• Ronald M Wrona.
• Washington State Department of Labor and Industries, Olympia, WA 98516, USA. ronwrona@comcast.net
• J Safety Res. 2006 Jan 1;37(1):75-81.

ProblemTraumatic brain injury (TBI) is a public health problem but little is known about the nature of that problem in the working population.MethodThe author used a national definition to identify cases in Washington State from workers' compensation (WC) hospital billing data, quantified the cost of WC insurance benefits using actuarial cost estimates, and identified high risk industries using ANSI Z16.2 typology.ResultsThere were 928 cases of TBI with a lifetime claim cost of $159 million from the Washington State Fund (1994-2001). Sixty percent of injuries resulted in death or disability. The highest risks of TBI are concentrated in 16 industrial insurance risk classes and the highest costs in 19 North American Industry Classification codes. Injury scenarios were identified for nine industrial insurance risk classes.ConclusionsTBI is a disabling and costly workplace injury in the state of Washington, affecting even teenagers and seniors who are not generally considered to be part of the workforce. Injury typology codes provide useful information for improving workplace safety.Impact On IndustryThis research provides industry with quantitative information regarding the cost of work-related traumatic brain injury and the usefulness of using workers' compensation claims data to reduce the burden of workplace injury.

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