Case Identification of Work-Related Traumatic Brain Injury Using the Occupational Injury and Illness Classification System (OIICS)

Details

• Alternative Title:
  J Occup Environ Med
• Personal Author:
  Sears, Jeanne M. ; Graves, Janessa M. ; Blanar, Laura ; Bowman, Stephen M.
• Description:
  Objective
  
  Traumatic brain injury (TBI) is one of the most common, costly, and disabling occupational injuries. Objectives included determining whether work-related TBI could be reliably identified using the Occupational Injury and Illness Classification System (OIICS) and describing challenges in developing an OIICS-based TBI case definition.
  
  Methods
  
  Washington State trauma registry reports and workers’ compensation claims were linked (1998–2008). Trauma registry diagnoses were used as the gold standard for six OIICS-based TBI case definitions.
  
  Results
  
  OIICS-based case definitions were highly specific but had low sensitivity, capturing less than a third of fatal and nonfatal TBI.
  
  Conclusions
  
  The use of OIICS versus ICD-9-CM codes underestimated TBI and changed the attributable cause distribution, with potential implications for prevention efforts. Surveillance methods that can more fully and accurately capture the impact of work-related TBI across the U.S are needed.
  
  
• Subjects:
  Article Brain Injuries Case Ascertainment Case Definition Data Collection Humans Injury Surveillance International Classification Of Diseases Occupational Injuries OIICS Registries Sensitivity And Specificity Trauma Registries Traumatic Brain Injury Underreporting Washington Workers' Compensation Workers’ Compensation

  More +
• Source:
  J Occup Environ Med. 55(5):507-513.
• Document Type:
  Journal Article
• Funding:
  1R03OH009883/OH/NIOSH CDC HHS/United States ; T32 HD057822/HD/NICHD NIH HHS/United States ; T32HD057822/HD/NICHD NIH HHS/United States
• Volume:
  55
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:64a70d3c28784c9b31bd1a11259d738fbe70c2e91808031cf1010ba1b97c44a9
• Download URL:
  https://stacks.cdc.gov/view/cdc/29657/cdc_29657_DS1.pdf
• File Type:
  [PDF - 1.18 MB ]