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Pediatric Farm-related Injuries: A Series of 96 Hospitalized Patients

Center for Injury Research and Policy, Columbus Children’s Research Institute, Children’s Hospital, Columbus, Ohio, Department of Pediatrics, The Ohio State University College of Medicine and Public Health, Columbus, Ohio

Daniel J. Scherzer, MD

Department of Pediatrics, The Ohio State University College of Medicine and Public Health, Columbus, Ohio

Jeremy W. Buckley, MD

University of Michigan Health System, Department of Internal Medicine, Ann Arbor, Michigan

Kathryn J. Haley, RN

Trauma Program, Children’s Hospital, Columbus, Ohio

Brenda J. Shields, MS

Center for Injury Research and Policy, Columbus Children’s Research Institute, Children’s Hospital, Columbus, Ohio

Ninety-six children were admitted during a 9-year period to a pediatric level 1 trauma center for treatment of farm-related injuries. The age range was from 6 weeks to 17 years (median, 7.5 years; mean, 7.6 years; standard deviation, 4.4). Thirty-nine patients (40.6%) had an animal-related injury, including 36 children (37.5%) who had an injury associated with a horse. Amish children had an increased risk of horse-related injury when compared with non-Amish children (p=0.04; RR=2.09, 95% CI: 1.18<RR<3.70). Thirty-seven patients (38.5%) had farm machinery-related injuries, including 14 children (14.6%) with an injury associated with a tractor. Falls from buildings or haylofts accounted for injuries to 12 patients (12.5%). Head trauma accounted for 35 cases (36.4%), with skull fractures in 23 cases (24.0%). Animal-related injuries were significantly associated with head/maxillofacial trauma (p = 0.001; RR = 2.15, 95% CI: 1.35 <RR<3.41). Five children (5.2%) died, and one child with a severe brain injury was discharged to a long-term rehabilitation facility. Animals, especially horses, accounted for a large percentage of farm-related injuries in this population.

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