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Non-fatal work-related traumatic brain injuries treated in US hospital emergency departments, 1998-2007.

Authors
Konda-S; Reichard-A; Tiesman-HM; Hendricks-S
Source
Inj Prev 2015 Apr; 21(2):115-120
NIOSHTIC No.
20045086
Abstract
PURPOSE: Little is known about work-related traumatic brain injuries (WRTBI). This study describes non-fatal WRTBIs treated in US emergency departments (ED) from 1998 through 2007. METHODS: Non-fatal WRTBIs were identified from the National Electronic Injury Surveillance System occupational supplement (NEISS-Work) using the diagnoses of concussion, internal organ injury to the head and skull fracture. WRTBI rates and rate ratios were calculated, and the trend in rates was assessed. RESULTS: An estimated 586 600 (95% CI=+/-150 000) WRTBIs were reported during the 10-year period at a rate of 4.3 (CI=+/-1.1) per 10 000 full-time equivalent (FTE) workers (1 FTE=2000 h per year). From 1998 through 2007, the rate of WRTBIs increased at an average of 0.21 per 10 000 FTE per year (p<0.0001) and the rate of fall-related WRTBIs increased at an average of 0.10 per 10 000 FTE (p<0.0001). During the same period, the annual rate of WRTBIs resulting in hospitalisation increased 0.04 per 10 000 FTE (p<0.0001). Ten percent of WRTBIs were hospitalised, compared with hospitalisation of 2% all NEISS-Work injuries. Also, workers with highest fall-related TBI rates per 10 000 FTE were the youngest (2.4; CI=+/-1.4) and oldest (55 and older) workers (1.9; CI=+/-0.8). CONCLUSIONS: Non-fatal WRTBIs are one of the most serious workplace injuries among ED-treated work-related injuries. Non-fatal WRTBIs are much more likely to result in hospitalisation compared with other types of injuries. The upward trend of WRTBI rates from 1998 through 2007 underscore the need for more directed effective prevention methods to reduce WRTBI injuries.
Keywords
Brain-function; Brain-damage; Injuries; Traumatic-injuries; Head-injuries; Statistical-analysis; Workers; Work-environment; Work-areas; Mortality-rates; Morbidity-rates; Public-health; Epidemiology; Surveillance
Contact
Srinivas Konda, Division of Safety Research, National Institute for Occupational Safety and Health, 1095 Willowdale Road, M/S 1811, Morgantown, WV 26505
Publication Date
20150401
Document Type
Journal Article
Email Address
skonda@cdc.gov
Fiscal Year
2015
NTIS Accession No.
NTIS Price
Identifying No.
M092014
Issue of Publication
2
ISSN
1353-8047
NIOSH Division
DSR
Source Name
Injury Prevention
State
WV
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