Gunderson P, Gerberich S, Gibson R, Adlis S, Carr P, Erdman A, Elkington J, French R, Melton J, True J
Minnesota Department of Health, Minneapolis 55440.
Am J Ind Med. 1990;18(2):169-78. doi: 10.1002/ajim.4700180209.
Information on agricultural trauma is limited and difficult to find. Planning for effective prevention strategies and evaluation is compromised by lack of a good surveillance system. Several agencies and organizations have provided some data. Although their summation is at best an approximation of the real situation, a critical review of current data bases is presented. The literature is also reviewed attempting to characterize agricultural trauma. This characterization was classified into: 1) case descriptions, 2) reviews of general articles on the hazards of farming, and 3) descriptive surveys of agricultural injuries. A summary of the available literature still leaves a rather superficial understanding of the entire injury picture. A new approach to surveillance is necessary to overcome past deficiencies. A combined modality approach is suggested, utilizing on-site survey, mail survey, telephone interviewing, and medical record verification. Trial applications of two such systems in Minnesota are described.
关于农业创伤的信息有限且难以获取。缺乏良好的监测系统，这不利于制定有效的预防策略和进行评估。一些机构和组织提供了一些数据。尽管这些数据的汇总充其量只是对实际情况的近似估计，但本文仍对当前的数据库进行了批判性审查。同时也对相关文献进行了回顾，试图描述农业创伤的特征。这种描述分为：1）病例描述；2）关于农业危害的一般性文章综述；3）农业伤害的描述性调查。现有文献的总结对整个伤害情况的理解仍然较为肤浅。有必要采用一种新的监测方法来克服过去的不足。建议采用一种综合方式，利用现场调查、邮件调查、电话访谈和病历核实。本文描述了在明尼苏达州对两个这样的系统的试验应用情况。
