Department of Surgery, Division of Trauma and Acute Care Surgery, 209639Penn Medicine Lancaster General Hospital, Lancaster, PA, USA.
6556Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA.
Am Surg. 2022 Apr;88(4):608-612. doi: 10.1177/00031348211050592. Epub 2021 Nov 12.
Individuals presenting with traumatic injury in rural populations have significantly different injury patterns than those in urban environments. With an increasing Amish population, totaling over 33 000 in our catchment area, their unique way of life poses additional factors for injury. This study aims to evaluate differences in mechanism of injury, location of injury, and demographic patterns within the Amish population. We hypothesize that there will be an increased incidence of agriculture-related mechanisms of injury.
All Amish trauma patients presenting to our level I trauma center over 20 years (1/2000-4/2020) were retrospectively analyzed. Mechanism and geographic location of injury were collected. Demographic and clinical variables were compared between the age groups.
There were 1740 patients included in the study with 36.4% (n = 634) ≤ 14 years. Only 10% (n = 174) were ≥ 65 years. The most common mechanism across all ages was falls. However, when separating out the pediatric population ( ≤ 14 years), 27.8% (n = 60) fell from a height on average > 8-10 feet. The most common geographic location of injury was at home in all age groups, except for the 15-24 year group, which was roadways.
The Amish population poses a unique set of mechanisms of injury and thus injury patterns to rural trauma centers. We have found the most common injuries to be falls, buggy accidents, animal-related injuries, and farming accidents across all age groups. Future research and collaboration with other rural trauma centers treating large Amish populations would be beneficial to maximize injury prevention in this population.
Level 3a, epidemiological.
农村地区创伤患者的损伤模式与城市环境中的患者明显不同。在我们的收容区，阿米什人口总数超过 33000 人，他们独特的生活方式带来了额外的受伤因素。本研究旨在评估阿米什人群中损伤机制、损伤部位和人口统计学模式的差异。我们假设与农业相关的损伤机制发生率会增加。
回顾性分析了 20 年来（1/2000-4/2020）在我们一级创伤中心就诊的所有阿米什创伤患者。收集了损伤机制和地理损伤位置。比较了各年龄组之间的人口统计学和临床变量。
研究纳入 1740 例患者，其中 36.4%（n=634）≤14 岁。≥65 岁的患者仅占 10%（n=174）。所有年龄段最常见的损伤机制都是跌倒。然而，当将儿科患者（≤14 岁）分离出来时，27.8%（n=60）平均从 8-10 英尺高的地方坠落。所有年龄段最常见的损伤部位都是家中，15-24 岁年龄组除外，该组损伤部位在道路上。
阿米什人群存在一组独特的损伤机制，因此对农村创伤中心的损伤模式也有独特性。我们发现，所有年龄段最常见的损伤是跌倒、马车事故、动物相关损伤和农业事故。未来的研究以及与其他治疗大型阿米什人群的农村创伤中心的合作将有助于最大限度地预防该人群的伤害。
3a 级，流行病学。
