Araştırma Makalesi
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Çiftlik Kazalarında İzole Ortopedik Yaralanma Mekanizmalarının Değerlendirilmesi

Yıl 2021, Cilt: 26 Sayı: 2, 187 - 193, 29.05.2021
https://doi.org/10.21673/anadoluklin.799779

Öz

Amaç: Bu çalışmada çiftlik kazalarından ileri gelen ve ekstremitelerin etkilendiği ortopedik yaralan¬maların mekanizmalarını ve özelliklerini incelemek amaçlanmıştır.


Yöntem:
Çiftlik kazası kaynaklı izole ortopedik yaralanma ile acil servise başvuran 138 hastanın (31 kadın, 107 erkek) tıbbi kayıtları retrospektif olarak incelendi. Hasta yaş ve cinsiyeti, ya¬ralanma mekanizması, yaralanan bölge/ekstremite, yaralanma tipi, uygulanan tedavi, kaza yerinin hastaneye uzaklığı, kaza ile hastaneye geliş arasındaki tahmini süre, kaza mevsimi ve cilt bütünlüğü¬nün bozulup bozulmadığı ile ilgili veriler kaydedildi.


Bulgular:
Ortalama hasta yaşı 35,08 (7–71) yıldı. Yaralanmalar; binek hayvanı (n=14; %10,1), biçer¬döver/traktör ekipmanı (n=14; %10,1), büyükbaş hayvan (n=24; %17,4), testere/balta/çekiç (n=47; %34,1) ve traktör (n=23; %16,7) kullanımı sırasında ve yüksekten düşme (n=16; %11,6) sonucunda meydana gelmişti. Kazaların 23’ü (%16,7) ilkbahar, 66’sı (%47,8) yaz, 30’u (%21,7) sonbahar, 19’u (%13,8) kış mevsiminde gerçekleşmişti. Yaralanma mekanizması ile mevsim, cinsiyet ve yaralanan bölge arasında istatistiksel olarak anlamlı ilişki mevcuttu (p=0,001). Cilt bütünlüğünün bozulduğu vakalarda acil servise başvuru süresi daha kısaydı (p<0,05).


Sonuç:
Yaralanma mekanizması yapılan iş ve kullanılan makinelerle birlikte mevsime göre değişebilir. Cilt bütünlüğünün bozulup bozulmaması acil servise başvuru süresini etkileyebilir. Tarımda çalışan aileler içindeki iş bölümü neticesinde yaralanma mekanizması cinsiyete göre de değişim gösterebilir.

Destekleyen Kurum

çalışmanın herhangi bir destekçisi bulunmamaktadır

Proje Numarası

yok

Teşekkür

yok

Kaynakça

  • Kucaba G, Bebło K, Wojtaszek M, Filip D, Muster M, Narog M, et al. Evaluation of farmers’ first aid knowledge in most common injuries at work in agriculture: a pilot study. Eur J Clin Exp Med. 2017;15(1):12–7.
  • Say F, Coşkun HS, Erdoğan M, Bülbül AM, Gürler D. Causes of open fractures: orthopaedic injuries related to home-made agricultural vehicles in the Eastern Black Sea region of Turkey. Turk J Med Sci. 2016;46:972–6.
  • Kumar R, Singh P. Orthopedic trauma in hilly area of Kumaon region: a clinico-epidemiological study. Indian J Res Report Med Sci. 2013;3(2):13–5.
  • Copuroglu C, Heybeli N, Ozcan M, Yılmaz B, Çiftdemir M, Çopuroğlu E. Major extremity injuries associated with farmyard accidents. Sci World J. 2012;2012:314038.
  • Grandizio LC, Wagner B, Graham J, Klena JC. Upper extremity trauma resulting from agricultural accidents: mechanism and severity for patients with and without upper extremity injury. Hand. 2018;13(4):384–90.
  • Rathje C, Venegas A, Helmer SD, Drake RM, Ward JG, Haan JM. Pediatric farm injuries: morbidity and mortal¬ity. Kans J Med. 2017;10(4):92–5.
  • Gross N, Young T, Ramirez M, Leinenkugel K, Peek-Asa C. Characteristics of work- and non-work-related farm injuries. J Rural Health. 2015;31(4):401–9.
  • Bajracharya S. Farm related and wild animals inflicted injuries related to orthopaedics: epidemiology and pros¬pects for control. J Nobel Med Coll. 2017;6(2):53–7.
  • Cooper DKC. Accidents in agriculture. Injury. 1971;3(1):1–8.
  • Hunt ML, Jones MS, Secula D. Are Kentucky farmers prepared for farm-related emergencies? J Agromedicine. 2018;24(1):9–14.
  • Lodhi MFB, Yaqoob M, Pervaiz K, Irfan S, Akram M, Durechaman, et al. Agricultural machine injuries: a significant cause of morbidity. Pak J Med Health Sci. 2015;9(2):685–8.
  • Monk AS, Morgan DDV, Morris J, Radley RW. The cost of accidents in agriculture. J Agaric Eng Res. 1986;35:245–57.
  • Volkmer K, Molitor L. Interventions addressing injury among agricultural workers: a systematic review. J Agro¬medicine. 2019;24(1):26–34.
  • Yaffe MA, Kaplan FT. Agricultural injuries to the hand and upper extremity. J Am Acad Orthop Surg. 2014;22(10):605–13.
  • Akan AD, Durusoy R, Bai E, Kayalar M, Ada S, Tanik FA. Risk factors for hand injuries: relationship between agency and finger. Amer J Indust Med. 2012;55(5):465– 73.

