Descriptive Evaluation of Methods for Identifying Work-Related Emergency Department Injury Visits

Details

• Personal Author:
  Harduar-Morano, Laurel ; Proescholdbell S ; Richardson D
• Description:
  BACKGROUND: Use of worker's compensation (WC) as payer underestimates work-related (WR) injuries. We evaluated three methods to identify WR injuries: WC as payer, ICD-9-CM work-status codes E000.0/E000.1, and other ICD-9-CM external cause codes. METHODS: We identified injury-related emergency department visits from North Carolina's syndromic surveillance system (2010-2013). Characteristics were compared by indicator. We manually reviewed 800 admission notes to confirm if the visit was WR or non-WR; WR keywords from the review were applied to all visits. RESULTS: 133 156 injury-related visits (age, 16 years or older) were identified: WC = 69%, work-status codes = 18%, other ICD-9-CM codes = 13%. Among manually reviewed visits: few visits identified by WC (0.3%) or work-status codes (2%) were non-WR, while 12% of other ICD-9-CM code identified visits were non-WR; 53%, 46%, and 31% of visits identified by WC, work-status codes, and other ICD-9-CM codes were WR, respectively. CONCLUSIONS: Findings support use of WC and work-status codes to capture WR injuries; other ICD-9-CM codes should be used with caution or in combination with other indicators. [Description provided by NIOSH]
• Subjects:
  Adolescent Aging Emergency Responders Men Occupational Health Safety Women Workplace
• Keywords:
  Administrative Data Adolescents Age Groups Author Keywords: ICD-9-CM Emergency Care Emergency Department Emergency Treatment Humans Injuries Occupational Statistical Analysis Surveillance Syndromic Surveillance Work-related Work Environment Workers Workers Compensation

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• ISSN:
  0271-3586
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  62
• Issue:
  7
• NIOSHTIC Number:
  nn:20055899
• Citation:
  Am J Ind Med 2019 Jul; 62(7):568-579
• Contact Point Address:
  Laurel Harduar Morano, PhD, MPH, 100 Market Str, Chapel Hill, NC 27516
• Email:
  onarom.lh@gmail.com
• Federal Fiscal Year:
  2019
• Performing Organization:
  University of North Carolina, Chapel Hill
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Industrial Medicine
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:2882be3e010ce5fca4fed72ea1473ae223cadd19b336ba5e82ec7cd9b409d1d1d3c0d08fced3ad80e84d777cce6f00d80a5939fa5cbf6265e4ea47510f986a04
• Download URL:
  https://stacks.cdc.gov/view/cdc/213654/cdc_213654_DS1.pdf
• File Type:
  [PDF - 1.23 MB ]