Gabrielle McDonald1, Gabrielle Davie, John Langley. 1. Injury Prevention Research Unit, Department of Preventive and Social Medicine, University of Otago, Dunedin, New Zealand. gabrielle.davie@ipru.otago.ac.nz
Abstract
OBJECTIVE: The objective of this study was to assess the validity of police-reported information on the severity of injury for non-fatal motor vehicle traffic crashes (crashes) in New Zealand that resulted in hospitalization. METHODS: Details of crashes reported to the police resulting in non-fatal injury in New Zealand from January 2000 to December 2004 were obtained from Land Transport New Zealand Traffic crash reports (crash reports). Data about individuals' injuries were matched to New Zealand Health Information Service hospital discharge data. A severity score was assigned to the hospital International Classification of Diseases-10 (ICD-10) diagnosis codes, using a threat-to-life tool, the ICD-based Injury Severity Score (ICISS). RESULTS: Of the linked data, 49.3 percent of crash victims were recorded by police as having "serious" injuries on the crash report but given the police definition of serious injury, all 14,869 records should have been recorded as serious on the crash report. Of these, only 48 percent had an injury with a significant threat to life. Fifteen percent of those with a "minor" injury on the crash report had an injury with a significant threat to life. CONCLUSIONS: The subjective police assessment of severity of injury was discordant in many instances with an objective measure of severity. There was variation in the concordance by personal, vehicle, and crash variables. This has implications for interpreting New Zealand's road safety statistics, the assessment of road safety programs, and the allocation of funding to target specific road safety problems.
OBJECTIVE: The objective of this study was to assess the validity of police-reported information on the severity of injury for non-fatal motor vehicle traffic crashes (crashes) in New Zealand that resulted in hospitalization. METHODS: Details of crashes reported to the police resulting in non-fatal injury in New Zealand from January 2000 to December 2004 were obtained from Land Transport New Zealand Traffic crash reports (crash reports). Data about individuals' injuries were matched to New Zealand Health Information Service hospital discharge data. A severity score was assigned to the hospital International Classification of Diseases-10 (ICD-10) diagnosis codes, using a threat-to-life tool, the ICD-based Injury Severity Score (ICISS). RESULTS: Of the linked data, 49.3 percent of crash victims were recorded by police as having "serious" injuries on the crash report but given the police definition of serious injury, all 14,869 records should have been recorded as serious on the crash report. Of these, only 48 percent had an injury with a significant threat to life. Fifteen percent of those with a "minor" injury on the crash report had an injury with a significant threat to life. CONCLUSIONS: The subjective police assessment of severity of injury was discordant in many instances with an objective measure of severity. There was variation in the concordance by personal, vehicle, and crash variables. This has implications for interpreting New Zealand's road safety statistics, the assessment of road safety programs, and the allocation of funding to target specific road safety problems.
Authors: Brent E Hagel; Alison Macpherson; Andrew Howard; Pamela Fuselli; Marie-Soleil Cloutier; Meghan Winters; Sarah A Richmond; Linda Rothman; Kathy Belton; Ron Buliung; Carolyn A Emery; Guy Faulkner; Jacqueline Kennedy; Tracey Ma; Colin Macarthur; Gavin R McCormack; Greg Morrow; Alberto Nettel-Aguirre; Liz Owens; Ian Pike; Kelly Russell; Juan Torres; Donald Voaklander; Tania Embree; Tate Hubka Journal: BMC Public Health Date: 2019-06-11 Impact factor: 3.295