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Fatal Agricultural Accidents in Kansas: A Thirty-One-Year Study.

Abstract Agricultural work results in numerous injuries and deaths. Efficacy of farm equipment safety interventions remains unclear. This study evaluated agricultural mortality pre- and postimplementation of safety initiatives. A 31-year retrospective review of mortality data from agriculture-related injuries was conducted. Demographics and injury patterns were evaluated by mechanism of injury. There were 660 deaths (mean age 48.6 years). Female deaths increased from 5.2 to 11.7 per cent (P = 0.032). Mortality associated with tractors decreased (75.6% vs 53.9%; P < 0.001) and with all-terrain vehicles increased (3.5% vs 22.0%; P < 0.001) from Period I to III. However, tractors remain the primary cause of mortality. For mechanical equipment-associated mortality, there was a decrease (83.3% vs 50.0%) in "caught in equipment," and an increase (6.7% vs 38.9%) in those killed by "crush injury" from Period I to III. Application of safety devices to enclose and stabilize machinery has led to an overall decrease in mortality associated with tractors and "caught in equipment." Expanded rural education, as well as further development and use of safety devices, is warranted to curtail farm-related injuries and deaths.
PMID
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Authors

Mayor MeshTerms

Agriculture

Equipment Safety

Keywords
Journal Title the american surgeon
Publication Year Start




PMID- 29712610
OWN - NLM
STAT- MEDLINE
DCOM- 20180509
LR  - 20180509
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 84
IP  - 4
DP  - 2018 Apr 1
TI  - Fatal Agricultural Accidents in Kansas: A Thirty-One-Year Study.
PG  - 581-586
AB  - Agricultural work results in numerous injuries and deaths. Efficacy of farm
      equipment safety interventions remains unclear. This study evaluated agricultural
      mortality pre- and postimplementation of safety initiatives. A 31-year
      retrospective review of mortality data from agriculture-related injuries was
      conducted. Demographics and injury patterns were evaluated by mechanism of
      injury. There were 660 deaths (mean age 48.6 years). Female deaths increased from
      5.2 to 11.7 per cent (P = 0.032). Mortality associated with tractors decreased
      (75.6% vs 53.9%; P &lt; 0.001) and with all-terrain vehicles increased (3.5% vs
      22.0%; P &lt; 0.001) from Period I to III. However, tractors remain the primary
      cause of mortality. For mechanical equipment-associated mortality, there was a
      decrease (83.3% vs 50.0%) in "caught in equipment," and an increase (6.7% vs
      38.9%) in those killed by "crush injury" from Period I to III. Application of
      safety devices to enclose and stabilize machinery has led to an overall decrease 
      in mortality associated with tractors and "caught in equipment." Expanded rural
      education, as well as further development and use of safety devices, is warranted
      to curtail farm-related injuries and deaths.
FAU - Haan, James M
AU  - Haan JM
FAU - Hauschild, Donald
AU  - Hauschild D
FAU - Patterson, Christine
AU  - Patterson C
FAU - Ward, Jeanette G
AU  - Ward JG
FAU - Helmer, Stephen D
AU  - Helmer SD
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Accidents, Occupational/*mortality/prevention &amp; control
MH  - Adult
MH  - Aged
MH  - *Agriculture
MH  - *Equipment Safety
MH  - Female
MH  - Humans
MH  - Kansas/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Occupational Injuries/etiology/*mortality/prevention &amp; control
MH  - Retrospective Studies
EDAT- 2018/05/02 06:00
MHDA- 2018/05/10 06:00
CRDT- 2018/05/02 06:00
PHST- 2018/05/02 06:00 [entrez]
PHST- 2018/05/02 06:00 [pubmed]
PHST- 2018/05/10 06:00 [medline]
PST - ppublish
SO  - Am Surg. 2018 Apr 1;84(4):581-586.