Spengler D M, Bigos S J, Martin N A, Zeh J, Fisher L, Nachemson A
Spine (Phila Pa 1976). 1986 Apr;11(3):241-5. doi: 10.1097/00007632-198604000-00010.
To evaluate the impact off back injury on industry, the authors conducted a retrospective analysis of injuries among hourly employees of a large industrial manufacturer in western Washington. The Boeing Company provided injury information on 31,200 employees for a 15-month period from July 1, 1979 to September 30, 1980. Of the 4,645 injuries reported, 900 were back injuries. Claims related to back injuries constituted 19% of all workers' compensation claims but were responsible for 41% of the total injury costs, or approximately $1,800,000. The 90 most expensive back injury claims (10% of all back injury claims) were responsible for 79% of the total back injury costs. The percentage of back injury claimants with claims having a total incurred cost exceeding $10,000 (6.5%) was significantly higher than the corresponding percentage of claimants (1.5%) with claims for other than back injuries (P = 0.000). A similar significant difference was found concerning the tendency of back injury claimants to have multiple claims compared with the non-back injury claimants. This retrospective study reaffirms the significant economic impact of back injuries on industry, and specifically high-cost back injuries. In addition, it provides insight into factors associated with back injury and points to positive measures that may be taken to reduce back pain and economic loss. Characteristics of the back injury and employee-related factors associated with back injury are presented in two subsequent articles.
为评估背部损伤对工业的影响，作者对华盛顿州西部一家大型工业制造商的小时工所受损伤进行了回顾性分析。波音公司提供了1979年7月1日至1980年9月30日这15个月期间31200名员工的损伤信息。在报告的4645起损伤中，有900起是背部损伤。与背部损伤相关的索赔占所有工伤赔偿索赔的19%，但却占总损伤成本的41%，约为180万美元。90起最昂贵的背部损伤索赔（占所有背部损伤索赔的10%）占背部损伤总成本的79%。背部损伤索赔者中索赔总费用超过10000美元的比例（6.5%）显著高于其他非背部损伤索赔者的相应比例（1.5%）（P = 0.000）。与非背部损伤索赔者相比，背部损伤索赔者有多起索赔的倾向也存在类似的显著差异。这项回顾性研究再次证实了背部损伤对工业的重大经济影响，尤其是高成本的背部损伤。此外，它还深入了解了与背部损伤相关的因素，并指出了可能采取的积极措施以减轻背痛和经济损失。随后的两篇文章介绍了背部损伤的特征以及与背部损伤相关的员工因素。
