TY  - JOUR
PY  - 2015//
TI  - The economic and logistical burden of care for severe work-related injuries in a level 1 tertiary care trauma referral center
JO  - American journal of surgery
A1  - Robertson-More, Connal
A1  - Wells, Bryan J.
A1  - Nickerson, Duncan
A1  - Kirkpatrick, Andrew W.
A1  - Ball, Chad G.
SP  - 451
EP  - 455
VL  - 210
IS  - 3
N2  - BACKGROUND: Work-related injuries (WRIs) represent a significant economic and logistical burden to healthcare systems. <br><br>METHODS: All patients with severe WRIs (Injury Severity Score [ISS] ≥ 12) (1995 to 2013) were compared with patients with non-WRIs using standard methodology (P <.05). <br><br>RESULTS: A total of 1,270 (8.5%) trauma admissions were for severe WRIs (mean age = 45 years, male:female ratio = 2.8:1, mean ISS = 22.7). Compared with patients with non-WRIs, WRI patients were younger, male, and had fewer comorbidities. Despite equivalent ISS, WRIs had a longer intensive care unit length of stay, length of mechanical ventilation, and number of surgical/operative procedures. Fewer patients with WRIs died in hospital and more were discharged home without support services. The acute care economic burden of WRIs was higher (because of intensive care unit and operating theatre, and physician compensation) (all analyses, P <.05). <br><br>CONCLUSION: Patients with WRIs were younger, less comorbid, male, and had significantly higher utilization of acute care resources despite a similar ISS.<p />  <p>Language: en</p>
LA  - en
SN  - 0002-9610
UR  - http://dx.doi.org/10.1016/j.amjsurg.2015.01.023
ID  - ref1
ER  -