Dougherty Jacob M, Maqsood Hannan A, Rittle Christopher J, Blake Eva S, Fan Zhaohui, Oliphant Bryant W, Hemmila Mark R, Sangji Naveen F
Department of Surgery, University of Michigan, 2101 Taubman Center, 1500 E. Medical Center Drive, Ann Arbor, MI 48109, USA.
Center for Healthcare Outcomes and Policy, University of Michigan, 2800 Plymouth Road, North Campus Research Complex, Bldg.16, Ann Arbor, MI 48109, USA.
Eur Burn J. 2024 Dec 19;5(4):464-473. doi: 10.3390/ebj5040041.
Burn injuries can require hospitalization, operations, and long-term reconstruction. Burn-injured patients can experience short- or long-term disability. We investigated lost workdays (LWDs), short-term disability (STD), and long-term disability (LTD) in the 12-month period following a burn injury.
An observational cohort study was conducted using a commercial claims database, IBM MarketScan. Patients aged ≤65 years with an ICD-10 burn diagnosis from 2018 to 2019 were included. The International Classification of Diseases, 10th Revision (ICD-10), procedure and Current Procedural Terminology (CPT) codes were used to identify patients undergoing burn-related operations. Patients were mapped to data tables for LWDs, STD, and LTD for the 12 months pre- and post-injury. Paired t-tests were employed to compare the pre- and post-injury outcomes.
We identified 1745 patients with burn diagnoses. Of those, 263, 1449, and 1448 patients had data available for LWDs, STD, and LTD, respectively. STD and LTD were reported by 8.1% and 0.0% of patients in the 12-month period pre-injury, respectively, and 20.3% and 1.0% of patients in the 12-month period post-injury, respectively. Average days of STD increased from 3.70 to 9.34 days following injury.
Burn injuries are associated with increased STD and LTD utilization. Quantifying the impact of burn injuries on patients' work will help us understand the economic implications of burns, which is a key area in burn research.
烧伤可能需要住院治疗、手术以及长期重建。烧伤患者可能会经历短期或长期残疾。我们调查了烧伤后12个月内的误工天数（LWD）、短期残疾（STD）和长期残疾（LTD）情况。
使用商业索赔数据库IBM MarketScan进行了一项观察性队列研究。纳入了2018年至2019年年龄≤65岁且有ICD - 10烧伤诊断的患者。使用国际疾病分类第十版（ICD - 10）、手术编码和当前手术操作术语（CPT）代码来识别接受烧伤相关手术的患者。将患者对应到损伤前后12个月的LWD、STD和LTD数据表中。采用配对t检验比较损伤前后的结果。
我们确定了1745例有烧伤诊断的患者。其中，分别有263例、1449例和1448例患者有LWD、STD和LTD的数据。损伤前12个月分别有8.1%和0.0%的患者报告了STD和LTD，损伤后12个月分别有20.3%和1.0%的患者报告了STD和LTD。损伤后STD的平均天数从3.70天增加到9.34天。
烧伤与STD和LTD利用率增加有关。量化烧伤对患者工作的影响将有助于我们了解烧伤的经济影响，这是烧伤研究的一个关键领域。
