Damroth Karl, Damroth Rachel, Chaudhary Asad, Erickson Anfin, Heneghan Liam, Hellenthal Nicholas, Monie Daphne, Cooper Shelby, Anderson Mark, Kaufman Theodor
Am Surg. 2019 Jul 1;85(7):752-756.
To characterize both emergency room (ER) and hospital discharge dispositions of patients presenting with farm-related injuries. The 2012 National Trauma Data Bank was queried in August 2017 for injuries occurring on a farm. Patients were stratified by gender, age group, race, Injury Severity Score (ISS), and injury type. We performed logistic regression analysis to correlate parameters with likelihood of discharge home or death. values < 0.05 were considered significant. Five thousand six hundred thirty-one patients were identified, the majority of whom were male (72%) and white (85%). The most common mechanisms of injury included animal-related (29%), followed by falls, vehicles, and other causes. The highest ISSs were seen in vehicular injuries (11% ISS of 25+) and the greatest fatality rate was seen in machinery injuries (4%). Four thousand seven hundred fifty-three (84%) patients were admitted to the hospital, and 4056 (72%) were discharged home from the ER or after hospitalization. One hundred thirty patients (2%) died of their farm-related injury. Most patients presenting to the ER with farm-related injuries survive, are admitted to the hospital, and are ultimately discharged home. Few patients die of their injuries. Animal injury is most common and machinery injury most lethal of farm trauma patients presenting to the ER.
描述因农业相关损伤就诊患者的急诊室（ER）情况及出院处置情况。2017年8月查询了2012年国家创伤数据库中发生在农场的损伤情况。患者按性别、年龄组、种族、损伤严重程度评分（ISS）和损伤类型进行分层。我们进行了逻辑回归分析，以关联各参数与出院回家或死亡的可能性。P值<0.05被认为具有统计学意义。共识别出5631例患者，其中大多数为男性（72%）和白人（85%）。最常见的损伤机制包括与动物相关的（29%），其次是跌倒、车辆事故和其他原因。车辆损伤的ISS最高（11%的ISS≥25），机械损伤的死亡率最高（4%）。4753例（84%）患者入院治疗，4056例（72%）患者从急诊室或住院后出院回家。130例（2%）患者因农业相关损伤死亡。大多数因农业相关损伤就诊于急诊室的患者存活，入院治疗，并最终出院回家。很少有患者因伤死亡。动物致伤是急诊室中农业创伤患者最常见的致伤原因，机械致伤是最致命的原因。
