Use of the Washington State Trauma Registry for Occupational Injury Surveillance

描述（由申请人提供）：与工作有关的急性创伤仍然是美国工人死亡和残疾的主要原因，对工人的赔偿制度和整个社会来说都是非常昂贵的。该项目的总体目标是探索和记录华盛顿州创伤登记处（WTR）作为以前未充分利用的数据来源，为工伤监测和职业健康服务研究。主要的假设是，WTR是有用的工伤研究作为一个独立的数据源，并作为一个数据源的补充工人的赔偿要求的数据由华盛顿州劳工和工业部（L&I）。WTR包含的相关信息要么不存在于L&I索赔数据中，要么只存在于一部分索赔中。这项研究将探讨华盛顿州创伤登记处（WTR）作为监测数据来源的未开发潜力，这些数据可用于改善严重职业创伤的病例确定，识别高危人群，识别新的或新兴的伤害模式，改善职业创伤预防计划，并协助评估各亚群体提交的工人赔偿申请的少报和差异。这项研究涉及链接和二级分析现有的电子行政数据从两个国家的来源，WTR和L&I工人的赔偿要求。这项研究涵盖了1998年至2008年的11年，以便评估长期趋势。具体目标1：描述由WTR捕获的与工作有关的伤害，并探索和记录WTR作为职业伤害监测/研究的资源。具体目标二：探索并记录将WTR数据与华盛顿州工人赔偿索赔数据联系起来的可行性和实用性，以加强基于州的职业伤害研究。具体目标3：探索并记录L&I索赔数据中与工作有关的创伤性伤害的代表性不足的程度，以及WTR有助于案件确定的潜力。评价是否存在代表性不足随时间推移的趋势，总体情况以及严重程度和种族/民族。具体目标4：描述付款人的分布，并评估WTR所捕获的与工作有关的创伤性伤害的付款人覆盖范围的趋势，总体和严重程度以及种族/民族。 公共卫生相关性：与工作有关的急性创伤仍然是美国工人死亡和残疾的主要原因，对工人的赔偿制度和整个社会来说代价高昂。这项研究将探讨华盛顿州创伤登记处未开发的潜力，作为一个来源的监测数据，可用于改善严重职业创伤的情况下确认，确定高风险人群，确定新的或正在出现的伤害模式，提高职业创伤预防计划，并有助于评估漏报和差异工人的赔偿索赔申请。

DESCRIPTION (provided by applicant): Acute work-related trauma remains a leading cause of death and disability among U.S. workers, and is very costly for workers' compensation systems and society as a whole. The overall goal of this project is to explore and document the Washington State Trauma Registry (WTR) as a previously underutilized source of data for work-related injury surveillance and occupational health services research. The primary hypothesis is that the WTR is useful for work-related injury research both as a stand-alone data source and as a source of data supplemental to the workers' compensation claims data maintained by the Washington State Department of Labor and Industries (L&I). The WTR contains pertinent information either not present in L&I claims data or present only for a subset of claims. This study will explore the untapped potential of the Washington State Trauma Registry (WTR) to serve as a source of surveillance data that could be used to improve case ascertainment for severe occupational traumatic injuries, identify populations at high risk, identify new or emerging injury patterns, improve occupational traumatic injury prevention programs, and contribute to assessments of under-reporting and differential workers' compensation claim filing by various subpopulations. This study involves linkage and secondary analysis of existing electronic administrative data from two state sources, the WTR and L&I workers' compensation claims. This study covers a span of 11 years, 1998 through 2008, to allow assessment of trends over time. Specific Aim 1: Describe work-related injuries captured by the WTR and explore and document the WTR as a resource for occupational injury surveillance/research. Specific Aim 2: Explore and document the feasibility and utility of linking WTR data to Washington State workers' compensation claims data to enhance state-based occupational injury research. Specific Aim 3: Explore and document the extent of under-representation of work-related traumatic injuries in L&I claims data and the potential of the WTR to contribute to case ascertainment. Evaluate whether there are trends in under-representation over time, overall and by severity and race/ethnicity. Specific Aim 4: Describe the distribution of payers and evaluate trends in payer coverage for work-related traumatic injuries captured by the WTR, overall and by severity and race/ethnicity. PUBLIC HEALTH RELEVANCE: Acute work-related trauma remains a leading cause of death and disability among U.S. workers, and is very costly for workers' compensation systems and society as a whole. This study will explore the untapped potential of the Washington State Trauma Registry to serve as a source of surveillance data that could be used to improve case ascertainment for severe occupational traumatic injuries, identify populations at high risk, identify new or emerging injury patterns, improve occupational traumatic injury prevention programs, and contribute to assessments of under-reporting and differential workers' compensation claim filing.