Workplace Assault Is Independently Associated With Mortality: A National Trauma Data Bank Analysis

Objective: Outcome comparisons between workplace versus nonworkplace ssaults have not been studied. We hypothesize that workplace attacks are more lethal. Methods: Utilizing the National Trauma Data Bank 7.0, cases of assault with a work-related status were examined. Outcomes (complications and mortality) between the workgroup and the nonworkgroup are compared. Results: Of 48,541 cases, 2439 (5.0%) were workgroup. Mortality was 6.4% in the workgroup versus 5.3% in the nonworkgroup (P = 0.02). For firearms, mortality was 14.6% versus 10.9%, respectively (P < 0.01). The incidence of complications was 5.2% versus 1.3% (P < 0.01), respectively. An assault perpetrated at the workplace was independently associated with mortality and complications. Conclusions: Workplace assault independently predicts death, particularly in relation to firearms. Measures must be taken to reduce this risk to the workforce.