Rathje Clint, Venegas Ashley, Helmer Stephen D, Drake Rachel M, Ward Jeanette G, Haan James M
University of Kansas School of Medicine-Wichita Department of Surgery.
Via Christi Health, Wichita, KS.
Kans J Med. 2017 Nov 30;10(4):1-12. eCollection 2017 Nov.
Agriculture is an industry where family members often live and work on the same premises. This study evaluated injury patterns and outcomes in children from farm-related accidents.
A 10-year retrospective review of farm-accident related injuries was conducted of patients 17 years and younger. Data collected included demographics, injury mechanism, accident details, injury severity and patterns, treatments required, hospitalization details, and discharge disposition.
Sixty-five patients were included; 58.5% were male and the mean age was 9.7 years. Median Injury Severity Score and Glasgow Coma Scale were 5 and 15, respectively. Accident mechanisms included animal-related (43.1%), fall (21.5%), and motor vehicle (21.5%). Soft tissue injuries, concussions and upper extremity fractures were the most common injuries observed (58.5%, 29.2%, and 26.2%, respectively). Twenty-six patients (40%) required surgical intervention. Mean hospital length of stay was 3.4 ± 4.7 days. The majority of patients were discharged to home (n = 62, 95.4%) and two patients suffered permanent disability.
Overall, outcomes for this population were favorable, but additional measures to increase safety, such as fall prevention, animal handling, and driver safety training should be advocated.
农业是一个家庭成员通常在同一处居住和工作的行业。本研究评估了农场相关事故中儿童的损伤模式及后果。
对17岁及以下因农场事故受伤的患者进行了为期10年的回顾性研究。收集的数据包括人口统计学信息、损伤机制、事故细节、损伤严重程度及模式、所需治疗、住院细节和出院处置情况。
纳入65例患者；其中58.5%为男性，平均年龄为9.7岁。损伤严重程度评分中位数和格拉斯哥昏迷量表评分分别为5分和15分。事故机制包括与动物相关（43.1%）、跌倒（21.5%）和机动车事故（21.5%）。观察到的最常见损伤为软组织损伤、脑震荡和上肢骨折（分别为58.5%、29.2%和26.2%）。26例患者（40%）需要手术干预。平均住院时间为3.4±4.7天。大多数患者出院回家（n = 62，95.4%），2例患者有永久性残疾。
总体而言，该人群的预后良好，但应倡导采取更多安全措施，如预防跌倒、动物处理和驾驶员安全培训。
