TY - JOUR
T1 - Farm Machinery Injuries
T2 - The 15-Year Experience at an Urban Joint Trauma Center System in a Rural State
AU - Jawa, Randeep S.
AU - Young, David H.
AU - Stothert, Joseph C.
AU - Yetter, Diane
AU - Dumond, Robbie
AU - Shostrom, Valerie K.
AU - Cemaj, Samuel
AU - Rautiainen, Risto H.
AU - Mercer, David W.
N1 - Funding Information:
Randeep S. Jawa, David Young, Joseph Stothert, and David W. Mercer are affiliated with the Department of Surgery, University of Nebraska Medical Center, Omaha, Nebraska, USA. Diane Yetter is affiliated with the Trauma Program, Nebraska Medical Center, Omaha, Nebraska, USA. Robbie Dumond is affiliated with the Trauma Program, Creighton University Medical Center, Omaha, Nebraska, USA. Valerie K. Shostrom and Risto H. Rautiainen are affiliated with the College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska, USA. Samuel Cemaj is affiliated with Duke University, Durham, North Carolina, USA. This research was presented, in part, at the 7th annual Academic Surgical Congress in Las Vegas, Nevada, on February 14–16, 2012. The farm injury incidence data have been provided by the Nebraska Trauma Registry, which was supported by Nebraska Fifty-Cent for Life Cash Fund from Nebraska Department of Health and Human Services (NDHHS). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NDHHS. Address correspondence to: Randeep S. Jawa, MD, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198, USA (E-mail: [email protected]).
PY - 2013/4
Y1 - 2013/4
N2 - Farm machinery is a major source of injury. The objective of this study is to characterize the incidence, injury characteristics, and outcomes of patients admitted with farm machinery injuries (FMIs) to an urban joint trauma system in a rural state. A retrospective 15-year review of the trauma registries of the two trauma centers that function as a single state-designated Level I joint trauma center system was conducted. There were 65 admissions for FMIs at hospital A and 41 at hospital B; this represents under 0.4% of total trauma admissions. The patients ranged in age from 2 to 87 years. At hospital A, 89% of admitted patients sustained extremity injuries, 16% sustained torso trauma, 92% required surgical intervention, and the mortality rate was 0%. At hospital B, 60% of admitted patients sustained extremity injuries, 36.6% of patients sustained torso trauma, 63% required surgical intervention, and the mortality rate was 14.6%. Tractor-related injuries were responsible for 17% of admissions at hospital A and 69% at hospital B. Of the six fatalities, five were tractor related. The data demonstrate that FMIs affect people in nearly all decades of life. FMIs at the two hospitals had differing injury characteristics and outcomes, in large part secondary to the differing frequency of tractor-related injuries. FMIs frequently required surgical intervention.
AB - Farm machinery is a major source of injury. The objective of this study is to characterize the incidence, injury characteristics, and outcomes of patients admitted with farm machinery injuries (FMIs) to an urban joint trauma system in a rural state. A retrospective 15-year review of the trauma registries of the two trauma centers that function as a single state-designated Level I joint trauma center system was conducted. There were 65 admissions for FMIs at hospital A and 41 at hospital B; this represents under 0.4% of total trauma admissions. The patients ranged in age from 2 to 87 years. At hospital A, 89% of admitted patients sustained extremity injuries, 16% sustained torso trauma, 92% required surgical intervention, and the mortality rate was 0%. At hospital B, 60% of admitted patients sustained extremity injuries, 36.6% of patients sustained torso trauma, 63% required surgical intervention, and the mortality rate was 14.6%. Tractor-related injuries were responsible for 17% of admissions at hospital A and 69% at hospital B. Of the six fatalities, five were tractor related. The data demonstrate that FMIs affect people in nearly all decades of life. FMIs at the two hospitals had differing injury characteristics and outcomes, in large part secondary to the differing frequency of tractor-related injuries. FMIs frequently required surgical intervention.
KW - Farm
KW - farm machinery
KW - injury
KW - tractor
KW - trauma
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U2 - 10.1080/1059924X.2013.766145
DO - 10.1080/1059924X.2013.766145
M3 - Article
C2 - 23540300
AN - SCOPUS:84876005467
SN - 1059-924X
VL - 18
SP - 98
EP - 106
JO - Journal of Agromedicine
JF - Journal of Agromedicine
IS - 2
ER -