[Federal Register Volume 79, Number 26 (Friday, February 7, 2014)]
[Notices]
[Pages 7457-7458]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-02668]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-14-13AGH]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
(404) 639-7570 or send an email to [email protected]. Send written comments
to CDC Desk Officer, Office of Management and Budget, Washington, DC
20503 or by fax to (202) 395-5806. Written comments should be received
within 30 days of this notice.
Proposed Project
Examining Traumatic Brain Injury in Youth--New--National Center for
Injury Prevention and Control (NCIPC), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Traumatic brain injury (TBI) is one of the highest priorities in
public health because of its magnitude, economic and human impact, and
preventability. The Centers for Disease Control and Prevention (CDC)
estimates that approximately 1.7 million TBIs are sustained in the
United States annually, either alone or in conjunction with another
injury or condition. These figures may be an underestimation as they do
not include people who are treated in physicians' offices or outpatient
facilities, those who did not seek medical care, military personnel, or
Americans living abroad. Moreover, the number of sports and recreation-
related TBIs treated in U.S. emergency departments is increasing and
has increased steadily since the early 2000s. Children ages 0 to 4
years and adolescents ages 15-19 are at the greatest risk of sustaining
a TBI.
A TBI is caused by a bump, blow or jolt to the head or a
penetrating head injury that disrupts the normal function of the brain.
The severity of a TBI may range from ``mild'' (a brief change in mental
status or consciousness) to ``severe'' (an extended period of
unconsciousness or amnesia after the injury).
In 1996, Congress passed Public Law 104-166, the Traumatic Brain
Injury Act, which charged CDC with implementing projects to reduce the
incidence of traumatic brain injury. The CDC definition of TBI uses
selected codes of the International Classification of Diseases, 9th
Clinical Modification (ICD-9 CM) to identify cases of TBI from hospital
and non-hospital databases containing billing records for services
rendered to patients. It is thought, however, that the ICD-9 CM codes
currently used in CDC's surveillance system to capture cases of TBI are
not sufficiently sensitive to capture diagnosed TBI.
CDC requests OMB approval for one year to collect de-identified
medical information of a representative sample of pediatric patients,
from two clinical settings, who received a confirmed diagnosis of mild
to severe TBI and link these patients to their administrative medical
claims forms. Collectively, the data will allow CDC to estimate the
sensitivity of currently utilized ICD-9 CM codes to capture cases of
diagnosed TBI, as well as ICD-9 CM codes not currently being utilized
that may improve the sensitivity to capture cases of TBI. We propose to
conduct a retrospective cross-sectional study of a random sample of
patients with a suspected TBI within two clinical settings (Emergency
Departments and Concussion Clinics).
A review of the medical coding data for additional ICD-9 CM codes
that are not part of the CDC TBI definition will also take place to
determine whether the addition of any of these codes improves the
sensitivity of the CDC TBI definition to detect TBI.
The Emergency Department medical records of 150 patients will be
abstracted in order to review ICD-9 codes and TBI diagnoses. Each
record will take 60 minutes to abstract. Also, 50 patient medical
records from the Concussion Clinic, located within the hospital, will
be abstracted in order to review the selection criteria to confirm
eligibility, which includes age of the patient, and the valid encounter
with physician or nurse related to an injury consistent with a TBI.
Each record will take 60 minutes to abstract. The same Research
Assistant will be abstracting the data within the Emergency Department
and the Concussion Clinic.
There are no costs to respondents other than their time. The total
estimated annual burden hours are 200.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondent Form name respondents responses per response (in
respondent hrs.)
----------------------------------------------------------------------------------------------------------------
Emergency Department Research TBI Records Data Tool... 1 150 1
Assistant.
Concussion Clinic Research Assistant.. TBI Records Data Tool... 1 50 1
----------------------------------------------------------------------------------------------------------------
[[Page 7458]]
Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2014-02668 Filed 2-6-14; 8:45 am]
BILLING CODE 4163-18-P