The burden of traumatic brain injury among adolescent and young adult workers in Washington State

ObjectiveThis study describes injury characteristics and costs of work-related traumatic brain injury (WRTBI) among 16-24 year olds in Washington State between 1998 and 2008.MethodsWRTBIs were identified in the Washington Trauma Registry (WTR) and linked to workers' compensation (WC) claims data. Medical and time-loss compensation costs were compared between workers with isolated TBI and TBI with other trauma.ResultsOf 273 WRTBI cases identified, most (61.5%) were TBI with other trauma. One-third of WRTBI did not link to a WC claim. Medical costs averaged $88,307 (median $16,426) for isolated TBI cases, compared to $73,669 (median $41,167) for TBI with other trauma.ConclusionsResults highlight the financial impact of WRTBI among young workers. Multiple data sources provided a more comprehensive picture than a single data source alone. This linked-data approach holds great potential for future traumatic occupational injury research.Impact on IndustryTBI among young workers not only involves long-term health and psychological impacts, but is costly as well.

► We linked trauma registry data and workers' compensation claims.
► Work-related traumatic brain injury (TBI) is a serious problem for young workers.
► Median medical costs ranged from $16,426 to $41,167 for work-related TBI.
► Median costs for compensated time lost from work ranged from $860 to $2,312.
► Using linked data offers enhanced injury information for research and surveillance.