Increased Mortality Associated With Disability Among Workers' Compensation Claimants With Upper Extremity Neuropathy.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Journal of Occupational and Environmental Medicine Pub Date : 2023-09-01 DOI:10.1097/JOM.0000000000002910

Christopher J Martin, SueAnn Woods, Stephen Bertke, Lynne Pinkerton, Chuanfang Jin

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引用次数: 0

Abstract

Objective: The aim of the study was to evaluate and compare mortality after disabling and nondisabling occupational injuries.

Methods: Vital status was ascertained through 2020 for 2077 individuals with a workers' compensation claim for upper extremity neuropathy in West Virginia in 1998 or 1999. Standardized mortality ratios compared mortality to the West Virginia general population. Hazard ratios (HRs) obtained from Cox regression models compared mortality among those with and without lost work time or permanent disability.

Results: Overall, the standardized mortality ratio for accidental poisoning deaths was elevated (1.75, 95% confidence interval [CI]: 1.08-2.68). All-cause mortality HRs and cancer HRs were elevated for lost work time (HR = 1.09, 95% CI: 0.93-1.28; HR = 1.50, 95% CI: 1.09-2.08, respectively) and permanent disability (HR = 1.22, 95% CI: 1.04-1.44; HR = 1.78, 95% CI: 1.27-2.48, respectively).

Conclusions: Work-related disability was associated with broad elevations in mortality.

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上肢神经病变的工伤赔偿索赔者与残疾相关的死亡率增加。

目的:本研究的目的是评估和比较致残和非致残职业伤害后的死亡率。方法:对1998年或1999年在西弗吉尼亚州因上肢神经病变提出工伤赔偿索赔的2077名患者进行生命状态调查，直至2020年。标准化死亡率与西弗吉尼亚州一般人口的死亡率进行了比较。从Cox回归模型获得的风险比(hr)比较了有和没有失去工作时间或永久残疾的人的死亡率。结果:总体而言，意外中毒死亡的标准化死亡率升高(1.75,95%可信区间[CI]: 1.08-2.68)。全因死亡率HR和癌症HR因失去工作时间而升高(HR = 1.09, 95% CI: 0.93-1.28;HR = 1.50, 95% CI: 1.09-2.08)和永久性残疾(HR = 1.22, 95% CI: 1.04-1.44;HR = 1.78, 95% CI: 1.27-2.48)。结论:与工作有关的残疾与死亡率的普遍升高有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Occupational and Environmental Medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.20

自引率

9.40%

发文量

402

审稿时长

3-8 weeks

期刊介绍： Journal of Occupational and Environmental Medicine is an indispensable guide to good health in the workplace for physicians, nurses, and researchers alike. In-depth, clinically oriented research articles and technical reports keep occupational and environmental medicine specialists up-to-date on new medical developments in the prevention, diagnosis, and rehabilitation of environmentally induced conditions and work-related injuries and illnesses.