2013-09-01 12:00 - Messages

Work-Related Knee Injuries Treated in US Emergency Departments

Objective: To characterize work-related knee injuries treated in US emergency departments (EDs). Methods: We characterized work-related knee injuries treated in EDs in 2007 and examined trends from 1998 to 2007 by using the National Electronic Injury Surveillance System—occupational supplement. Results: In 2007, 184,300 (±54,000; 95% confidence interval) occupational knee injuries were treated in US EDs, accounting for 5% of the 3.4 (±0.9) million ED-treated occupational injuries. The ED-treated knee injury rate was 13 (±4) injuries per 10,000 full-time equivalent workers. Younger workers and older female workers had high rates. Strains/sprains and contusions/abrasions were common—frequently resulting from falls and bodily reaction/overexertion events. Knee injury rates declined from 1998 through 2007. Conclusions: Knee injury prevention should emphasize reducing falls and bodily reaction/overexertion events, particularly among all youth and older women.

Source : Chen, Zhiqiang MD, PhD, MSPH; Chakrabarty, Sangita MD, MSPH; Levine, Robert S. MD; Aliyu, Muktar H. MD, MPH, DrPH; Ding, Tan MS; Jackson, Larry L. Journal of Occupational & Environmental Medicine, September 2013, Vol. 55, no 9, p. 1091–1099. http://dx.doi.org/10.1097/JOM.0b013e31829b27bf

Fatal Occupational Injuries Down from 2011 to 2012

The U.S. BLS released its Census of Fatal Occupational Injuries Summary, 2012, reporting that overall worker fatalities were down by 6.6% from 2011 to 2012, reducing the injury rate by 0.3 per 100,000 workers. However, construction, mining, and oil and gas extraction fatalities increased in 2012.

Source : http://www.bls.gov/news.release/cfoi.nr0.htm?utm_source=Ennouncements+09-12-13&utm_campaign=Ennouncements+9-12-13&utm_medium=email

A comparison of fatal occupational injury event characteristics from the Census of Fatal Occupational Injuries and the Vital Statistics Mortality System

OBJECTIVES: The aim of this study was to examine utility of appending International Classification of Diseases (ICD) codes from Vital Statistics Mortality (VSM) data to Bureau of Labor Statistics (BLS) Census of Fatal Occupational Injuries (CFOI), and compare occupational event characteristics based on ICD external cause and BLS Occupational Injury and Illness Classification System (OIICS) event codes. METHODS: We linked VSM records with CFOI records for 2003 and 2004. RESULTS: Ninety-five percent of approximately 11,000 CFOI cases were linked to VSM cases. Linked data suggest that CFOI OIICS event and VSM ICD codes identified similar leading events. However, VSM data were generally less specific. CONCLUSION: Lack of detail inherent in ICD codes and death narratives limits specificity of injury characteristics in VSM data. Appending ICD codes to CFOI appears to offer little value. Research comparing work- and non-work-related events may be better served by having a defined framework to crosswalk both coding schemes to facilitate comparisons. IMPACT ON INDUSTRY: Over the last two decades, both ICD and OIICS have been used to characterize occupational injury circumstances; however, this is the first study to use linked case comparisons of the OIICS and ICD codes at a detailed level. This study confirmed that multiple source data systems provide more detail surrounding an incident than a single source data system does. Our results suggest that OIICS-coded CFOI data are a better source for occupational injury research and prevention purposes. For future comparison studies requiring ICD, it would be advantageous to have a defined framework that could easily be used to map both coding schemes (OIICS and ICD).

Source : Suzanne M. Marsh, Larry L. Jackson, A comparison of fatal occupational injury event characteristics from the Census of Fatal Occupational Injuries and the Vital Statistics Mortality System, Journal of Safety Research, Volume 46, September 2013, Pages 119-125, ISSN 0022-4375, http://dx.doi.org/10.1016/j.jsr.2013.05.004.

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