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Work-related amputations in Washington State, 1997-2005.

Authors
Anderson-NJ; Bonauto-DK; Adams-D
Source
Am J Ind Med 2010 Jul; 53(7):693-705
NIOSHTIC No.
20037922
Abstract
BACKGROUND: Work-related amputations are infrequent but devastating injuries. Attempts to more accurately estimate the burden of amputations and industries at risk have led the Washington State occupational surveillance program to explore new methods for case identification in Washington State workers' compensation data. METHODS: Two methods were utilized for case identification of work-related amputations. The first method used the ANSI Z16 nature code for amputation. An alternative method utilized medical, hospital, and claim administration coding of medical bills and bill payment systems. After identifying suspected amputation claims, a sample of the medical records associated with different case identification methods were reviewed to verify that an amputation likely occurred. RESULTS: From 1997 to 2005, 2,528 amputations were identified using the ANSI Z16 code for amputation (Nature = 100) and an additional 3,912 amputations were identified using the alternative method. There was an increasing trend of amputation injuries over the time period using the ANSI amputation definition; however, the trend in amputation injuries captured by the alternative method was decreasing. This may indicate a bias in estimating a trend due to misclassification of amputation injuries. The sectors with the highest amputation claims rates were Manufacturing; Construction; Agriculture, Forestry, Fishing and Hunting; Accommodation and Food Services; and Wholesale and Retail Trade. CONCLUSIONS: Current methods to identify work-related amputations in the workers' compensation data system underestimate the burden of amputations in Washington State. By utilizing alternative case identification methods, we estimate that there were about 150% more amputations in Washington State over the time period.
Keywords
Accidents; Accident-statistics; Injuries; Risk-factors; Surveillance-programs; Work-areas; Work-environment; Worker-health; Work-operations; Work-performance; Workplace-studies; Traumatic-injuries; Author Keywords: amputations; surveillance; occupational injury; occupational injury surveillance; work-related amputations; workers'compensation
Contact
Naomi J. Anderson, Safety & Health Assessment and Research for Prevention (SHARP) Program, Department of Labor & Industries, PO Box 44330, Olympia, WA 98504-4330
CODEN
AJIMD8
Publication Date
20100701
Document Type
Journal Article
Email Address
anna235@lni.wa.gov
Funding Type
Cooperative Agreement
Fiscal Year
2010
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-OH-008487
Issue of Publication
7
ISSN
0271-3586
Priority Area
Agriculture, Forestry and Fishing
Source Name
American Journal of Industrial Medicine
State
WA
Performing Organization
Washington State Department of Labor and Industries
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