From the Workplace Safety and Insurance Board, Ontario, Canada (Dr Nanwa, Dr Wong, Dr Thompson), Faculty of Medicine, University of Toronto, Ontario Canada (Dr Thompson), Dalla Lana School of Public Health, University of Toronto, Ontario, Canada (Dr Thompson).
J Occup Environ Med. 2022 Jun 1;64(6):458-464. doi: 10.1097/JOM.0000000000002512.
To examine the impact of timing of mental health interventions in workers' compensation claims for mild traumatic brain injury (MTBI).
A 10-year matched retrospective cohort study of MTBI claims. Cases who started treatment within 3 months of the date of injury were hard matched to cases who started treatment more than 3 months after the date of injury. Outcomes were incremental cost difference and loss of earnings benefit duration 1 year after first intervention.
Seventeen percent (17%) of patients received mental health interventions. The early mental health intervention group had lower mean costs (incremental difference$1580 [95% CI: $5718 to $2085]) and shorter durations of disability (off loss of earnings) (59.2% versus 46.6%, NS). Sensitivity and stratified analyses demonstrated the same trend.
Early mental health interventions for MTBI patients may lead to reduced health care costs and shorter durations of disability.
研究工人赔偿索赔中轻度创伤性脑损伤（MTBI）的心理健康干预时机对其的影响。
对 MTBI 索赔进行了为期 10 年的匹配回顾性队列研究。将受伤日期后 3 个月内开始治疗的病例与受伤日期后 3 个月以上开始治疗的病例进行严格匹配。结局指标为首次干预后 1 年的增量成本差异和收入损失福利持续时间。
17%的患者接受了心理健康干预。早期心理健康干预组的平均成本较低（增量差$1580 [95% CI: $5718 至 $2085])，残疾（丧失收入）持续时间更短（59.2%对 46.6%，NS）。敏感性和分层分析显示出相同的趋势。
对 MTBI 患者进行早期心理健康干预可能会降低医疗保健成本和残疾持续时间。
