Anderson Naomi J, Bonauto David K, Adams Darrin
Safety and Health Assessment and Research for Prevention Program, Department of Labor and Industries, Olympia, Washington 98504-4330, USA.
J Burn Care Res. 2011 May-Jun;32(3):369-78. doi: 10.1097/BCR.0b013e318217f83a.
This study aims to describe workers who were hospitalized with work-related burn injuries and their psychiatric sequelae in Washington State. Psychiatric sequelae of interest were depression, posttraumatic stress disorder, and other anxiety disorders. Workers' compensation claims meeting a definition for a hospitalized burn patient from Washington State from January 2001 through April 2008 were analyzed. The resulting claims were searched for the presence of certain psychiatric diagnoses or treatment codes, and descriptive analyses performed. In Washington State during the time period, the prevalence of claims with psychiatric diagnoses after hospitalization with burn injury was 19%. Claims with psychiatric diagnoses had higher medical costs and more days of time loss than those without these diagnoses. Workers with electrical burns in the construction industry and in construction and extraction occupations had a higher proportion of psychiatric sequelae. Burns are devastating yet preventable injuries. Workers who were hospitalized with work-related burn injuries, particularly those in certain industries and occupations and those with electrical burns, are at high risk for developing serious psychiatric sequelae with major costs to both the individual and the society.
本研究旨在描述华盛顿州因工作相关烧伤住院的工人及其精神后遗症。所关注的精神后遗症包括抑郁症、创伤后应激障碍和其他焦虑症。对2001年1月至2008年4月期间符合华盛顿州住院烧伤患者定义的工伤赔偿申请进行了分析。在所得的申请中查找某些精神诊断或治疗代码的存在情况，并进行描述性分析。在此期间的华盛顿州，烧伤住院后有精神诊断的申请患病率为19%。有精神诊断的申请比没有这些诊断的申请医疗费用更高，误工天数更多。建筑行业以及建筑和采掘职业中遭受电击烧伤的工人精神后遗症的比例更高。烧伤是具有毁灭性但可预防的伤害。因工作相关烧伤住院的工人，特别是某些行业和职业的工人以及电击烧伤的工人，发生严重精神后遗症的风险很高，这对个人和社会都会造成重大成本。
