Trauma on Farms in the Republic of Ireland

•Farming is the most dangerous occupation in high-income countries worldwide.•Major trauma on farms affects all age groups, particularly those over 65 years old.•Common injury mechanisms were blow from an animal, low fall, fall more than two metres, crush injuries and vehicle injuries.•The median le...

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Bibliographic Details
Published in:Injury 2020-09, Vol.51 (9), p.2025-2032
Main Authors: Sheehan, Micheal, Brent, Louise, Deasy, Conor
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Agricultural trauma
Animals
Child
Child, Preschool
Emergency medical services
Emergency medicine
Farm trauma
Farming
Farms
Humans
Infant
Injury
Injury Severity Score
Intensive Care Units
Ireland - epidemiology
Length of Stay
Major trauma
Male
Middle Aged
Retrospective Studies
Silver trauma
Trauma Centers
Trauma team
Workplace injury
Wounds and Injuries - epidemiology
Wounds and Injuries - therapy
Young Adult
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Summary:•Farming is the most dangerous occupation in high-income countries worldwide.•Major trauma on farms affects all age groups, particularly those over 65 years old.•Common injury mechanisms were blow from an animal, low fall, fall more than two metres, crush injuries and vehicle injuries.•The median length of stay was six days; older patients stayed longer than younger patients (median 6 vs 12 days).•Farm trauma patients were more likely to arrive by helicopter than other Major Trauma Audit patients. Farming is the most dangerous occupation in high-income countries worldwide. However, there is a lack of descriptive literature in this area. Injuries on farms are increasing, at a time when the cohort of trauma patients generally has become older and more medically complex. Farmers continue to work late in life when other industry workers would be retired. This study describes major trauma occurring on farms in the Republic of Ireland, the demographics of patients and treatments they received. Data was gathered from the National Office of Clinical Audit Major Trauma Audit (MTA) 2014 to 2016. Patients were included and excluded based on Trauma Audit and Research Network(TARN) inclusion criteria. There were 430 patients included in this study. The median age was 54.5 years (range 1-93). There were 6.3%(n=27) paediatric patients, and 27%(n=116) over 65-year olds. Patients had predominantly low Charlson Comorbidity Index scores (median 0). Patients >65 years had more comorbidities (p
ISSN:0020-1383
1879-0267
DOI:10.1016/j.injury.2020.05.001