Çiftlik Kazalarında İzole Ortopedik Yaralanma Mekanizmalarının Değerlendirilmesi

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.

Anahtar Kelimeler:

çiftlik, ortopedi, kaza, tarım, yaralanma

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

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.

Keywords:

farm, orthopedic, accident, agriculture, injury,

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