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Case identification of work-related traumatic brain injury using the occupational injury and illness classification system.

Authors
Sears-JM; Graves-JM; Blanar-L; Bowman-SM
Source
J Occup Environ Med 2013 May; 55(5):507-513
NIOSHTIC No.
20043092
Abstract
OBJECTIVES: 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 to 2008). Trauma registry diagnoses were used as the gold standard for six OIICS-based TBI case definitions. RESULTS: The OIICS-based case definitions were highly specific but had low sensitivity, capturing less than a third of fatal and nonfatal TBI. CONCLUSION: The use of OIICS versus International Classification of Diseases-Ninth Revision-Clinical Modification 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 United States are needed.
Keywords
Injuries; Traumatic-injuries; Brain-damage; Work-environment; Information-retrieval-systems; Information-systems; Disabled-workers; Clinical-diagnosis; Health-standards; Surveillance-programs
Contact
Jeanne M. Sears, PhD, RN, Department of Health Services, School of Public Health, Box 354809, University of Washington, Seattle, WA 98195
CODEN
JOEMFM
Publication Date
20130501
Document Type
Journal Article
Email Address
jeannes@u.washington.edu
Funding Type
Grant
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R03-OH-009883; M082013
Issue of Publication
5
ISSN
1076-2752
Source Name
Journal of Occupational and Environmental Medicine
State
WA; MD
Performing Organization
University of Washington, Seattle
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