Distribution of Traumatic Spinal Injuries in Turkey In Accordance with ICD-10 Codes between the Years 2015 and 2019

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Malçok Ü. A., Akar A.

Eskisehir Medical Journal, Eskisehir City Hospital, vol.2, no.2, pp.68-73, 2021 (Peer-Reviewed Journal)


Introduction: The incidence of traumatic spinal injuries (TSIs) is increasing around the world, our country included. In this study, the distribution of ICD-10 codes used after TSI examinations in Turkey and specifically in Çanakkale between the years 2015 and 2019, and their changes throughout the years were analyzed. Methods: Nationwide data of Turkey and data of Çanakkale province were obtained from relevant institutions and open access statistics reports. Anatomical regions, types of injury and annual changes in ICD-10 codes of TSI examinations were analyzed. Results: Across Turkey, the number of medical examinations increased by 18% in secondary and tertiary care facilities between the years 2015 and 2019. For TSI examinations, the increase was 61%. In Çanakkale province, the number of medical examinations increased by 13.4% and TSI examinations by 9% in this 5-year period. Across Turkey, S33 (919.868) was the most used code in TSI examinations in these 5 years. The least used code was S24 (3.951). In Çanakkale province, it was determined that the code S22 (6508) was used the most, and S24 (23) was used the least. Conclusion: It was determined that TSI examinations across Turkey increased by 61% in this 5-year period, and the lumbar region was the most effected. The neural injury rate was high in the cervical region, despite TSI being relatively less common. There was a significant difference between Çanakkale province and Turkey when the ICD code ratios in spinal region were compared. We can conclude from this difference that clinicians use different ICD-10 codes for the same disease. In conclusion, we believe that it should be confirmed that ICD-10 codes actually match the patient's diagnosis in epidemiological studies to be conducted.