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3: Comparison of External Cause of Injury Mortality Matrix and the Modified Matrix

Table 1 compares the injury death rates and number of deaths by causes for the External Cause of Injury Mortality Matrix and Modified Matrix.(11,12) Injury death rates for transportation causes differed only slightly when comparing the categorization in two matrices.

Table 1: Death Rates and Average Annual Number of Deaths Compared using the External Cause of Injury Mortality Matrix and the Modified Matrix

* Fingerhut L. ICD Framework: External Cause of Injury Mortality Matrix [Online]. Hyattsville, MD: National Center for Health Statistics. Available from: http://www.cdc.gov/nchs/about/otheract/Ice/matrix10.htm
† Rate Per 100,000 Population
‡ MV Traffic-related includes MVT-Occupant; MVT-Unspecified; MVT-Pedal Cyclist; MVT-Pedestrian and MVT injuries (MVT-Motorcyclist; MVT-other)
§ Transportation-related includes MVT-Occupant; MVT-Unspecified; Pedal Cyclist (MVT and Other); Pedestrian (MVT & Other) and Other Transportation-related injuries (MVT-Motorcyclist; MVT-other; Other Land Transportation and Other Transport)
± Other injuries Include Cut/Pierce; Other Pedal Cyclist; Other Pedestrian; Other Land Transportation; Other Transport; Firearms, Machinery; Natural/Environmental; Overexertion; Stuck By/Against; Other Specified, Classifiable; Other Specified, Not Elsewhere Classified and Unspecified
¶ Other injuries Include Cut/Pierce; Firearms; Machinery; Natural/Environmental; Overexertion; Stuck By/Against; Other Specified, Classifiable; Other Specified, Not Elsewhere Classified and Unspecified

The External Cause of Injury Mortality Matrix*

Rate† (average annual number of deaths)
Drowning 1.4 (1,150)
Falls 0.2 (187)
Fires/Burns 0.7 (592)
MV Traffic-related‡ 9.1 (7,317)
   MVT-Occupant 4.6 (3,724)
   MVT-Unspecified 3.1 (2,486)
   MVT-Pedal Cyclist 0.2 (162)
   MVT-Pedestrian 0.9 (724)
   MVT-Other 0.3 (221)
Poisoning 0.7 (606)
Suffocation 1.2 (956)
Other Injuries± 1.7 (1,368)
All Injuries 15.0 (12,175)

The Modified Matrix

Rate† (average annual number of deaths)
Drowning 1.4 (1,150)
Falls 0.2 (187)
Fires/Burns 0.7 (592)
Transportation-related§ 9.8 (7,979)
   MVT-Occupant 4.6 (3,724)
   MVT-Unspecified 3.1 (2,486)
   Pedal Cyclist 0.2 (196)
   Pedestrian 1.2 (953)
   Transportation-Other 0.8 (620)
Poisoning 0.7 (606)
Suffocation 1.2 (956)
Other Injuries¶ 0.9 (704)
All Injuries 15.0 (12,175)

Data source: CDC/NCHS, National Vital Statistics System, 2000-2005

Table 2 shows the leading causes of unintentional injury deaths by age group using the External Cause of Injury Mortality Matrix. Suffocation was ranked first for children less than 1 year of age, while MVT-related deaths were first for all other age groups. In order to understand how some subcategories of Transportation-related death rates differ with other causes of unintentional injury, the Modified Matrix is used in all subsequent data presented in this report.

Table 3 shows the leading causes of unintentional injury deaths by age group using the Modified Matrix. Suffocations was still ranked first for infants. However, drowning was the leading cause of death for children 1 to 4, and MVT-Occupant ranked first for the older age groups.

Table 2: Leading Causes of Unintentional Injury Death among Children 0 to 19 Years using the External Cause of Injury Mortality Matrix, by Age Group, United States, 2000 – 2005

Age Group in Years

Rank Less Than 1
(n = 5,883)
1 to 4
(n = 10,203)
5 to 9
(n = 7,144)
10 to 14
(n = 9,088)
15 to 19
(n = 40,734)
1 Suffocation
66%
MVT-related
31%
MVT-related
53%
MVT-related
58%
MVT-related
76%
2 MVT-related
14%
Drowning
27%
Other Injuries
15%
Other Injuries
18%
Other Injuries
9%
3 Drowning
7%
Other Injuries
15%
Fires or Burns
13%
Drowning
10%
Poisoning
7%
4 Other Injuries
6%
Fires or Burns
14%
Drowning
13%
Fires or Burns
6%
Drowning
5%
5 Fires or Burns
4%
Suffocation
8%
Suffocation
4%
Suffocation
4%
Falls
1%
6 Poisoning
2%
Falls
2%
Falls
1%
Poisoning
2%
Fires or Burns
1%
7 Falls
2%
Poisoning
2%
Poisoning
1%
Falls
2%
Suffocation
1%


