (IDB) Coding Manual.

http://www.iceci.org