TY  - JOUR
PY  - 2019//
TI  - Descriptive evaluation of methods for identifying work-related emergency department injury visits
JO  - American journal of industrial medicine
A1  - Harduar Morano, Laurel
A1  - Richardson, David
A1  - Proescholdbell, Scott
SP  - 568
EP  - 579
VL  - 62
IS  - 7
N2  - BACKGROUND: Use of worker's compensation (WC) as payer underestimates work-related (WR) injuries. We evaluated three methods to identify WR injuries: WC as payer, ICD-9-CM work-status codes E000.0/E000.1, and other ICD-9-CM external cause codes. <br><br>METHODS: We identified injury-related emergency department visits from North Carolina's syndromic surveillance system (2010-2013). Characteristics were compared by indicator. We manually reviewed 800 admission notes to confirm if the visit was WR or non-WR; WR keywords from the review were applied to all visits. <br><br>RESULTS: 133 156 injury-related visits (age, 16 years or older) were identified: WC = 69%, work-status codes = 18%, other ICD-9-CM codes = 13%. Among manually reviewed visits: few visits identified by WC (0.3%) or work-status codes (2%) were non-WR, while 12% of other ICD-9-CM code identified visits were non-WR; 53%, 46%, and 31% of visits identified by WC, work-status codes, and other ICD-9-CM codes were WR, respectively. <br><br>CONCLUSIONS: Findings support use of WC and work-status codes to capture WR injuries; other ICD-9-CM codes should be used with caution or in combination with other indicators.<br><br>© 2019 Wiley Periodicals, Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0271-3586
UR  - http://dx.doi.org/10.1002/ajim.22984
ID  - ref1
ER  -