Nogalski Adam, Lübek Tomasz, Sompor Jacek, Karski Jerzy
Medical University of Lublin, Staszica 16, 20-081 Lublin, Poland.
Ann Agric Environ Med. 2007;14(2):253-8.
The objective of the study was to describe the characteristics of agriculture and forestry related injury cases admitted to an Emergency Department (ED), and to asses factors related to injury severity and hospital admission. Retrospective analysis of ED case records in Teaching Hospital No 1 in Lublin, from January 2004 to December 2005 were utilized.
patient>14 years old, with agriculture and forestry related injuries. Univariate and bivariate descriptive analyses and multiple logistic regressions were performed. 3791 cases were included, 63.1% males, 53.3% cases younger than 30 years and 47.1% of the patients sustained injuries related to machines or falls. After adjusting for age, sex and the presence of multiple injuries, animal related injuries, followed by machine related injuries and falls, were at higher risk of a more severe injury (OR: 1.77, 1.61 and 1.50, respectively). This groups also showed a higher likelihood of hospital admission (OR: 2.03, 192 and 2.00, respectively). Patients attended to in the ED during night hours (OR: 2.06) were also at a higher risk of hospitalization. It was concluded that animal related injuries, agriculture machine operators, and falls, besides accounting for two thirds of analyzed cases, are the mechanism of injury with a greater risk of a more severe injury and higher likelihood of a hospitalization.
本研究的目的是描述急诊科收治的农林相关损伤病例的特征,并评估与损伤严重程度和住院相关的因素。利用了卢布林第一教学医院2004年1月至2005年12月的急诊科病例记录进行回顾性分析。
年龄大于14岁,患有农林相关损伤。进行了单变量和双变量描述性分析以及多元逻辑回归。共纳入3791例病例,其中63.1%为男性,53.3%的病例年龄小于30岁,47.1%的患者因机器或跌倒受伤。在对年龄、性别和多处损伤的存在进行调整后,与动物相关的损伤,其次是与机器相关的损伤和跌倒,发生更严重损伤的风险更高(比值比分别为:1.77、1.61和1.50)。这组病例住院的可能性也更高(比值比分别为:2.03、1.92和2.00)。夜间在急诊科就诊的患者(比值比:2.06)住院风险也更高。得出的结论是,除了占分析病例的三分之二外,与动物相关的损伤、农业机械操作员和跌倒,是导致更严重损伤风险更高和住院可能性更大的损伤机制。