[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]


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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
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                                                                                                      Average
                                                                     Number of       Number of      burden per
          Type of  respondent                   Form name           respondents    responses per   response (in
                                                                                    respondent         hrs.)
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Emergency Department Research           TBI Records Data Tool...               1             150               1
 Assistant.
Concussion Clinic Research Assistant..  TBI Records Data Tool...               1              50               1
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[[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