Abstract:
BACKGROUND:The aim of this study was to compile nationally representative statistics describing inpatient hospital care for patients with work-related injuries and illnesses covered under workers' compensation (WC) insurance in the United States. METHODS:Three years of data (1997-1999) from the Nationwide Inpatient Sample (NIS) were used to describe WC inpatient stays with respect to patient and hospital characteristics, principal diagnoses, number and type of procedures provided, total charges, length of stay, and time from admission to administering of the principal procedure. RESULTS:Approximately 209,139 WC hospitalizations occurred annually, representing 0.62% of all inpatient admissions. The average total charge per WC hospitalization was 14,966 dollars. After adjusting for the type of diagnosis and other factors, WC hospital care was found to involve 13-24% more procedures, have a slightly longer (4%) length of stay, and take 23-54% less time from admission to the principal procedure than inpatient care for comparable diagnoses paid by other sources. Inpatient care for disc and spinal disorders paid by WC had 16% higher charges than similar non-WC cases. Three-year trends showed a steady decline in the number of WC hospitalizations between 1997 and 1999 but a sharp 16% rise in total charges per WC stay. CONCLUSIONS:This research provides an initial foundation for understanding the extent and nature of hospitalized care for injured workers in the US and identifying significant trends in the delivery of care.
journal_name
Am J Ind Medjournal_title
American journal of industrial medicineauthors
Dembe AE,Mastroberti MA,Fox SE,Bigelow C,Banks SMdoi
10.1002/ajim.10273subject
Has Abstractpub_date
2003-10-01 00:00:00pages
331-42issue
4eissn
0271-3586issn
1097-0274journal_volume
44pub_type
杂志文章abstract:BACKGROUND:The tanning industry involves many occupational exposures. This study evaluates proportionate cancer mortality among workers employed in the Belarussian tanning plant in Minsk. METHODS:A total of 768 workers with seniority of not less than 6 months who were hired after January 1, 1953 and died before Decemb...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.10275
更新日期:2003-12-01 00:00:00
abstract::In recent years, implementation of dust-suppressing measures in USSR asbestos mills has led to significant decrease in dust levels. New cases of asbestosis and asbestotuberculosis in annual medical examinations have not been detected. For prevention of possible future incidence of these diseases, we plan to concentrat...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
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更新日期:1990-01-01 00:00:00
abstract:BACKGROUND:Construction workers move frequently from jobsite to jobsite, yet little is documented about length of stay on-site and associations with worker characteristics. METHOD:Using cross-sectional data, we investigated associations between worker characteristics (including trade and musculoskeletal pain) and leng...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22461
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Following the 1990-1991 Gulf War, Gulf War veterans (veterans) reported health symptoms more commonly than non-deployed groups. This article examines symptom persistence, incidence and prevalence 20 years on. METHODS:In 2000-2003 and 2011-2012, a 63-item symptom checklist was administered to 697 veterans an...
journal_title:American journal of industrial medicine
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doi:10.1002/ajim.22490
更新日期:2015-12-01 00:00:00
abstract::Studies describing respiratory health hazards for workers in swine production facilities have been published in the United States, Sweden, Canada, the Netherlands, and Denmark. Up to 50% of these workers experience bronchitis, organic dust toxic syndrome, hyper-reactive airways disease, chronic mucous membrane irritat...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(SICI)1097-0274(199601)29:1<33::AID-AJIM5>
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:Assess the national prevalence of current workplace exposure to potential skin hazards, secondhand smoke (SHS), and outdoor work among various industry and occupation groups. Also, assess the national prevalence of chronic workplace exposure to vapors, gas, dust, and fumes (VGDF) among these groups. METHODS:...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22089
更新日期:2013-06-01 00:00:00
abstract::Lifetime industrial and occupational histories of women with a medically-confirmed diagnosis of infertility (n = 281) were compared to a group of postpartum women (n = 216) for risks of infertility. Controlling for age of first pregnancy or self-report of infertility, date of outcome, cigarette use, and employment in ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199704)31:4<445::aid-ajim1
更新日期:1997-04-01 00:00:00
abstract::The occupational injury experience of the U.S. and Australian construction industries for 1988-1991 was compared to identify similarities and differences in risk and to share information vital for planning strategies for prevention. There were 4,158 deaths in the U.S. and 264 in the Australian construction industries....
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(SICI)1097-0274(199608)30:2<202::AID-AJIM1
更新日期:1996-08-01 00:00:00
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journal_title:American journal of industrial medicine
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更新日期:2010-09-01 00:00:00
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journal_title:American journal of industrial medicine
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更新日期:2000-05-01 00:00:00
abstract:BACKGROUND:Occupational Cancer Monitoring (OCCAM) is an Italian organization that monitors occupational cancers, by area and industrial sector, by retrieving cases and employment history from official databases. OCCAM previously estimated a relative risk (RR) of lung cancer of about 1.32 among "metal treatment" workers...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.21004
更新日期:2012-01-01 00:00:00
abstract::There is little known about the incidence of cancer among sewage workers. In this paper we examine findings from a retrospective cohort study of 487 white male sewer authority workers employed between January 1950 and October 1979. Vital status was ascertained for 93% of the cohort yielding a total of 6,886 person yea...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700190110
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:A number of employees at an aircraft factory were accidentally exposed to hydrogen sulfide. Because of concern that this may have resulted in lung injury, forty-seven workers were referred for clinical and physiological evaluation. METHODS:Comprehensive pulmonary function tests were performed including spir...
