Use of the Washington State Trauma Registry for Occupational Injury Surveillance

描述(申请人提供)：急性工作相关创伤仍然是美国工人死亡和残疾的主要原因，对工人补偿系统和整个社会来说代价非常高昂。该项目的总体目标是探索和记录华盛顿州创伤登记处(WTR)，将其作为以前未得到充分利用的数据来源，用于工伤监测和职业健康服务研究。主要的假设是，WTR对于工伤研究是有用的，无论是作为一个独立的数据源，还是作为华盛顿州劳工和工业部(L&I)维护的工人赔偿索赔数据的补充数据来源。WTR包含L和I索赔数据中没有的相关信息，或者只包含索赔子集的相关信息。这项研究将探索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病例的确定、识别高危人群、识别新的或新出现的伤害模式、改进职业创伤预防计划，并有助于评估不同亚群的漏报和不同工人索赔申请。这项研究涉及两个国家来源的现有电子行政数据的链接和二次分析，这两个来源是WTR和L&I工人索赔。这项研究的时间跨度为11年，从1998年到2008年，以便于评估一段时间内的趋势。具体目标1：描述WTR捕获的与工作有关的伤害，探索并记录WTR作为职业伤害监测/研究的资源。具体目标2：探索和记录将WTR数据与华盛顿州工人赔偿索赔数据联系起来，以加强以州为基础的职业伤害研究的可行性和实用性。具体目标3：探索和记录L和我的索赔数据中工伤陈述不足的程度，以及WTR有助于确定病例的潜力。根据严重程度和种族/族裔，评估代表性不足的趋势是否随着时间的推移、总体和严重程度的变化而出现。具体目标4：描述付款人的分布情况，并评估WTR捕获的工伤付款人覆盖面的总体和按严重程度和种族/族裔划分的趋势。 公共卫生相关性：急性工伤仍然是美国工人死亡和残疾的主要原因，对工人补偿系统和整个社会来说代价非常高昂。这项研究将探索华盛顿州创伤登记处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病例的确定、识别高危人群、识别新的或新出现的伤害模式、改进职业创伤预防计划，并有助于评估漏报和不同工人的赔偿申请。

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.