Farm Machinery Injuries: The 15-Year Experience at an Urban Joint Trauma Center System in a Rural State

Details

• Personal Author:
  Cemaj S ; Dumond R ; Jawa RS ; Mercer DW ; Rautiainen RH ; Shostrom VK ; Stothert JC ; Yetter D ; Young DH
• Description:
  Farm machinery is a major source of injury. The objective of this study is to characterize the incidence, injury characteristics, and outcomes of patients admitted with farm machinery injuries (FMIs) to an urban joint trauma system in a rural state. A retrospective 15-year review of the trauma registries of the two trauma centers that function as a single state-designated Level I joint trauma center system was conducted. There were 65 admissions for FMIs at hospital A and 41 at hospital B; this represents under 0.4% of total trauma admissions. The patients ranged in age from 2 to 87 years. At hospital A, 89% of admitted patients sustained extremity injuries, 16% sustained torso trauma, 92% required surgical intervention, and the mortality rate was 0%. At hospital B, 60% of admitted patients sustained extremity injuries, 36.6% of patients sustained torso trauma, 63% required surgical intervention, and the mortality rate was 14.6%. Tractor-related injuries were responsible for 17% of admissions at hospital A and 69% at hospital B. Of the six fatalities, five were tractor related. The data demonstrate that FMIs affect people in nearly all decades of life. FMIs at the two hospitals had differing injury characteristics and outcomes, in large part secondary to the differing frequency of tractor-related injuries. FMIs frequently required surgical intervention. [Description provided by NIOSH]
• Subjects:
  Agriculture Farmers Manufacturing And Industrial Facilities Mortality Occupational Health Safety
• Keywords:
  Agricultural Machinery Agricultural Workers Author Keywords: Farm Farm Machinery Fatalities Injury Machine Operation Machine Operators Medical Treatment Mortality Rates Tractor Tractors Trauma Traumatic Injuries

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• ISSN:
  1059-924X
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Nebraska ; North Carolina ; OSHA Region 4 ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  98-106
• Volume:
  18
• Issue:
  2
• NIOSHTIC Number:
  nn:20055136
• Citation:
  J Agromedicine 2013 Apr; 18(2):98-106
• Contact Point Address:
  Randeep S. Jawa, MD, Department of Surgery, University of Nebraska Medical Center, Omaha, NE 68198, USA
• Email:
  rjawa@unmc.edu
• Federal Fiscal Year:
  2013
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of Nebraska Medical Center - Omaha
• Peer Reviewed:
  True
• Start Date:
  20110901
• Source Full Name:
  Journal of Agromedicine
• End Date:
  20270831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:e938255e81604823d2936e7a6d543b2476007523192b4f2e1c0a80b8aa6ffcb36e55b61df0c550a539964c35b5ec452d5826dfe9afa72b0bf02d799b9360c1e2
• Download URL:
  https://stacks.cdc.gov/view/cdc/217499/cdc_217499_DS1.pdf
• File Type:
  [PDF - 298.46 KB ]