@article{ref1,
title="Nonfatal tractor-related injuries presenting to a state trauma system",
journal="Journal of safety research",
year="2015",
author="Swanton, Amanda R. and Young, Tracy L. and Leinenkugel, Kathy and Torner, James C. and Peek-Asa, Corinne L.",
volume="53",
number="",
pages="97-102",
abstract="PURPOSE: To identify tractor-related injuries using data from a statewide trauma system, to characterize the mechanisms of nonfatal tractor-related injury, and to determine which injuries are associated with higher severity injury. <br><br>METHODS: A retrospective observational study was conducted using the Iowa State Trauma Registry to identify cases of nonfatal tractor-related injuries over an 11-year period from 2002 to 2012. Frequency of injury was reported by age, sex, severity, and nature. Injuries were classified by mechanism and a polytomous regression model was used to predict injury severity adjusting for sex and age. <br><br>RESULTS: Five-hundred thirteen nonfatal tractor-related injuries were identified with 18% classified as severe. Injuries were most frequent among males and among those ≥45years of age. Rollovers were the most frequent mechanism of both total (25%) and severe injury (38%), although the frequency of injury mechanism varied by age. Falls were the next most frequent mechanism of injury (20%) but resulted in fewer high-severity injuries. Collision (adjOR=1.89, 95% CI=1.01-3.51), rollover (adjOR=2.03, 95% CI=1.21-3.40), and run over/rolled on (adjOR=2.06, 95% CI=1.17-3.62) injuries were significantly associated with higher injury severity. Advanced age was also a significant predictor of higher severity injury (adjOR=1.82, 95% CI=1.06-3.12). SUMMARY: Mechanisms of nonfatal tractor-related injuries are heterogeneous, differ by age, and are associated with varying level of severity. PRACTICAL APPLICATIONS: This work shows the burden of nonfatal tractor injuries on a rural state trauma system. These findings also demonstrate the heterogeneous nature of nonfatal tractor injuries and underscore the need for a multi-level approaches to injury prevention.<p /> <p>Language: en</p>",
language="en",
issn="0022-4375",
doi="10.1016/j.jsr.2015.03.002",
url="http://dx.doi.org/10.1016/j.jsr.2015.03.002"
}