Pfortmueller, Carmen A.; Kradolfer, Daniel; Kunz, Mirco; Lehmann, Beat; Lindner, Gregor; Exadaktylos, Aristomenis K. (2013). Injuries in agriculture-injury severity and mortality. Swiss medical weekly, 143, w13846. EMH Schweizerischer Ärzteverlag 10.4414/smw.2013.13846
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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.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center 04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine 04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine |
UniBE Contributor: |
Pfortmüller, Carmen, Lehmann, Beat, Lindner, Gregor, Exadaktylos, Aristomenis |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1424-7860 |
Publisher: |
EMH Schweizerischer Ärzteverlag |
Language: |
English |
Submitter: |
Patricia Rajaonina |
Date Deposited: |
01 Apr 2014 10:17 |
Last Modified: |
05 Dec 2022 14:31 |
Publisher DOI: |
10.4414/smw.2013.13846 |
PubMed ID: |
23986350 |
BORIS DOI: |
10.7892/boris.47285 |
URI: |
https://boris.unibe.ch/id/eprint/47285 |
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