Pediatric Trauma Society

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A Comparison of Pediatric Farm Injuries that Present to United States Emergency Departments to Injuries Occurring at Homes, 2001-2013
Alicia L. Zagel, PhD, MPH1; Erica Handt, PA-C, MPAS2
1Children's Minnesota, Research Institute, Minneapolis, MN; 2Children's Minnesota, Trauma Services, Minneapolis, MN

Unintentional injuries are the leading causes of morbidity and mortality among youth in the U.S. Farm injuries are more severe than other injuries occurring during childhood, but there is little information regarding them. This study examines characteristics of farm injuries presenting to U.S. emergency departments and compares them to those occurring at homes.

Data from the National Electronic Injury Surveillance Systemís All Injury Program, years 2001-2013, was used to compare nationally-weighted estimates of unintentional injuries occurring on farms to those at homes in youth < 20 years old. Logistic regression compared odds of injury among characteristics by locale.

There were an estimated 266,059 unintentional injuries occurring on farms and 43,096,492 at homes among youth from 2001-2013. Farm injuries were more often among males (65.2%, 95% CI: 61.0-69.4) and youth ages 10-19 (72.4%, 95% CI: 69.5-75.4%) compared to at homes (males: 57.2%, 95% CI: 56.7-57.6%; age 10-19: 35.2%, 95% CI: 32.5-37.9%; p<0.01 for both). After adjusting for age and sex, the odds of an avulsion/amputation was 3.0 times greater (95% CI: 1.8-5.0), the odds of machinery causing injury was 63.0 times greater (95% CI: 48.9-81.3), and the odds of being hospitalized was 4.2 times greater (95% CI: 2.9-6.1) on farms compared to at homes.

Youth farm injuries are significantly different than injuries experienced during the typical course of childhood. There is a need to further understand injury prevention interventions among youth who live or are employed on farms to decrease the number and severity of farm-related injuries.

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