scholarly journals Using hospitalization data for injury surveillance in agriculture, forestry and fishing: a crosswalk between ICD10CM external cause of injury coding and The Occupational Injury and Illness Classification System

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Erika Scott ◽  
Liane Hirabayashi ◽  
Judy Graham ◽  
Nicole Krupa ◽  
Paul Jenkins

Abstract Background While statistics related to occupational injuries exist at state and national levels, there are notable difficulties with using these to understand non-fatal injuries trends in agriculture, forestry, and commercial fishing. This paper describes the development and testing of a crosswalk between ICD-10-CM external cause of injury codes (E-codes) for agriculture, forestry, and fishing (AFF) and the Occupational Injury and Illness Classification System (OIICS). By using this crosswalk, researchers can efficiently process hospitalization data and quickly assemble relevant cases of AFF injuries useful for epidemiological tracking. Methods All 6810 ICD-10-CM E- codes were double-reviewed and tagged for AFF- relatedness. Those related to AFF were then coded into a crosswalk to OIICS. The crosswalk was tested on hospital data (inpatient, outpatient, and emergency department) from New York, Massachusetts, and Vermont using SAS9.3. Injury records were characterized by type of event, source of injury, and by general demographics using descriptive epidemiology. Results Of the 6810 E-codes available in the ICD-10-CM scheme, 263 different E-codes were ultimately classified as 1 = true case, 2 = traumatic/acute and suspected AFF, or 3 = AFF and suspected traumatic/acute. The crosswalk mapping identified 9969 patient records either confirmed to be or suspected to be an AFF injury out of a total of 38,412,241 records in the datasets, combined. Of these, 963 were true cases of agricultural injury. The remaining 9006 were suspected AFF cases, where the E-code was not specific enough to assign certainty to the record’s work-relatedness. For the true agricultural cases, the most frequent combinations presented were contact with agricultural/garden equipment (301), non-roadway incident involving off-road vehicle (222), and struck by cow or other bovine (150). For suspected agricultural cases, the majority (68.2%) represent animal-related injuries. Conclusions The crosswalk provides a reproducible, low-cost, rapid means to identify and code AFF injuries from hospital data. The use of this crosswalk is best suited to identifying true agricultural cases; however, capturing suspected cases of agriculture, forestry, and fishing injury also provides valuable data.

2017 ◽  
Vol 27 (2) ◽  
pp. 240-247
Author(s):  
Zhao Zhang ◽  
Paul H. Heinemann

A low-cost apple (Malus domestica) harvest-assist unit was recently developed to assist employees with fresh apple harvesting. This study reports on the economic analysis of this apple harvest-assist unit. Annual costs of the harvest-assist unit were calculated, including ownership and operational cost. Annual cost savings by increasing apple harvest efficiency, decreasing occupational injuries, improving work productivity in training, pruning, and thinning, and eliminating expenditures on purchasing ladders were calculated. When the annual costs are smaller than annual savings, the unit benefits apple orchard owners positively. Economic analysis results using orchard yields ranging from 25 to 45 Mg·ha−1 demonstrated that when the apple orchard area was larger than 7.6 ha, the unit always benefited orchard owners positively; when the orchard area was smaller than 4.2 ha, the unit always benefited orchard owners negatively. For large orchards, more than one unit was required to satisfy the operational needs. Of the top four U.S. apple production states, Washington, New York, and Michigan, benefitted from purchasing four units, three units, and two units, respectively, per typical farm. However, an average-sized orchard in Pennsylvania, would not benefit, due to small orchard size and low yield. A net present value (NPV) analysis was determined using data from Washington State, which yielded a return on the 8-year investment in the machinery of $888.44.


2016 ◽  
Vol 26 (1-2) ◽  
Author(s):  
Ebba Wergeland ◽  
Finn Gjertsen ◽  
Johan Lund

