Injuries in agriculture – injury severity and mortality
PRINCIPALS: Accidents in agriculture are a problem of global importance. The hazards of working in agriculture are manifold (machines, animals, heights). We therefore assessed injury severity and mortality from accidents in farming. METHODS: We retrospectively analysed all farming ac...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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SMW supporting association (Trägerverein Swiss Medical Weekly SMW)
2013-08-01
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| Series: | Swiss Medical Weekly |
| Online Access: | https://www.smw.ch/index.php/smw/article/view/1737 |
| _version_ | 1811194267871215616 |
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| author | Carmen Andrea Pfortmueller Daniel Kradolfer Mirco Kunz Beat Lehmann Gregor Lindner Aristomenis Konstantinos Exadaktylos |
| author_facet | Carmen Andrea Pfortmueller Daniel Kradolfer Mirco Kunz Beat Lehmann Gregor Lindner Aristomenis Konstantinos Exadaktylos |
| author_sort | Carmen Andrea Pfortmueller |
| collection | DOAJ |
| description |
PRINCIPALS: Accidents in agriculture are a problem of global importance. The hazards of working in agriculture are manifold (machines, animals, heights). We therefore assessed injury severity and mortality from accidents in farming.
METHODS: We retrospectively analysed all farming accidents treated over a 12-year period in the emergency department (ED) of our level I trauma centre.
RESULTS: Out of 815 patients 96.3% were male and 3.7% female (p <0.0001). A total of 70 patients (8.6%, 70/815) were severely injured. Patients with injuries to the chest were most likely to suffer from severe injuries (odds ratio [OR] 9.45, 95% confidence interval [CI] 5.59–16.00, p <0.0001), followed by patients with injuries to the abdomen (OR 7.06, 95% CI 3.22–15.43, p <0.0001) and patients with injuries to the head (OR 5.03, 95% CI 2.99–8.66, p <0.0001). Hospitalisation was associated with machine- and fall-related injuries (OR 22.39, 95% CI 1.95–4.14, p <0.0001 and OR 2.84 95% CI 1.68–3.41 p <0.001, respectively). Patients suffering from a fall and patients with severe injury were more likely to die than others (OR 3.32, 95% CI 1.07–10.29, p <0.037 and OR 9.17, 95% CI 6.20–13.56, p <0.0001, respectively). Fall height correlated positively with the injury severity score , hospitalisation and mortality (all p <0.0001).
CONCLUSION: Injuries in agriculture are accompanied by substantial morbidity and mortality, and range from minor injuries to severe multiple injuries. Additional prospective studies should be conducted on injury severity, long-term disability and mortality.
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| first_indexed | 2024-04-12T00:24:14Z |
| format | Article |
| id | doaj.art-6822422c814248f0978b9d43f78f981a |
| institution | Directory Open Access Journal |
| issn | 1424-3997 |
| language | English |
| last_indexed | 2024-04-12T00:24:14Z |
| publishDate | 2013-08-01 |
| publisher | SMW supporting association (Trägerverein Swiss Medical Weekly SMW) |
| record_format | Article |
| series | Swiss Medical Weekly |
| spelling | doaj.art-6822422c814248f0978b9d43f78f981a2022-12-22T03:55:35ZengSMW supporting association (Trägerverein Swiss Medical Weekly SMW)Swiss Medical Weekly1424-39972013-08-01143353610.4414/smw.2013.13846Injuries in agriculture – injury severity and mortalityCarmen Andrea PfortmuellerDaniel KradolferMirco KunzBeat LehmannGregor LindnerAristomenis Konstantinos Exadaktylos PRINCIPALS: Accidents in agriculture are a problem of global importance. The hazards of working in agriculture are manifold (machines, animals, heights). We therefore assessed injury severity and mortality from accidents in farming. METHODS: We retrospectively analysed all farming accidents treated over a 12-year period in the emergency department (ED) of our level I trauma centre. RESULTS: Out of 815 patients 96.3% were male and 3.7% female (p <0.0001). A total of 70 patients (8.6%, 70/815) were severely injured. Patients with injuries to the chest were most likely to suffer from severe injuries (odds ratio [OR] 9.45, 95% confidence interval [CI] 5.59–16.00, p <0.0001), followed by patients with injuries to the abdomen (OR 7.06, 95% CI 3.22–15.43, p <0.0001) and patients with injuries to the head (OR 5.03, 95% CI 2.99–8.66, p <0.0001). Hospitalisation was associated with machine- and fall-related injuries (OR 22.39, 95% CI 1.95–4.14, p <0.0001 and OR 2.84 95% CI 1.68–3.41 p <0.001, respectively). Patients suffering from a fall and patients with severe injury were more likely to die than others (OR 3.32, 95% CI 1.07–10.29, p <0.037 and OR 9.17, 95% CI 6.20–13.56, p <0.0001, respectively). Fall height correlated positively with the injury severity score , hospitalisation and mortality (all p <0.0001). CONCLUSION: Injuries in agriculture are accompanied by substantial morbidity and mortality, and range from minor injuries to severe multiple injuries. Additional prospective studies should be conducted on injury severity, long-term disability and mortality. https://www.smw.ch/index.php/smw/article/view/1737 |
| spellingShingle | Carmen Andrea Pfortmueller Daniel Kradolfer Mirco Kunz Beat Lehmann Gregor Lindner Aristomenis Konstantinos Exadaktylos Injuries in agriculture – injury severity and mortality Swiss Medical Weekly |
| title | Injuries in agriculture – injury severity and mortality |
| title_full | Injuries in agriculture – injury severity and mortality |
| title_fullStr | Injuries in agriculture – injury severity and mortality |
| title_full_unstemmed | Injuries in agriculture – injury severity and mortality |
| title_short | Injuries in agriculture – injury severity and mortality |
| title_sort | injuries in agriculture injury severity and mortality |
| url | https://www.smw.ch/index.php/smw/article/view/1737 |
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