Predicting Work-Related Disability and Medical Cost Outcomes: Estimating Injury Severity Scores from Workers' Compensation Data.
Purpose Acute work-related trauma is a leading cause of death and disability among US workers. The research objectives were to assess: (1) the feasibility of estimating Abbreviated Injury Scale -based injury severity scores (ISS) from ICD-9-CM codes available in workers' compensation (WC) medical bi...
| Publicado en: | Journal of Occupational Rehabilitation Vol. 23; no. 1; pp. 19 - 32 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104310997&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104310997 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10530487 JOR jtl: Journal of Occupational Rehabilitation issn: 10530487 maglogo: N pubinfo: dt: Mar2013 vid: 23 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104310997 85300285 10.1007/s10926-012-9377-x NLM22736281 104310997 ppf: 19 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Predicting Work-Related Disability and Medical Cost Outcomes: Estimating Injury Severity Scores from Workers' Compensation Data. aug: au: Sears, Jeanne Blanar, Laura Bowman, Stephen Adams, Darrin Silverstein, Barbara affil: Department of Health Services, School of Public Health, University of Washington, Seattle USA sug: subj: Severity of Injury Worker's Compensation Health Care Costs Occupational-Related Injuries International Classification of Diseases Disability Evaluation Registries, Trauma Classification Medical Record Linkage Clinical Assessment Tools Scales Comparative Studies Retrospective Design Predictive Research Data Analysis Software kappa Statistic Adult Middle Age Aged Human Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years ab: Purpose Acute work-related trauma is a leading cause of death and disability among US workers. The research objectives were to assess: (1) the feasibility of estimating Abbreviated Injury Scale -based injury severity scores (ISS) from ICD-9-CM codes available in workers' compensation (WC) medical billing data, (2) whether ISS predicts work-related disability and medical cost outcomes, (3) whether ISS adds value over other injury severity proxies, and (4) whether the utility of ISS differs for an all-injury sample compared with three specific injury samples (amputations, extremity fractures, traumatic brain injury). Methods ISS was estimated from ICD-9-CM codes using Stata's user-written -icdpic- program for 208,522 compensable nonfatal WC claims for workers injured in Washington State from 1998 to 2008. The Akaike Information Criterion and R were used to compare severity measures. Competing risks survival analysis was used to evaluate work disability outcomes. Adjusted total medical costs were modeled using linear regression. Results Work disability and medical costs increased monotonically with injury severity. For a subset of 4,301 claims linked to the Washington State Trauma Registry (WTR), there was moderate agreement between WC-based ISS and WTR-based ISS. Including ISS together with an early hospitalization indicator resulted in the most informative models; however, early hospitalization is a more downstream measure. Conclusions ISS was significantly associated with work disability and medical cost outcomes for work-related injuries. Injury severity should be considered as a potential confounder for occupational injury intervention, program evaluation, or outcome studies, and can be estimated using existing software when ICD-9-CM codes are available. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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