journal_title:American journal of industrial medicine
pub_type: 杂志文章,评审
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更新日期:2000-03-01 00:00:00
abstract::Chemically induced epidermal carcinogenesis is usually divided into two stages: initiation, which involves the conversion of some epidermal cells into latent neoplastic cells; and promotion, which results in tumors. The hallmark of chemical promoters is epidermal hyperplasia. The hyperplasia caused by a strong promote...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700080412
更新日期:1985-01-01 00:00:00
abstract::Investigators must often rely on self-reported work history information collected with questionnaires. However, little is known about the agreement between self-reported estimates of exposure and records kept by companies. As part of a cross-sectional medical study of structural fumigation workers, self-reported work ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199710)32:4<364::aid-ajim7
更新日期:1997-10-01 00:00:00
abstract::This study uses the National Mortality Followback Survey of 1986 to identify the top five Sentinel Health Events Occupational [SHE(O)s], the five leading causes of death, and to ascertain the primary occupations and industries associated with these. We found that, as expected, cardiovascular diseases were four of the ...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700270205
更新日期:1995-02-01 00:00:00
abstract::Combined data sources, including union administrative records and workers' compensation claims, were used to construct event histories for a dynamic cohort of union carpenters from Washington State during the period 1989-1992. Person-time at risk and the events of interest were stratified by age, sex, time in the unio...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/(sici)1097-0274(199712)32:6<629::aid-ajim9
更新日期:1997-12-01 00:00:00
abstract:BACKGROUND:This study updates information on mortality and cancer morbidity in a cohort of Norwegian talc workers. METHODS:Follow-up was extended with 24 years, covering 1953-2011. Comparisons were made with the general population and between subgroups within the cohort. RESULTS:Standardized mortality ratio for non-m...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22749
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:Knowledge on intrapulmonary lymph nodes (IPLNs) is still limited. Progress in imaging techniques has enabled easier, more frequent visualization of IPLNs so that a more comprehensive understanding of these nodes is necessary. METHODS:Microscopic slides of lung tissue from 2,337 dust-exposed South African mi...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20436
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND:A program of medical evaluation for former Savannah River Site (SRS) workers at health effects due to exposures to hazardous or radioactive agents was conducted. METHODS:This study includes data from 1,368 participants aged 45 years or older who were assessed regarding work-history and exposures to industri...
journal_title:American journal of industrial medicine
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doi:10.1002/ajim.20224
更新日期:2005-11-01 00:00:00
abstract:BACKGROUND:Construction industry workers are exposed to many hazards leading to fatal and nonfatal injuries. Information for nonfatal work-related injury surveillance may be vague and come from a variety of sources. METHODS:The Alaska Trauma Registry (ATR) is used as an injury surveillance tool to focus on hospitalize...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
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更新日期:2005-05-01 00:00:00
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journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22607
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:Few Canadian data sources allow the examination of disparities by ethnicity, language, or immigrant status in occupational exposures or health outcomes. However, it is possible to document the mechanisms that can create disparities, such as the over-representation of population groups in high-risk jobs. We e...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20845
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:The rate of lost-time sprains and strains in private nursing homes is over three times the national average, and for back injuries, almost four times the national average. The Ohio Bureau of Workers' Compensation (BWC) has sponsored interventions that were preferentially promoted to nursing homes in 2000-200...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20731
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:Farmworkers who delay treatment after workplace injuries may increase injury severity and experience longer recovery times. To understand why farmworkers delay treatment we employed a mixed-methods analysis of 393 farmworker injury narratives from the National Agricultural Workers Survey (NAWS). METHODS:Fir...
journal_title:American journal of industrial medicine
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doi:10.1002/ajim.22380
更新日期:2015-02-01 00:00:00
abstract::This paper reviews the epidemiological features of the accidents and illnesses in smelters and foundries affiliated with Instituto Mexicano del Seguro Social for the year 1977. The accident rate per 100 workers was 26, which was second to mining among all industries listed; this rate is almost double that for all fact...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.4700010304
更新日期:1980-01-01 00:00:00
abstract:BACKGROUND:The Oak Ridge, Tennessee Y-12 plant has operated as a nuclear materials fabrication plant since the 1940s. Given the work environment, and prior findings that lung cancer mortality was elevated among white male Y-12 workers relative to US white males, we investigated whether lung cancer mortality was associa...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.20254
更新日期:2006-02-01 00:00:00
abstract:BACKGROUND:Rates of musculoskeletal disorders in construction remain high. Few studies have described barriers and facilitators to the use of available ergonomic solutions. This paper describes these barriers and facilitators and their relationship to the level of adoption. METHODS:Three analysts rated 16 proposed erg...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22693
更新日期:2017-03-01 00:00:00
abstract:INTRODUCTION:The prevalence of violence to first responders is reported in ranges of approximately 40% to 90%. Pennsylvania has a felonious assault statute to address such violence, but the prosecutorial process has been noted to cause first-responder dissatisfaction. METHODS:An exploratory qualitative study using ind...
journal_title:American journal of industrial medicine
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更新日期:2019-11-01 00:00:00
abstract:BACKGROUND:This study explored perspectives of Northeast commercial lobstermen regarding the use of personal flotation devices (PFDs). Researchers sought to identify factors contributing to low PFD use, and motivators that could lead to increased use of PFDs. METHODS:This qualitative research (n = 72) included 25 comm...
journal_title:American journal of industrial medicine
pub_type: 杂志文章
doi:10.1002/ajim.22537
更新日期:2016-01-01 00:00:00