Injuries in agriculture – injury severity and mortality
PRINCIPALS: Accidents in agriculture are a problem of global importance. The hazards of working in agriculture are manifold (machines, animals, heights). We therefore assessed injury severity and mortality from accidents in farming.
METHODS: We retrospectively analysed all farming accidents treated over a 12-year period in the emergency department (ED) of our level I trauma centre.
RESULTS: Out of 815 patients 96.3% were male and 3.7% female (p <0.0001). A total of 70 patients (8.6%, 70/815) were severely injured. Patients with injuries to the chest were most likely to suffer from severe injuries (odds ratio [OR] 9.45, 95% confidence interval [CI] 5.59–16.00, p <0.0001), followed by patients with injuries to the abdomen (OR 7.06, 95% CI 3.22–15.43, p <0.0001) and patients with injuries to the head (OR 5.03, 95% CI 2.99–8.66, p <0.0001). Hospitalisation was associated with machine- and fall-related injuries (OR 22.39, 95% CI 1.95–4.14, p <0.0001 and OR 2.84 95% CI 1.68–3.41 p <0.001, respectively). Patients suffering from a fall and patients with severe injury were more likely to die than others (OR 3.32, 95% CI 1.07–10.29, p <0.037 and OR 9.17, 95% CI 6.20–13.56, p <0.0001, respectively). Fall height correlated positively with the injury severity score , hospitalisation and mortality (all p <0.0001).
CONCLUSION: Injuries in agriculture are accompanied by substantial morbidity and mortality, and range from minor injuries to severe multiple injuries. Additional prospective studies should be conducted on injury severity, long-term disability and mortality.
- Pickett W, Hartling L, Dimich-Ward H, Guernsey JR, Hagel L, Voaklander DC, et al. Surveillance of hospitalized farm injuries in Canada. Injury prevention: journal of the International Society for Child and Adolescent Injury Prevention. 2001;7(2):123–8. Epub 2001/06/29.
- Rautiainen RH, Lehtola MM, Day LM, Schonstein E, Suutarinen J, Salminen S, et al. Interventions for preventing injuries in the agricultural industry. Cochrane database of systematic reviews (Online). 2008(1):CD006398. Epub 2008/02/07.
- Young SK. Agriculture-related injuries in the parkland region of Manitoba. Canadian family physician Medecin de famille canadien. 1995;41:1190–7. Epub 1995/07/01.
- Crawford JM, Wilkins JR, 3rd, Mitchell GL, Moeschberger ML, Bean TL, Jones LA. A cross-sectional case control study of work-related injuries among Ohio farmers. Am J Ind Med. 1998;34(6):588–99. Epub 1998/11/17.
- Kachan D, Fleming LE, LeBlanc WG, Goodman E, Arheart KL, Caban-Martinez AJ, et al. Worker populations at risk for work-related injuries across the life course. Am J Ind Med. 2012;55(4):361–6. Epub 2011/12/16.
- Rivara FP. Fatal and non-fatal farm injuries to children and adolescents in the United States, 1990–3. Injury prevention: journal of the International Society for Child and Adolescent Injury Prevention. 1997;3(3):190–4. Epub 1997/10/27.
- Pickett W, Hartling L, Brison RJ, Guernsey JR. Fatal work-related farm injuries in Canada, 1991–1995. Canadian Agricultural Injury Surveillance Program. CMAJ: Canadian Medical Association journal = journal de l’Association medicale canadienne. 1999;160(13):1843–8. Epub 1999/07/16.
- Pickett W, Day L, Hagel L, Brison RJ, Marlenga B, Pahwa P, et al. The Saskatchewan Farm Injury Cohort: rationale and methodology. Public health reports (Washington, DC: 1974). 2008;123(5):567–75. Epub 2008/10/03.
- Nogalski A, Lubek T, Sompor J, Karski J. Agriculture and forestry work-related injuries among farmers admitted to an Emergency Department. Annals of agricultural and environmental medicine: AAEM. 2007;14(2):253–8. Epub 2008/02/06.
- Day L, Voaklander D, Sim M, Wolfe R, Langley J, Dosman J, et al. Risk factors for work related injury among male farmers. Occup Environ Med. 2009;66(5):312–8. Epub 2008/12/20.
- Lilley R, Day L, Koehncke N, Dosman J, Hagel L, William P. The relationship between fatigue-related factors and work-related injuries in the Saskatchewan Farm Injury Cohort Study. Am J Ind Med. 2012;55(4):367–75. Epub 2012/01/04.
- Statistik Bf. Landwirtschaftliche Betriebszählung. 2010 [cited 18.10.2012 18.10.2012]; Available from: http://www.bfs.admin.ch/bfs/portal/de/index/themen/07/03.html.
- Landwirtschaft Bf. Agrarbericht 2011. Bern: Bundesamt für Landwirtschaft; 2011. 1–284 p.
- Swiss Accident Statistics. 2011 [18.10.2012]; Available from: http://www.unfallstatistik.ch/d/publik/unfstat/pdf/Ts12.pdf. Last access 26.05.2013
- Genarelli Thomas W, Elaine. Abbreviated Injury Scale Update 2008. Association for the Advancement of Automotive Medicine. 2008;1(1).
- Injury Severity Score. 2012; Available from: http://www.trauma.org/archive/scores/iss.html.
- DeGroot JM, Isaacs C, Pickett W, Brison RJ. Patterns of fatal machine rollovers in Canadian agriculture. Chronic diseases and injuries in Canada. 2011;31(3):97–102. Epub 2011/07/08.
- Bolorunduro OB, Villegas C, Oyetunji TA, Haut ER, Stevens KA, Chang DC, et al. Validating the Injury Severity Score (ISS) in different populations: ISS predicts mortality better among Hispanics and females. J Surg Res. 2011;166(1):40–4. Epub 2010/09/11.
- Timmons SD, Bee T, Webb S, Diaz-Arrastia RR, Hesdorffer D. Using the abbreviated injury severity and Glasgow Coma Scale scores to predict 2-week mortality after traumatic brain injury. J Trauma. 2011;71(5):1172–8. Epub 2011/11/11.
- Voaklander DC, Hartling L, Pickett W, Dimich-Ward H, Brison RJ. Work-related mortality among older farmers in Canada. Canadian family physician Medecin de famille canadien. 1999;45:2903–10. Epub 2000/01/08.
- Angoules AG, Lindner T, Vrentzos G, Papakostidis C, Giannoudis PV. Prevalence and current concepts of management of farmyard injuries. Injury. 2007;38(Suppl 5):S27–34. Epub 2007/11/30.
- Solomon C. Accidental injuries in agriculture in the UK. Occupational medicine (Oxford, England). 2002;52(8):461–6. Epub 2002/12/19.
- Solomon C, Poole J, Palmer KT, Coggon D. Non-fatal occupational injuries in British agriculture. Occup Environ Med. 2007;64(3):150–4. Epub 2006/06/22.
- Murphy DJ, Myers J, McKenzie EA, Jr., Cavaletto R, May J, Sorensen J. Tractors and rollover protection in the United States. J Agromedicine. 2010;15(3):249–63. Epub 2010/07/29.