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Table 4 NEISS-AIP limitations identified by authors of NEISS-AIP articles, 2001–2021 (n = 167)

From: Two decades of nonfatal injury data: a scoping review of the National Electronic Injury Surveillance System-All Injury Program, 2001–2021

NEISS-AIP limitation

Number of articles

Only provides national estimates therefore, state and local estimates are not available

38

Doesn’t capture sufficient information on protective factors and injury circumstances

35

Only captures information on most severe injury diagnosis or injured body part*

32

Limited and variable amount of data details captured in narratives

20

No injury outcome information

18

Lack of information on injury severity

13

Missing detailed location information (e.g., room in home where injury occurred)

13

Small sample size can result in unstable estimates for some injuries*

12

No measures of socioeconomic status (e.g., health insurance coverage) or other psycho-social variables (e.g., drug or alcohol use)*

11

High level of missing race/ethnicity data

7

Short (two-line) narrative captures limited information*

5

Limited data available in the ED record (e.g., use of protective equipment) which is used as the source of NEISS-AIP data

4

Body part injured not specific enough as only body region captured

4

Data not linked to other data sources for verification (e.g., police reports)

3

ICD-9-CM codes not captured

3

Unknown and unintentional injury intents grouped together with potential for misclassification

3

Injury intent difficult to identify in emergency department data (e.g., for interpersonal violence and self-inflected injuries)

3

No data on sexual orientation or gender identity**

2

No product codes available for more recently introduced consumer products

1

  1. *Starting with treatment date January 1, 2019, NEISS-AIP added variables to capture a second injury diagnosis, a second body part injured, and whether alcohol or drugs contributed to the injury. Additionally, the maximum length of the narrative text was increased from 142 to 400 characters
  2. **Starting with treatment date January 1, 2021, an additional code for recording patient sex as non-binary was added. This allows the hospital abstractor to report a patient’s sex as it is captured in emergency department records and includes non-binary, intersex, and other designations