Idb-data-sets


National IDB File Information (Minimum Data Set)



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National IDB File Information (Minimum Data Set)

1

Country

Italy

2

Year

2012

3

National Register Name

EMUR - National Health Service Emergency Data Flow: A) ED register; A) 118 Rescue Service Register;

4

Purpose of the register

The Ministry of Health has established by decree a national Minimum Data Set for the EDs current registers. It’s based essentially on the hospital EDs registers and the 118 emergency rescue service registers.

5

Scope of the register

In the ED register all the attendances for injuries are recorded. The 118 service registers only the cases sent to hospital (essentially by ambulance or helicopter) by the 118 operators. No other systematic deviation except 118 cases selection.

6

Data file name (MDS)

ITA_2012_MDS.txt

7

Date of creation of MDS file

20140627

8

Range of data of attendance

20120101-20121231

9

Original coding dictionary

IDB-JAMIE manual (Version August 7th, 2012 )

10

Dictionary modifications




11

Bridge coding applied

ICD9CM>MDS. We developed a bridge coding table from ICD-9-CM (ver. 2007) to JAMIE-MDS based on the Barrel’s matrix.

12

No. of records in the data file

140370

13

No. of MDS reference hospitals

95

14

Geographic scope

Italy (sample covering 15.7% national pop. High concordance sex-age distribution and pop. density).

15

Hospital characteristics used for a representative sample of hospitals

All hospitals in Piedmont, Tuscany and Abruzzo served by the 118 Rescue Service: the largest hospitals. They account for 89.1% of the whole injury inpatients in the 3 regions. Those hospitals account for 43.0% of all the hospitals having cases of admission for injuries

16

Sampling of cases within hospitals

We included all 118 service database records (13.0% of the whole injury ED attendances) the only ED cases with information on the mechanism of injury. A possible selection bias refers to the greater severity of injuries (on average) than the rest of the ED cases.

17

Percentage of admissions in data file

18.6% (expressed as the ratio of no. of admissions to all ED attendances due to injury in the 118 sample x 100)

18

Relative sample size (admissions)

2.8% distribution (expressed as the ratio of no. of admissions in the 118 sample to total no. of hospital discharges due to injuries in Italy x 100)

19

Relative sample size (ambulatory treatments)

1.9% distribution (expressed as the ratio of no. of 118 sample attendances at ED to total no. of attendances at ED due to injury in Italy x 100)

20

Minimum Quality Control Checks

Yes

21

Average percentage of “unknown””

11.6% (narrative description not included).

22

Method for extrapolation from sample to national incidence

The method for extrapolation from sample to national incidence is based on national figures of injury cases of hospital admissions.

23

Reference population data provided

Yes

24

(Eventual) additional comments (for the user):




25

Responsible data administrator (organization)

Italian National Institute of Health

Department of Environment and Primary Prevention

Unit of Environment and Trauma

www.iss.it/casa



26

Contact: Responsible person

Mr Alessio Pitidis

Viale Regina Elena, 299

00161 Rome (Italy),

Telephone: +39 6 49902181



Email: darat@iss.it

27

Signature




28

Date of completion of this file

20140630





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