Young S K
Silver Heights Medical Group, Winnipeg.
Can Fam Physician. 1995 Jul;41:1190-7.
To review a series of farm injuries in the parkland region of Manitoba, compare the collected data to similar studies, and provide a baseline for deriving effective preventive measures for the local community.
Retrospective case study involving review of hospital charts.
The population studied was derived from the catchment area for Dauphin General Hospital, a referral centre servicing an agricultural region of 57,000 people.
Seventy-two patients were admitted to hospital between January 1981 and December 1991 after being injured by agricultural machines, farm animals, herbicides or other chemicals, and fertilizers. Four fatalities were identified through a review of local medical examiner records, for a total of 76 cases.
The following data were abstracted for each case: sex, age, time and date of injury, cause, type of injury, and body part involved.
Most cases involved men, between the ages of 20 and 69, during the afternoon and early evening with a seasonal peak in late summer. More than 60% of injuries were caused by agricultural machinery, followed by animal-related injuries (25%). Grain augers were the most common type of machine causing injury (35%). All patients younger than 9 years were female, and 75% of their injuries involved farm animals. A decreasing annual frequency of farm injuries was noted over the 11-year period. Fewer accidents involving farm machinery appear most responsible for this trend.
Many agriculture-related injuries occur in the parkland region of Manitoba. The type and pattern of injuries observed resembles those documented in other studies. With effective education and preventive measures, most injuries and fatalities could be prevented. Physicians are obliged to encourage and support educational programs in their communities and to review safety practices with patients.
回顾曼尼托巴省草原地区的一系列农场伤害事件，将收集到的数据与类似研究进行比较，并为当地社区制定有效的预防措施提供基线。
涉及查阅医院病历的回顾性病例研究。
研究人群来自多芬综合医院的服务区域，该医院是为一个拥有57000人的农业地区提供转诊服务的中心。
1981年1月至1991年12月期间，72名患者因农业机械、农场动物、除草剂或其他化学品以及肥料受伤后入院。通过查阅当地法医记录确定了4例死亡病例，共计76例。
为每个病例提取以下数据：性别、年龄、受伤时间和日期、原因、伤害类型以及涉及的身体部位。
大多数病例为20至69岁的男性，受伤时间在下午和傍晚，夏末为季节性高峰。超过60%的伤害由农业机械造成，其次是与动物相关的伤害（25%）。谷物螺旋输送机是造成伤害最常见的机械类型（35%）。所有9岁以下的患者均为女性，且她们75%的伤害涉及农场动物。在这11年期间，农场伤害的年发生频率呈下降趋势。涉及农业机械的事故减少似乎是造成这一趋势的主要原因。
曼尼托巴省草原地区发生了许多与农业相关的伤害事件。观察到的伤害类型和模式与其他研究记录的相似。通过有效的教育和预防措施，大多数伤害和死亡是可以预防的。医生有责任鼓励和支持其社区的教育项目，并与患者一起审查安全做法。
