Literature DB >> 22627781

Healthcare cost usage for hospitalised injuries sustained in industrial settings in the USA.

Lina Lander1, Rahul K Shah, Yun Li, Aditya Mahalingam-Dhingra, Lynette M Smith, Gary Sorock.   

Abstract

OBJECTIVE: To describe characteristics and outcomes of patients hospitalised for injuries occurring in industrial settings during a 1-year period.
METHODS: A retrospective analysis of hospital admissions in the USA in 2006 using the Nationwide Inpatient Sample was performed. The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9 CM) code E849.3 (industrial place and premises) was used to identify work-related injury admissions.
RESULTS: A total of 5826 patients were hospitalised with injuries sustained in industrial settings (weighted, 28,354 patients). The mean age was 42.9 years (82% were men). They were 48% Caucasian, 19% Hispanic and 6% African-American. The majority were admitted from the Emergency Department (72%). Further the majority of admissions were discharged home (79%; 9% with home healthcare) and 10.7% were transferred to another facility. The mean length of stay was 4.5 days (range 0-109 days). Mean total charges per admission was US$32,254 (median US$18,364, 90th percentile US$66,607). Common diagnoses included: orthopaedic injuries (including amputations) to: finger/hand (20.9%), foot/ankle (8.2%), leg (10.2%) and spine (8.4%); infection (10.8%), pulmonary diagnosis (6.6%), soft tissue injuries (3.6%) and burns to <10% of the body (3.6%). Comorbidities included hypertension (17.0%) and diabetes mellitus (6.3%). Most common procedures performed included fracture reduction (17.6%), blood transfusions (3.1%) and spinal surgery (3%). A total of 194 (0.7%) patients died in the hospital.
CONCLUSIONS: Injuries in industrial settings result in significant healthcare usage, morbidity and mortality on an annual basis in the USA. These admission levels facilitate development of targeted strategies to optimise the quality and economics of care for injuries in industrial settings.

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Year:  2012        PMID: 22627781     DOI: 10.1136/injuryprev-2011-040166

Source DB:  PubMed          Journal:  Inj Prev        ISSN: 1353-8047            Impact factor:   2.399


  4 in total

1.  Health care costs and the socioeconomic consequences of work injuries in Brazil: a longitudinal study.

Authors:  Vilma Sousa Santana; Luis Eugênio Portela Fernandes de Souza; Isabela Cardoso de Matos Pinto
Journal:  Ind Health       Date:  2013-06-26       Impact factor: 2.179

2.  Catastrophic health expenditure among industrial workers in a large-scale industry in Nepal, 2017: a cross-sectional study.

Authors:  Prajjwal Pyakurel; Jaya Prasad Tripathy; Myo Minn Oo; Bijay Acharya; Ujjwal Pyakurel; Suman Bahadur Singh; Laxmi Subedi; Kamlesh Prasad Yadav; Mukesh Poudel; Dipesh Raj Pandey; Shyam Sundar Budhathoki; Guna Raj Lohani; Nilambar Jha
Journal:  BMJ Open       Date:  2018-11-15       Impact factor: 2.692

3.  Study protocol for a pilot, randomised, double-blinded, placebo controlled trial of perineural local anaesthetics and steroids for chronic post-traumatic neuropathic pain in the ankle and foot: the PREPLANS study.

Authors:  Anuj Bhatia; Vera Bril; Richard T Brull; Anthony Perruccio; Duminda Wijeysundera; Sabeeh Alvi; Johnny Lau; Rajiv Gandhi; Nizar Mahomed; Aileen M Davis
Journal:  BMJ Open       Date:  2016-06-22       Impact factor: 2.692

4.  Analgesic effect of perineural local anesthetics, steroids, and conventional medical management for trauma and compression-related peripheral neuropathic pain: a retrospective cohort study.

Authors:  Anuj Bhatia; Vera Bril; Richard T Brull; Anthony V Perruccio; Duminda N Wijeysundera; Johnny Lau; Rajiv Gandhi; Nizar Mahomed; Aileen M Davis
Journal:  Pain Rep       Date:  2021-07-13
  4 in total

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