Using injury severity to improve occupational injury trend estimates.
Am J Ind Med
; 57(8): 928-39, 2014 Aug.
Article
en En
| MEDLINE
| ID: mdl-24811970
ABSTRACT
BACKGROUND:
Hospitalization-based estimates of trends in injury incidence are also affected by trends in health care practices and payer coverage that may differentially impact minor injuries. This study assessed whether implementing a severity threshold would improve occupational injury surveillance.METHODS:
Hospital discharge data from four states and a national survey were used to identify traumatic injuries (1998-2009). Negative binomial regression was used to model injury trends with/without severity restriction, and to test trend divergence by severity.RESULTS:
Trend estimates were generally biased downward in the absence of severity restriction, more so for occupational than non-occupational injuries. Restriction to severe injuries provided a markedly different overall picture of trends.CONCLUSIONS:
Severity restriction may improve occupational injury trend estimates by reducing temporal biases such as increasingly restrictive hospital admission practices, constricting workers' compensation coverage, and decreasing identification/reporting of minor work-related injuries. Injury severity measures should be developed for occupational injury surveillance systems.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Accidentes de Trabajo
/
Índices de Gravedad del Trauma
/
Vigilancia de la Población
/
Traumatismos Ocupacionales
Tipo de estudio:
Etiology_studies
/
Incidence_studies
/
Prognostic_studies
/
Screening_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Am J Ind Med
Año:
2014
Tipo del documento:
Article