An Evaluation of the Mechanisms of Isolated Orthopedic Injuries in Farm Accidents

Yıl 2021, Cilt: 26 Sayı: 2, 187 - 193, 29.05.2021
https://doi.org/10.21673/anadoluklin.799779

Öz

Aim: This study aimed to investigate the mechanisms and characteristics of isolated orthopedic injuries from farm accidents which involve the extremities.


Methods
: The medical records of 138 patients (31 females, 107 males) who presented to the emergency department with isolated orthopedic injuries from farm accidents were reviewed retrospectively. Data on patient age and sex, mechanism of injury, injured site/extremity, injury type, treatment performed, distance from accident location to hospital, approximate time from ac¬cident to hospital arrival, season of injury, and whether skin integrity was impaired were recorded.


Results:
The mean patient age was 35.08 (7–71) years. The injuries occurred during the use of riding animals (n=14, 10.1%), combine harvester/tractor equipment (n=14, 10.1%), cattle (n=24, 17.4%), saw/ ax/hammer (n=47, 34.1%) and tractors (n=23, 16.7%) and due to falling from height (n=16, 11.6%). Of all accidents, 23 (16.7%) occurred in spring, 66 (47.8%) in summer, 30 (21.7%) in autumn, and 19 (13.8%) in winter. Mechanism of injury was statistically significantly related to season, sex, and site of injury (p=0.001). The time to emergency department visit was shorter in cases with impaired skin integrity (p<0.05).


Conclusion
: The mechanism of injury can vary seasonally together with the works performed and machines used. The time to emergency department visit can vary according to whether skin integrity is impaired. As a result of the division of labor in families working in agricul¬ture, mechanism of injury can also vary by sex.

Proje Numarası

yok

Kaynakça

  • Kucaba G, Bebło K, Wojtaszek M, Filip D, Muster M, Narog M, et al. Evaluation of farmers’ first aid knowledge in most common injuries at work in agriculture: a pilot study. Eur J Clin Exp Med. 2017;15(1):12–7.
  • Say F, Coşkun HS, Erdoğan M, Bülbül AM, Gürler D. Causes of open fractures: orthopaedic injuries related to home-made agricultural vehicles in the Eastern Black Sea region of Turkey. Turk J Med Sci. 2016;46:972–6.
  • Kumar R, Singh P. Orthopedic trauma in hilly area of Kumaon region: a clinico-epidemiological study. Indian J Res Report Med Sci. 2013;3(2):13–5.
  • Copuroglu C, Heybeli N, Ozcan M, Yılmaz B, Çiftdemir M, Çopuroğlu E. Major extremity injuries associated with farmyard accidents. Sci World J. 2012;2012:314038.
  • Grandizio LC, Wagner B, Graham J, Klena JC. Upper extremity trauma resulting from agricultural accidents: mechanism and severity for patients with and without upper extremity injury. Hand. 2018;13(4):384–90.
  • Rathje C, Venegas A, Helmer SD, Drake RM, Ward JG, Haan JM. Pediatric farm injuries: morbidity and mortal¬ity. Kans J Med. 2017;10(4):92–5.
  • Gross N, Young T, Ramirez M, Leinenkugel K, Peek-Asa C. Characteristics of work- and non-work-related farm injuries. J Rural Health. 2015;31(4):401–9.
  • Bajracharya S. Farm related and wild animals inflicted injuries related to orthopaedics: epidemiology and pros¬pects for control. J Nobel Med Coll. 2017;6(2):53–7.
  • Cooper DKC. Accidents in agriculture. Injury. 1971;3(1):1–8.
  • Hunt ML, Jones MS, Secula D. Are Kentucky farmers prepared for farm-related emergencies? J Agromedicine. 2018;24(1):9–14.
  • Lodhi MFB, Yaqoob M, Pervaiz K, Irfan S, Akram M, Durechaman, et al. Agricultural machine injuries: a significant cause of morbidity. Pak J Med Health Sci. 2015;9(2):685–8.
  • Monk AS, Morgan DDV, Morris J, Radley RW. The cost of accidents in agriculture. J Agaric Eng Res. 1986;35:245–57.
  • Volkmer K, Molitor L. Interventions addressing injury among agricultural workers: a systematic review. J Agro¬medicine. 2019;24(1):26–34.
  • Yaffe MA, Kaplan FT. Agricultural injuries to the hand and upper extremity. J Am Acad Orthop Surg. 2014;22(10):605–13.
  • Akan AD, Durusoy R, Bai E, Kayalar M, Ada S, Tanik FA. Risk factors for hand injuries: relationship between agency and finger. Amer J Indust Med. 2012;55(5):465– 73.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm ORJİNAL MAKALE
Yazarlar

Ali Yüce 0000-0003-3751-6644

Proje Numarası yok
Yayımlanma Tarihi 29 Mayıs 2021
Kabul Tarihi 11 Ocak 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 26 Sayı: 2

Kaynak Göster

Vancouver Yüce A. An Evaluation of the Mechanisms of Isolated Orthopedic Injuries in Farm Accidents. Anadolu Klin. 2021;26(2):187-93.

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