J Korean Soc Traumatol.  2017 Sep;30(3):80-86. 10.20408/jti.2017.30.3.80.

Analysis of Cultivator-related Trauma Cases in a Regional Trauma Center in the Rural Area of Gyeongbuk Province

Affiliations
  • 1Department of Trauma Surgery, Andong Medical Group Hospital, Andong, Korea.
  • 2Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea. wkafyddl@hanmail.net

Abstract

PURPOSE
To analyze the data of patients who suffered trauma in a cultivator accident and visited the trauma center in rural Gyeongbuk Province.
METHODS
We retrospectively reviewed the medical records and Korean Trauma Data Bank data of 120 patients who suffered cultivator-related traumas and visited the rural regional trauma center in Gyeongbuk Province from January to December 2015.
RESULTS
The age of the patients ranged from 35 to 96 years (mean, 70 years). Ninety-one (75.8%) patients were men, and twenty-nine (24.2%) were women. Most of the patients were in their 70s (46 men [50.5%] and 13 women [44.8%]). In total, 113 patients (94.1%) arrived at the regional trauma center by ground transport and 7 (5.9%) arrived by air transport. Ninety-eight patients (81.7%) were transported to the regional trauma center directly from the scene of the accident, and twenty-two (18.3%) were transferred from another medical institute. The mean time from the accident to arrival at the emergency department was 139 minutes, and only 46 patients (38.3%) arrived within 1 hour. Twelve (10.0%) patients died, including two deaths on arrival and two post- cardiopulmonary resuscitation deaths in the emergency department. All deaths were of male cultivator operators. The causes of death were shock (hypovolemic, traumatic, or septic), subdural hematoma (open), hemothorax, rhabdomyolysis, and pneumonia.
CONCLUSIONS
As the government - led regional trauma center project is on process, it would be clinically important to summarize the initial outcome of cultivator injuries, which are characteristically found more in regional trauma centers in the rural area, and have high mortality. Based on this study, in the future, it will be necessary to follow up and analyze more number of patients and to construct accurate database about trauma cases related to cultivator in Gyeongbuk region.

Keyword

Trauma; Agriculture; Transportation; Treatment

MeSH Terms

Agriculture
Cardiopulmonary Resuscitation
Cause of Death
Emergency Service, Hospital
Female
Follow-Up Studies
Gyeongsangbuk-do*
Hematoma, Subdural
Hemothorax
Humans
Male
Medical Records
Mortality
Pneumonia
Retrospective Studies
Rhabdomyolysis
Shock
Transportation
Trauma Centers*
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