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Related Experiment Videos

Childhood farm injuries.

S P Zietlow1, J A Swanson

  • 1Department of Surgery, Mayo Medical Center, Rochester, Minnesota 55905, USA.

The American Surgeon
|July 10, 1999
PubMed
Summary
This summary is machine-generated.

Agricultural trauma significantly impacts children, with machinery causing half of injuries. Many survivors face severe permanent disability, highlighting the need for targeted farm safety programs.

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Area of Science:

  • Pediatric Trauma Surgery
  • Agricultural Safety Research
  • Public Health Surveillance

Background:

  • Agriculture presents unique and severe injury risks to children and adolescents.
  • Farm-related trauma in minors requires specialized trauma center care and presents distinct epidemiological patterns.

Purpose of the Study:

  • To analyze the characteristics and outcomes of pediatric agricultural trauma admissions.
  • To identify injury patterns, treatment needs, and long-term consequences for children injured on farms.
  • To inform the development of targeted prevention strategies for childhood farm injuries.

Main Methods:

  • Retrospective review of 143 pediatric patients (<18 years) admitted for agriculture-related trauma to a Level I trauma center over a 6-year period (1991-1997).

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  • Data collected on injury mechanisms, seasonality, transport, injury types, interventions, and outcomes including mortality and permanent disability.
  • Analysis of geographical factors influencing transport time and access to definitive care.

    • Main Results:

    • Mechanized equipment accounted for 50% of injuries, with a seasonal and daytime pattern observed.
    • Long transport distances (mean 55 miles) and times (mean 2h 15min) were common due to rural geography.
    • Common injuries included fractures, amputations, head trauma, and soft-tissue infections; 33% experienced severe permanent disability, and 1.4% hospital mortality.

    Conclusions:

    • Pediatric agricultural trauma is associated with high rates of severe permanent disability, despite low in-hospital mortality.
    • Inefficiencies in emergency medical services transport and rural geography contribute to delayed definitive care.
    • Developed prevention programs aim to reduce the incidence and severity of childhood farm injuries.