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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.

DOI:10.1016/j.jsr.2012.11.001
PMID:23710080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3659310/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f1/3659310/5428ff5c9a90/nihms427054f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f1/3659310/5428ff5c9a90/nihms427054f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6f1/3659310/5428ff5c9a90/nihms427054f1.jpg

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本文引用的文献

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Nonfatal work-related traumatic brain injury in Minnesota, 1999-2008.1999 - 2008年明尼苏达州与工作相关的非致命性创伤性脑损伤
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Occupational injury surveillance using the Washington State Trauma Registry.使用华盛顿州创伤登记处进行职业伤害监测。
J Occup Environ Med. 2011 Nov;53(11):1243-50. doi: 10.1097/JOM.0b013e31822cff63.
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Neuropsychology. 2011 Mar;25(2):176-84. doi: 10.1037/a0021217.
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J Head Trauma Rehabil. 2011 Mar-Apr;26(2):138-49. doi: 10.1097/HTR.0b013e3181e5a87a.
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Can J Public Health. 2010 Mar-Apr;101 Suppl 1(Suppl 1):S58-62. doi: 10.1007/BF03403848.
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