华盛顿州青少年及青年成年工人的创伤性脑损伤负担
The burden of traumatic brain injury among adolescent and young adult workers in Washington State.
作者信息
Graves Janessa M, Sears Jeanne M, Vavilala Monica S, Rivara Frederick P
机构信息
Harborview Injury Prevention and Research Center (HIPRC), Department of Pediatrics, School of Medicine, University of Washington, UW Box 359960, Seattle, WA 98104 USA.
出版信息
J Safety Res. 2013 Jun;45:133-139. doi: 10.1016/j.jsr.2012.11.001.
OBJECTIVE
This study describes injury characteristics and costs of work-related traumatic brain injury (WRTBI) among 16-24 year olds in Washington State between 1998 and 2008.
METHODS
WRTBIs were identified in the Washington Trauma Registry (WTR) and linked to workers' compensation (WC) claims data. Medical and time-loss compensation costs were compared between workers with isolated TBI and TBI with other trauma.
RESULTS
Of 273 WRTBI cases identified, most (61.5%) were TBI with other trauma. One-third of WRTBI did not link to a WC claim. Medical costs averaged $88,307 (median $16,426) for isolated TBI cases, compared to $73,669 (median $41,167) for TBI with other trauma.
CONCLUSIONS
Results highlight the financial impact of WRTBI among young workers. Multiple data sources provided a more comprehensive picture than a single data source alone. This linked-data approach holds great potential for future traumatic occupational injury research.
目的
本研究描述了1998年至2008年间华盛顿州16至24岁人群中与工作相关的创伤性脑损伤（WRTBI）的损伤特征和成本。
方法
在华盛顿创伤登记处（WTR）中识别出WRTBI病例，并将其与工伤赔偿（WC）索赔数据相关联。比较了单纯创伤性脑损伤（TBI）患者和伴有其他创伤的TBI患者的医疗费用和误工赔偿费用。
结果
在识别出的273例WRTBI病例中，大多数（61.5%）是伴有其他创伤的TBI。三分之一的WRTBI病例未与WC索赔相关联。单纯TBI病例的平均医疗费用为88,307美元（中位数为16,426美元），而伴有其他创伤的TBI病例的平均医疗费用为73,669美元（中位数为41,167美元）。
结论
结果凸显了WRTBI对年轻工人的经济影响。多个数据源提供的信息比单一数据源更全面。这种关联数据的方法在未来创伤性职业伤害研究中具有巨大潜力。
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