American Medical Association impairment ratings and earnings losses due to disability.
American Medical Association impairment ratings and earnings losses due to disability.
复制标题
美国医学会损伤评级和因残疾造成的收入损失。
DOI：
10.1097/jom.0b013e3182794417
复制
发表时间：
2013
影响因子：
3.2
通讯作者：
Nuckols,Teryl
中科院分区：
文献类型：
--
作者：
Seabury,SethA;Neuhauser,Frank;Nuckols,Teryl
目的：研究减值评级和earnings loss.Methods之间的关联：我们进行了一项病例对照研究，21，663名工人的赔偿索赔人在加州与减值评级根据美国医学会指南，第五版。收入损失是指残疾发病3年后病例组和对照组收入之间的百分比差异。结果：损害评级与收入损失密切相关：1、10和20级的损失分别为9.0%、21.9%和34.6%（P< 0.01）。损失在身体各区域之间有显著差异。例如，损失为21.0%的脊柱损伤相比，18.4%的整体（P= 0.014）。结论：损伤评级是准确的预测残疾的严重程度平均，但他们的能力来衡量残疾可以改善与评级和收入损失之间的关系如何根据患者和损伤特征的其他信息。
Objectives:To examine the association between impairment ratings and earnings losses.Methods:We conducted a case-control study of 21,663 workers' compensation claimants in California with impairment ratings under the AMA Guides, fifth edition. Earnings losses represented the percent difference between the earnings of cases and controls 3 years after disability onset.Results:Impairment ratings were strongly associated with earnings losses: losses for ratings of 1, 10, and 20 were 9.0%, 21.9%, and 34.6%, respectively (P< 0.01). Losses differed significantly across body regions. For example, losses were 21.0% for spine impairments compared with 18.4% overall (P= 0.014).Conclusions:Impairment ratings are accurate predictors of disability severity on average, but their ability to measure disability could be improved with additional information on how the relationship between ratings and earnings loss varies according to patient and injury characteristics.