Journal article
Nonfatal tractor-related injuries presenting to a state trauma system
Journal of safety research, Vol.53, pp.97-102
06/2015
DOI: 10.1016/j.jsr.2015.03.002
PMID: 25934002
Abstract
To identify tractor-related injuries using data from a statewide trauma system, to characterize the mechanisms of nonfatal tractor-related injury, and to determine which injuries are associated with higher severity injury.
A retrospective observational study was conducted using the Iowa State Trauma Registry to identify cases of nonfatal tractor-related injuries over an 11-year period from 2002 to 2012. Frequency of injury was reported by age, sex, severity, and nature. Injuries were classified by mechanism and a polytomous regression model was used to predict injury severity adjusting for sex and age.
Five-hundred thirteen nonfatal tractor-related injuries were identified with 18% classified as severe. Injuries were most frequent among males and among those ≥45years of age. Rollovers were the most frequent mechanism of both total (25%) and severe injury (38%), although the frequency of injury mechanism varied by age. Falls were the next most frequent mechanism of injury (20%) but resulted in fewer high-severity injuries. Collision (adjOR=1.89, 95% CI=1.01–3.51), rollover (adjOR=2.03, 95% CI=1.21–3.40), and run over/rolled on (adjOR=2.06, 95% CI=1.17–3.62) injuries were significantly associated with higher injury severity. Advanced age was also a significant predictor of higher severity injury (adjOR=1.82, 95% CI=1.06–3.12).
Mechanisms of nonfatal tractor-related injuries are heterogeneous, differ by age, and are associated with varying level of severity.
This work shows the burden of nonfatal tractor injuries on a rural state trauma system. These findings also demonstrate the heterogeneous nature of nonfatal tractor injuries and underscore the need for a multi-level approaches to injury prevention.
•We identify and characterize the nonfatal tractor injuries identified from a state trauma system over and 11-year period.•The most frequent mechanisms of injury were rollovers, falls, and run overs.•Run overs, rollovers, and collisions were mechanisms associated with high injury severity.•The heterogeneous nature of nonfatal tractor injuries necessitates a multi-pronged approach to injury prevention.
Details
- Title: Subtitle
- Nonfatal tractor-related injuries presenting to a state trauma system
- Creators
- Amanda R Swanton - Injury Prevention Research Center, University of Iowa, 2190 WL (Westlawn), Iowa City, IA 52242, USATracy L Young - Injury Prevention Research Center, University of Iowa, 2190 WL (Westlawn), Iowa City, IA 52242, USAKathy Leinenkugel - Iowa Department of Public Health, 321 E. 12th Street, Des Moines, IA 50319, USAJames C Torner - Injury Prevention Research Center, University of Iowa, 2190 WL (Westlawn), Iowa City, IA 52242, USACorinne Peek-Asa - Injury Prevention Research Center, University of Iowa, 2190 WL (Westlawn), Iowa City, IA 52242, USA
- Resource Type
- Journal article
- Publication Details
- Journal of safety research, Vol.53, pp.97-102
- DOI
- 10.1016/j.jsr.2015.03.002
- PMID
- 25934002
- NLM abbreviation
- J Safety Res
- ISSN
- 0022-4375
- eISSN
- 1879-1247
- Publisher
- Elsevier Ltd
- Grant note
- CDC/NIOSH U54 OH007548 / University of Iowa Great Plains Center for Agricultural Safety and Health
- Language
- English
- Date published
- 06/2015
- Academic Unit
- Public Health Administration; Occupational and Environmental Health; Epidemiology; Surgery; Nursing; Injury Prevention Research Center; Public Policy Center (Archive); Urology; Neurosurgery
- Record Identifier
- 9983995039802771
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