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Regarding injuries, the classification of injuries into different collision types was based exclusively on the data reported to the CARE database for the countries that had provided the specific information.
Research staff was trained on the classification of injury by the ICD-9 E-code [12].
Classification of injury type was based on review of complete patient medical records, including history, physical exam, definitive diagnoses, radiologic studies, intra-operative examination, and pathological examination.
Classification of injury?
A standard musculoskeletal classification of injury chronicity was used (i.e. acute, chronic recurring, chronic) [ 32].
All subjects were assigned a moderate/severe classification of injury severity according to the Mayo Classification System (Reitan, 1958).
The classification of "injury and death case" is provided by the WHO [ 17] and the International Statistical Classification of Diseases and Related Health Problems, 10th edition (ICD-10)[ 21].
Patients were excluded if they had type B fractures according to AO classification, multiple injuries or pathological fractures, and were treated more than seven days after injury.
The classification of injuries was consistent the International Classification of Diseases and the related schema for coding external causes of injury (ICECI) [10].
Thus, classification of injuries based on their causation may have prognostic validity.
The major causes of accidents were fairly similar despite the classification of injuries being different in our study.
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