Pediatric Farm Injuries: Morbidity and Mortality.

Autor:	Rathje C; University of Kansas School of Medicine-Wichita Department of Surgery., Venegas A; University of Kansas School of Medicine-Wichita Department of Surgery., Helmer SD; University of Kansas School of Medicine-Wichita Department of Surgery.; Via Christi Health, Wichita, KS., Drake RM; University of Kansas School of Medicine-Wichita Department of Surgery., Ward JG; Chandler Regional Medical Center, Chandler, Arizona., Haan JM; University of Kansas School of Medicine-Wichita Department of Surgery.; Via Christi Health, Wichita, KS.
Jazyk:	angličtina
Zdroj:	Kansas journal of medicine [Kans J Med] 2017 Nov 30; Vol. 10 (4), pp. 1-12. Date of Electronic Publication: 2017 Nov 30 (Print Publication: 2017).
Abstrakt:	Background: Agriculture is an industry where family members often live and work on the same premises. This study evaluated injury patterns and outcomes in children from farm-related accidents. Methods: A 10-year retrospective review of farm-accident related injuries was conducted of patients 17 years and younger. Data collected included demographics, injury mechanism, accident details, injury severity and patterns, treatments required, hospitalization details, and discharge disposition. Results: Sixty-five patients were included; 58.5% were male and the mean age was 9.7 years. Median Injury Severity Score and Glasgow Coma Scale were 5 and 15, respectively. Accident mechanisms included animal-related (43.1%), fall (21.5%), and motor vehicle (21.5%). Soft tissue injuries, concussions and upper extremity fractures were the most common injuries observed (58.5%, 29.2%, and 26.2%, respectively). Twenty-six patients (40%) required surgical intervention. Mean hospital length of stay was 3.4 ± 4.7 days. The majority of patients were discharged to home (n = 62, 95.4%) and two patients suffered permanent disability. Conclusions: Overall, outcomes for this population were favorable, but additional measures to increase safety, such as fall prevention, animal handling, and driver safety training should be advocated.
Databáze:	MEDLINE
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