Citation

Robertson-More C, Wells BJ, Nickerson D, Kirkpatrick AW, Ball CG. Am. J. Surg. 2015; 210(3): 451-455.

Affiliation

Department of Surgery, University of Calgary, 1403 29 St NW, Calgary, Alberta, Canada, T2N 2T9. Electronic address: Ball.Chad@gmail.com.

Copyright

(Copyright © 2015, Elsevier Publishing)

DOI

10.1016/j.amjsurg.2015.01.023

PMID

26002190

Abstract

BACKGROUND: Work-related injuries (WRIs) represent a significant economic and logistical burden to healthcare systems.

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).

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).

CONCLUSION: Patients with WRIs were younger, less comorbid, male, and had significantly higher utilization of acute care resources despite a similar ISS.

Language: en