ABSTRACT

Utilizing emergency department admissions to estimate and describe agricultural injuries in the United States (U.S.) provides a unique view of one of the country’s most dangerous occupations. This study characterizes and provides nationally representative estimates of persons with non-fatal agricultural-related injuries treated in emergency departments in the U.S.

We conducted a cross-sectional study using U.S. Consumer Product Safety Commission, National Electronic Injury Surveillance System (NEISS) data for patients treated in emergency departments from January 1, 2015 to December 31, 2019. We queried all cases in the NEISS database using the location code “farm” and with a narrative search using relevant key words.

An estimated 62,079 people were treated in an emergency department for agricultural related injuries. The mean age estimate in this population was 39 years-old, with ages ranging from 1 to 95. Almost two-thirds of patients were male, and almost 80% were white. Approximately 30% and 22% of those injured were youth and elderly patients, respectively. The majority of injuries occurred from April through September. The most common injury was fracture, followed by open wound or amputation. There were significant differences between the body parts injured in youth versus adult patients. The primary source of injury was in the vehicles category, with tractors being the dominant vehicle type.

Agricultural vehicles remain a major source of injuries that require treatment in emergency departments. Previous methods of quantifying severe ag-related injuries were limited; our research utilized NEISS data to portray injury statistics more accurately.

摘要

利用急诊科入院来估计和描述美国 (US) 的农业伤害提供了对该国最危险职业之一的独特看法。本研究对在美国急诊科接受治疗的非致命农业相关伤害人员进行了描述并提供了具有全国代表性的估计值

我们使用美国消费品安全委员会的国家电子损伤监测系统 (NEISS) 数据对 2015 年 1 月 1 日至 2019 年 12 月 31 日在急诊科接受治疗的患者进行了一项横断面研究。我们使用位置代码“农场”并使用相关关键词进行叙述性搜索。

估计有 62,079 人因农业相关伤害在急诊科接受治疗。该人群的平均年龄估计为 39 岁，年龄从 1 岁到 95 岁不等。近三分之二的患者为男性，近 80% 为白人。大约 30% 和 22% 的受伤者分别是青年和老年患者。大多数伤害发生在四月到九月。最常见的损伤是骨折，其次是开放性伤口或截肢。青年与成年患者受伤的身体部位存在显着差异。伤害的主要来源是车辆类别，拖拉机是主要的车辆类型。

农用车辆仍然是需要急诊治疗的主要伤害来源。以前量化严重的 ag 相关损伤的方法是有限的；我们的研究利用 NEISS 数据来更准确地描述伤害统计数据。