Forst L, Erskine T
Division of Environmental and Occupational Health Sciences, School of Public Health, University of Illinois, Chicago, USA.
J Agric Saf Health. 2009 Apr;15(2):171-83. doi: 10.13031/2013.26803.
Agriculture has among the highest numbers and rates of fatal and nonfatal traumatic injuries in the U.S. Surveillance is an integral part of injury prevention. However, traditional sources of surveillance data are incomplete and inaccurate in describing agricultural injuries. The goals of this research are to describe acute, traumatic farm injuries in Ohio utilizing the Ohio EMS prehospital (ambulance run) database, and to explore the database's utility in agricultural injury surveillance. Ohio mandates reporting of responses to every call for emergency medical services (EMS) in the state. A dataset containing every transported injury case from 2003-2006 was obtained A descriptive analysis of farm injuries was conducted and compared to existing surveillance sources. Of the total transported injuries, 15% (1714 injured individuals) came from farms. "Falls" were the most common cause of injury in all age groups except ages 15-24, in which "off-road vehicles" were most common. Other leading causes include "ridden animal", "machinery", and "caused by animal". These results are similar to other data sources. Strengths of EMS databases include mandatory reporting, low expense, and lack of need for employer or worker reporting. They may be used to look at injury severity, quality of acute care, resource allocation, and to assess the need for specialized training of EMS personnel. Limitations are lack of specificity for work-related agricultural injuries and variation in definitions of data elements. EMS prehospital databases are an important source of data for agricultural injury surveillance.
在美国，农业领域的致命和非致命创伤性损伤数量及发生率都处于高位。监测是伤害预防的一个重要组成部分。然而，传统的监测数据来源在描述农业伤害方面并不完整且不准确。本研究的目的是利用俄亥俄州紧急医疗服务（EMS）院前（救护车出诊）数据库描述俄亥俄州急性创伤性农场伤害情况，并探讨该数据库在农业伤害监测中的效用。俄亥俄州规定要报告该州每一次紧急医疗服务呼叫的响应情况。获取了一个包含2003年至2006年每例转运伤害病例的数据集。对农场伤害进行了描述性分析，并与现有的监测来源进行了比较。在所有转运的伤害病例中，15%（1714名受伤个体）来自农场。“跌倒”是除15至24岁年龄组外所有年龄组中最常见的伤害原因，在15至24岁年龄组中“越野车辆”是最常见的。其他主要原因包括“骑乘动物”、“机械”和“动物致伤”。这些结果与其他数据来源相似。EMS数据库的优点包括强制报告、成本低以及无需雇主或工人报告。它们可用于查看伤害严重程度、急性护理质量、资源分配以及评估对EMS人员进行专门培训的需求。局限性在于对与工作相关的农业伤害缺乏特异性，以及数据元素定义存在差异。EMS院前数据库是农业伤害监测的重要数据来源。