Table 3: Leading Causes of Unintentional Injury Death among Children 0 to 19 Years using the Modified Matrix, by Age Group, United States, 2000 – 2005

 

Age Group in Years

Rank Less Than 1
(n=5,883)
1 to 4
(n=10,203)
5 to 9
(n=7,144)
10 to 14
(n=9,088)
15 to 19
(n=40,734)
1 Suffocation
66%
Drowning
27%
MVT - Occupant
22%
MVT - Occupant
26%
MVT - Occupant
41%
2 MVT - Occupant
8%
Pedestrian
15%
MVT - Unspecified
15%
MVT - Unspecified
15%
MVT - Unspecified
28%
3 Drowning
7%
Fires/Burns
14%
Pedestrian
14%
Pedestrian
12%
Poisoning
7%
4 MVT - Unspecified
5%
MVT - Occupant
13%
Fires/Burns
13%
Drowning
10%
MVT - Other
6%
5 Other Injuries
5%
MVT - Unspecified
9%
Drowning
13%
MVT - Other
9%
Pedestrian
5%
6 Fires/Burns
4%
Suffocation
8%
Other Injuries
7%
Other Injuries
8%
Drowning
5%
7 Poisoning
2%
Other Injuries
8%
MVT - Other
6%
Fires/Burns
6%
Other Injuries
5%
8 Falls
2%
Falls
2%
Pedal Cyclist
4%
Pedal Cyclist
6%
Falls
1%
9 Pedestrian
1%
Poisoning
2%
Suffocation
4%
Suffocation
4%
Fires/Burns
1%
10 MVT - Other
0.5%
MVT - Other
2%
Falls
1%
Poisoning
2%
Suffocation
1%
11 Pedal Cyclist
0.02%
Pedal Cyclist
0.3%
Poisoning
1%
Falls
2%
Pedal Cyclist
1%

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References

  1. Sleet, DA, RA Schieber, A Dellinger. Childhood injuries. The Enclyclopedia of Public Health, Vol I (Ed., L Breslow). New York: Macmillan Reference, USA 2002, pp 184-187.
  2. Danesco ER, Miller TR, Spicer RS. Incidence and costs of 1987-1994 childhood injuries: demographic breakdowns. Pediatrics 2000;105(2):E27.
  3. WHO. World report on child injury prevention WHO, Geneva 2008
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  5. Child and adolescent injury prevention: a global call to action. Geneva, World Health Organization and UNICEF, 2005. http://whqlibdoc.who.int/publications/2005/9241593415_eng.pdf. [Accessed: September 17, 2008]. *
  6. Bernard SJ, Paulozzi LJ, Wallace DL. Fatal injuries among children by race and ethnicity—United States, 1999-2002. MMWR Surveill Summ 2007; 18;56(5):1-16.
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  8. Centers for Disease Control and Prevention. National Center for Health Statistics. VitalStats. http://www.cdc.gov/nchs/vitalstats.htm. [Accessed: Aug 10, 2008].
  9. US Consumer Product Safety Commission. The NEISS sample: design and implementation. In: Kessler E, Schroeder T, eds. Washington, DC: US Consumer Product Safety Commission, 2000.
  10. World Health Organization. Manual of the international statistical classification of disease, injuries, and causes of death, 10th revision. Geneva, Switzerland: World Health Organization; 1999.
  11. Fingerhut L. ICD Framework: External cause of injury mortality matrix [online]. Hyattsville, MD: National Center for Health Statistics. Available from: http://www.cdc.gov/nchs/about/otheract/ice/matrix10.htm.
  12. CDC. Recommended framework for presenting injury mortality data. In: Reports and Recommendations, August 29, 1997. MMWR 1997:46(No. RR-14):1-30.
  13. Vyrostek SB, Annest JL, Ryan GW. Surveillance for Fatal and Nonfatal Injuries — United States, 2001. In: Surveillance Summaries, September 3, 2004. MMWR 2004;53(No. SS-7):1-57.
  14. Arias E, Schauman WS, Eschbach K, Sorlie PD, Backlund E. The validity of race and Hispanic origin reporting on death certificates in the United States. National Center for Health Statistics. Vital Health Stat 2(148). 2008.
 
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