<p>SAMMENDRAG</p><p>Bakgrunn: I en tidligere studie av Arbeidstilsynets registreringer av arbeidsskadedødsfall 2000-2003 identifiserte<br />vi – med supplering fra SSB (Dødsårsaksregisteret) – i alt 214 dødsfall i landbasert arbeidsliv blant bosatte<br />i Norge. Av disse var 171 (80%) registrert i Arbeidstilsynet. Komplettheten varierte med næring og skadetype<br />slik at suppleringen endret risikobildet. I denne studien har vi brukt NAVs yrkesskadedata og forsikringsselskapenes<br />yrkesskaderegister DAYSY for å undersøke om ytterligere arbeidsskadedødsfall kunne identifiseres.<br />Metode: Yrkesskadesaker fra NAV og DAYSY med skadedato 2000-2003 og død innen ett år, ble gjennomgått<br />og sammenholdt på individnivå med opplysninger i Dødsårsaksregisteret.<br />Resultater: 32 nye arbeidsskadedødsfall ble identifisert. Gjennomsnittsalderen var lavere enn for de opprinnelige<br />214 (37 vs 46 år). Andelen dødsfall på grunn av transportulykker med personbil (ICD-10 V40-V49)<br />var høyere (41 vs 10%). Av de tilsammen 246 identifiserte dødsfall hadde Arbeidstilsynet registrert 70%, NAV<br />64%, Dødsårsaksregisteret 57% og DAYSY 20%.<br />Fortolkning: Tilleggsinformasjon fra NAV og DAYSY endret lite på det opprinnelige risikobildet basert på<br />informasjon fra Arbeidstilsynet og Dødsårsaksregisteret. Økningen i totalantallet stemte med vårt estimat basert<br />på to datakilder. Manglende registrering i NAV og DAYSY kan delvis skyldes at det ikke var fremmet krav fra<br />etterlatte om yrkesskadeytelser.</p><p> </p><p>Wergeland E, Gjertsen F, Lund J. Inadequate surveillance of fatal occupational injuries in Norwegian land<br />based activities. Nor J Epide miol 2016; 26 (1-2): 117-123.</p><p> </p><p>ENGLISH SUMMARY</p><p><br /><em>Background:</em> In a previous study of fatal occupational injuries 2000-2003 registered by the Norwegian Labour<br />Inspection Authority (NLIA) and supplemented from Statistics Norway (the Cause of Death Registry, CDR), we<br />identified a total of 214 deaths in land based industries among residents in Norway. From these, 171 (80%) had<br />been registered by the NLIA. The completeness in the NLIA register varied according to industry and type of<br />injury, so that supplementing from CDR altered the distribution of risk. In the present study we have supplemented<br />with two other data sources – the National Insurance Administration (NIA) and Finance Norway (FN)<br />for private insurance companies – in order to see if further deaths from occupational injuries could be identified.<br /><em>Method:</em> Cases of occupational injuries from NIA and FN with date of injury 2000-2003 and death within one<br />year, were scrutinized and compared individually with information in the CDR by means of their unique<br />personal identification number.<br /><em>Results:</em> 32 new cases of fatal occupational injuries were identified. The average age was lower than for the<br />original 214 (37 vs 46 years). The proportion of deaths of car occupants in transport accidents (ICD-10 V40-<br />V49) was higher (41 vs 10%). Due to the small number added, the overall risk distribution remained the same.<br />Of the total 246 deaths identified, the NLIA had registered 70%, NIA 64%, CDR 57% and FN 20%.<br /><em>Interpretation:</em> The additional information from NIA and FN did not markedly alter the risk distribution based<br />on information from NIA and CDR. The increase in total number of registered deaths from four sources was in<br />accordance with our estimated number based on two sources. Some of the incompleteness in registration by<br />NIA and FN indicates that not all the bereaved that were entitled to occupational injury compensation, had made<br />such request.</p><p> </p><p> </p>


2021 ◽  
Vol 55 (6) ◽  
Author(s):  
Jinky Leilanie Lu

Introduction. Deaths due to occupation are estimated to be around 2.3 million globally. These deaths may be accounted for as accidents and injuries related to workplaces. The latter is a common problem, especially in developing countries where manual and hazardous tasks are prevalent. Objective. The study aimed to provide an updated and detailed information on the current statistics and trends of occupational injuries in the Philippines. Methods. The data on occupational injuries and related injuries from 2011 to 2017 (latest data) were based on a systematic and comprehensive review of literature from different national and international sources, including scholarly journals, peer-reviewed articles, national surveys by Philippine Statistics Authority, the hospital-based recording data: Online National Electronic Injury Surveillance System (ONEISS) by the Department of Health and other reliable electronic data related to occupational injury. The latest statistics are 2017, although data were published in 2018 and 2019. Results. This study obtained from the national statistics showed that there is generally a decreasing trend of occupation injuries from 2011 (46,655 cases) to 2017 (38,235 cases). However, the occupational injuries generally increased from 2011 (48,975 cases) to 2015 (20,961 cases). The most affected sector was the manufacturing industry consistently from 2011 to 2017. With regards to workdays lost, the most common cause from 2011 to 2017 is temporary incapacity. Superficial injuries and open wounds were the most common, resulting in workdays lost consistently from 2013 to 2017. For the hospital data, the top causes of occupational injuries were vehicular accidents. Open wound/lacerations, abrasions, and contusion were the most common types of injuries for the same year range. Moreover, the 20-59 years old, the working-age population, were the common victims of these injuries. Occupational injuries were also prevalent across all industry groups, including informal occupations such as workers engaged in transportation, construction, mining, and agriculture and fisheries industries. Conclusion. Occupational injuries and accidents are global problems, most especially for developing countries. This study suggests that better focus should be given to workers as they are productive members of society.


