What is the International Classification
of External Causes of Injuries?
ICECI is a free practical tool for classifying the circumstances in
which injuries occur. Thus, it can be used in surveillance and research
to support injury and trauma prevention and control efforts throughout
the world. Using this tool, one can code the key factors that may be
involved in causing injuries. Consequently, injuries can be both counted
and described to yield useful information for setting priorities, making
policy decisions, and guiding prevention.
How is it designed?
The full ICECI is a rich and extensive system with hierarchical code
sets for intent of injury, mechanism of injury, object/substance producing
the injury, place of occurrence, activity when injured, alcohol use,
and psychoactive drug or substance use. Information for most data elements
can be classified at either a basic or expanded level. ICECI also has
supplementary modules designed to capture further details related to
transport, violence, place of occurrence, sports/recreation, and occupational
Is it user-friendly?
Yes-in fact, users can opt to use the tool's full capacities or choose
among data elements or categories to meet their specific data needs
and circumstances. Additionally, ICECI offers a comprehensive data dictionary
and index. It's possible to tailor ICECI data collection tools for use
in health interview surveys or in a hospital emergency department, outpatient
clinic, or other medical care settings. Users in countries having either
adequate or limited resources for injury prevention activities will
find ICECI useful for capturing injury data. For the results of a survey
on the use of the ICECI see Newsletter July
2006, p 2.
How is it related to the International
Classification of Diseases (ICD)?
ICECI is a Related Classification in the WHO's Family of International
It complements Chapter XX, External Causes of Morbidity and Mortality
of ICD-10. The Relationship
between ICECI and ICD-10 has been adopted as a bridge between
ICECI and ICD-10, making it possible to compare aggregated injury data
classified according to either system.
How can I access ICECI?
ICECI is available in English,
and Portugese, see column
on the right. A German, French and Indonesian version are in preparation.
Who do I contact if I have questions
about ICECI, how and where it is being used, or who is using it?
Write dr Marijke W. de Kleijn - de Vrankrijker, E-mail: firstname.lastname@example.org.
For more information about the latest initiatives of European authorities
and Member States, governments and NGOs in view of injury prevention
and safety promotion, see Alert.
update July 2010