Work-related injuries and illnesses (WRII) presenting to Illinois hospitals, 2017−2021: The importance of emergency department (ED) data

IF 2.7 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American journal of industrial medicine Pub Date : 2024-09-21 DOI:10.1002/ajim.23658

Brett Shannon MBBS, PhD, Courtney Ryder PhD, Chibuzor Abasilim PhD, Kirsten Almberg PhD, Tessa Bonney PhD, Lee S. Friedman PhD

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Abstract

Objectives

Research characterizing work-related injuries and illnesses (WRII) has predominantly focused on inpatients and deaths, despite evidence that 4% of WRII are admitted as inpatients and deaths are less than 0.2% of acute WRII. Our aim is to determine the usefulness of incorporating emergency department (ED) hospital data into current occupational health surveillance systems.

Methods

Data on ED and admitted WRII treated in Illinois hospitals from 2017 to 2021 were analyzed. Demographic characteristics, primary diagnosis, procedures undertaken, and unique patient estimates are described. Multivariable logistic regression models were developed to evaluate predictors of treatment in the ED and multivariable median regression models determined associations of total hospital charges.

Results

Between 2017 and 2021 there were 488,033 hospital presentations (95.9% nonadmissions) for WRII in Illinois, equating to a crude annual population rate of 1502.1/100,000. Non-Hispanic Whites (NHW) were disproportionately treated for illnesses, while Hispanic or Latino workers were disproportionately treated for injuries. African-Americans had the highest rate of ED emergent presentations (incident rate ratio [IRR] = 1.3, ref = NHW) and were less likely to be admitted for emergent presentations (IRR = 0.7, ref = NHW). ED presentations were more likely to be female, present with an injury, and at a rural, versus urban, hospital. Radiological investigations compromised the majority of procedures for nonadmitted patients (n = 403,317), and 94.8% were coded for a body region

Conclusion

Between 2017 and 2021 in Illinois, there were nearly 500,000 hospital visits charged to workers' compensation totaling over US$ four billion. ED data provide additional insights into work-related chronic conditions, health disparities, and the usage of diagnostic and therapeutic procedures for WRII.

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2017-2021 年伊利诺伊州医院收治的工伤和疾病 (WRII)：急诊科（ED）数据的重要性。

目的：有关工伤与疾病（WRII）特征的研究主要集中在住院病人和死亡病例上，尽管有证据表明 4% 的工伤与疾病是作为住院病人入院的，而死亡病例不到急性工伤与疾病的 0.2%。我们的目的是确定将急诊科（ED）医院数据纳入当前职业健康监测系统是否有用：分析了 2017 年至 2021 年伊利诺伊州医院治疗的 ED 和入院 WRII 数据。文中描述了人口统计学特征、主要诊断、采取的程序和独特的患者估计值。建立了多变量逻辑回归模型来评估急诊室治疗的预测因素，多变量中位回归模型确定了医院总费用的相关性：2017年至2021年间，伊利诺伊州有488,033人因WRII住院治疗（95.9%为非住院），相当于每年1502.1/100,000的粗人口比例。非西班牙裔白人（NHW）接受疾病治疗的比例偏高，而西班牙裔或拉丁裔工人接受伤害治疗的比例偏高。非裔美国人的急诊就诊率最高（事故率比 [IRR] = 1.3，参考值 = NHW），但因急诊就诊而入院的可能性较低（事故率比 = 0.7，参考值 = NHW）。急诊室就诊者更可能是女性、受伤时就诊、在农村医院而非城市医院就诊。放射检查是非入院患者的主要检查项目（n = 403,317 例），94.8% 的检查项目被编码为身体某个区域结论：2017 年至 2021 年，伊利诺伊州有近 50 万次医院就诊被计入工伤赔偿，总金额超过 40 亿美元。急诊室数据为了解与工作相关的慢性病、健康差异以及工伤康复研究所诊断和治疗程序的使用情况提供了更多信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of industrial medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

5.90

自引率

5.70%

发文量

108

审稿时长

4-8 weeks

期刊介绍： American Journal of Industrial Medicine considers for publication reports of original research, review articles, instructive case reports, and analyses of policy in the fields of occupational and environmental health and safety. The Journal also accepts commentaries, book reviews and letters of comment and criticism. The goals of the journal are to advance and disseminate knowledge, promote research and foster the prevention of disease and injury. Specific topics of interest include: occupational disease; environmental disease; pesticides; cancer; occupational epidemiology; environmental epidemiology; disease surveillance systems; ergonomics; dust diseases; lead poisoning; neurotoxicology; endocrine disruptors.