دورية أكاديمية
Mechanisms of Injury Among the Amish Population in Central Pennsylvania.
| العنوان: | Mechanisms of Injury Among the Amish Population in Central Pennsylvania. |
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| المؤلفون: | Whitney L; Department of Surgery, Division of Trauma and Acute Care Surgery, 209639Penn Medicine Lancaster General Hospital, Lancaster, PA, USA., Bonneville K; Department of Surgery, Division of Trauma and Acute Care Surgery, 209639Penn Medicine Lancaster General Hospital, Lancaster, PA, USA., Morgan M; 6556Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA., Perea LL; Department of Surgery, Division of Trauma and Acute Care Surgery, 209639Penn Medicine Lancaster General Hospital, Lancaster, PA, USA. |
| المصدر: | The American surgeon [Am Surg] 2022 Apr; Vol. 88 (4), pp. 608-612. Date of Electronic Publication: 2021 Nov 12. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress Original Publication: Atlanta Ga : Southeastern Surgical Congress |
| مواضيع طبية MeSH: | Amish* , Trauma Centers*, Accidental Falls ; Animals ; Child ; Humans ; Pennsylvania/epidemiology ; Retrospective Studies |
| مستخلص: | Background: Individuals presenting with traumatic injury in rural populations have significantly different injury patterns than those in urban environments. With an increasing Amish population, totaling over 33 000 in our catchment area, their unique way of life poses additional factors for injury. This study aims to evaluate differences in mechanism of injury, location of injury, and demographic patterns within the Amish population. We hypothesize that there will be an increased incidence of agriculture-related mechanisms of injury. Methods: All Amish trauma patients presenting to our level I trauma center over 20 years (1/2000-4/2020) were retrospectively analyzed. Mechanism and geographic location of injury were collected. Demographic and clinical variables were compared between the age groups. Results: There were 1740 patients included in the study with 36.4% (n = 634) ≤ 14 years. Only 10% (n = 174) were ≥ 65 years. The most common mechanism across all ages was falls. However, when separating out the pediatric population ( ≤ 14 years), 27.8% (n = 60) fell from a height on average > 8-10 feet. The most common geographic location of injury was at home in all age groups, except for the 15-24 year group, which was roadways. Discussion: The Amish population poses a unique set of mechanisms of injury and thus injury patterns to rural trauma centers. We have found the most common injuries to be falls, buggy accidents, animal-related injuries, and farming accidents across all age groups. Future research and collaboration with other rural trauma centers treating large Amish populations would be beneficial to maximize injury prevention in this population. Level of Evidence: Level 3a, epidemiological. |
| فهرسة مساهمة: | Keywords: Amish; Amish injury patterns; Amish trauma; mechanism of injury; traumatic injury |
| تواريخ الأحداث: | Date Created: 20211113 Date Completed: 20220316 Latest Revision: 20220316 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1177/00031348211050592 |
| PMID: | 34772280 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1555-9823 |
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| DOI: | 10.1177/00031348211050592 |