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Farm Injuries: Animal Most Common, Machinery Most Lethal: An NTDB Study.
Most farm-related injuries treated in the emergency room (ER) result in survival and hospital discharge. While animal-related incidents are most common, machinery injuries carry the highest fatality risk for farm trauma patients.
Area of Science:
- Trauma surgery
- Agricultural medicine
- Public health
Background:
- Farm-related injuries represent a significant public health concern.
- Understanding patient disposition is crucial for resource allocation and prevention strategies.
- Previous studies have not fully characterized emergency room and hospital discharge outcomes for farm injuries.
Purpose of the Study:
- To characterize emergency room (ER) and hospital discharge dispositions of patients with farm-related injuries.
- To identify factors influencing patient outcomes, including survival and mortality.
- To compare injury mechanisms and their associated severity and fatality rates.
Main Methods:
- Analysis of the 2012 National Trauma Data Bank for farm-related injuries.
- Stratification of patients by demographics, Injury Severity Score (ISS), and injury type.
- Logistic regression analysis to determine predictors of discharge home or death.
Main Results:
- 5,631 patients were identified; 72% male, 85% white.
- Most common injuries: animal-related (29%), falls, vehicles, machinery.
- Highest ISS in vehicular injuries; highest fatality rate (4%) in machinery injuries.
- 84% admitted to hospital; 72% discharged home from ER or after hospitalization.
- 2% (130 patients) died from farm-related injuries.
Conclusions:
- The majority of patients with farm-related injuries presenting to the ER survive and are discharged home.
- Machinery-related injuries are the most lethal among farm trauma cases.
- Animal-related injuries are the most frequent cause of farm trauma.
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