2019 ◽  
Vol 24 (6) ◽  
pp. 689-696 ◽  
Author(s):  
LaVerne W. Thompson ◽  
Kathryn D. Bass ◽  
Justice O. Agyei ◽  
Hibbut-Ur-Rauf Naseem ◽  
Elizabeth Borngraber ◽  
...  

OBJECTIVETraumatic brain injury is a major sequela of nonaccidental trauma (NAT) that disproportionately affects young children and can have lasting sequelae. Considering the potentially devastating effects, many hospitals develop parent education programs to prevent NAT. Despite these efforts, NAT is still common in Western New York. The authors studied the incidence of NAT following the implementation of the Western New York Shaken Baby Syndrome Education Program in 1998.METHODSThe authors performed a retrospective chart review of children admitted to our pediatric hospital between 1999 and 2016 with ICD-9-CM and ICD-10-CM codes for types of child abuse and intracranial hemorrhage. Data were also provided by the Safe Babies New York program, which tracks NAT in Western New York. Children with a diagnosis of abuse at 0–24 months old were included in the study. Children who suffered a genuine accidental trauma or those with insufficient corroborating evidence to support the NAT diagnosis were excluded.RESULTSA total of 107 children were included in the study. There was a statistically significant rise in both the incidence of NAT (p = 0.0086) and the incidence rate of NAT (p = 0.0235) during the study period. There was no significant difference in trendlines for annual NAT incidence between sexes (y-intercept p = 0.5270, slope p = 0.5263). When stratified by age and sex, each age group had a distinct and statistically significant incidence of NAT (y-intercept p = 0.0069, slope p = 0.0374).CONCLUSIONSDespite educational interventions targeted at preventing NAT, there is a significant rise in the trend of newly reported cases of NAT, indicating a great need for better injury prevention programming.


Author(s):  
Dawn N. Castillo ◽  
Timothy J. Pizatella ◽  
Nancy A. Stout

This chapter describes occupational injuries and their prevention. It describes in detail the causes of injuries and epidemiology of injuries. Occupational injuries are caused by acute exposure in the workplace to safety hazards, such as mechanical energy, electricity, chemicals, and ionizing radiation, or from the sudden lack of essential agents, such as oxygen or heat. This chapter describes the nature and the magnitude of occupational injuries in the United States. It provides data on risk of injuries in different occupations and industries. Finally, it discusses prevention of injuries, using a hierarchical approach to occupational injury control.


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Satoko Ohfuji ◽  
Akira Takagi ◽  
Takashi Nakano ◽  
Hideaki Kumihashi ◽  
Munehide Kano ◽  
...  

Abstract Background In Japan, mumps vaccination coverage is low, since it is a voluntary vaccination. In this situation, the number of mumps cases as reported by pediatric sentinel hospitals suggests the occurrence of periodical mumps outbreaks. Methods To examine the annual incidences of mumps and mumps-related complications, we analyzed data from the health insurance reimbursement database for subscribers aged 0-64 years between 2005 and 2017. Cases with mumps and mumps-related complications including meningitis, orchitis, deafness, were extracted according to ICD-10 codes entered into the disease section for health insurance reimbursement. Results During the 13 year period, 68,307 of 5,209,660 subjects were reimbursed for mumps, with an incidence of 325 per 100,000 person-years (95% confidence interval (CI): 323-328). Among the 68,307 mumps cases, 787 were reimbursed for mumps-related complications, with an incidence of 11.5 per 1,000 mumps cases (95% CI: 10.7-12.4). Incidence of mumps-related complications (per 1,000 mumps cases) was highest for orchitis (6.6), followed by meningitis (5.8), deafness (1.3), pancreatitis (0.5), and encephalitis (0.3). Mumps incidence was highest among children aged 0-5 years, while incidence of mumps-related complications was highest among adults aged 26-35 years. Conclusions In Japan, the disease burden of mumps remains high among adults, as well as children. Key messages To reduce the disease burden of mumps among all ages in Japan, immunization in childhood is required. A national immunization program for children would result in high vaccination coverage and lower disease burden.


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