The epidemiology of horse-related injuries for different horse exposures, activities, and age groups in Queensland, Australia

Lang, Jacelle, Sathivelu, Maria, Tetsworth, Kevin, Pollard, Cliff, Harvey, Kathy and Bellamy, Nicholas (2014) The epidemiology of horse-related injuries for different horse exposures, activities, and age groups in Queensland, Australia. Journal of Trauma and Acute Care Surgery, 76 1: 205-212. doi:10.1097/TA.0b013e3182a9007e

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Author Lang, Jacelle
Sathivelu, Maria
Tetsworth, Kevin
Pollard, Cliff
Harvey, Kathy
Bellamy, Nicholas
Title The epidemiology of horse-related injuries for different horse exposures, activities, and age groups in Queensland, Australia
Journal name Journal of Trauma and Acute Care Surgery   Check publisher's open access policy
ISSN 2163-0755
2163-0763
Publication date 2014-01-01
Sub-type Article (original research)
DOI 10.1097/TA.0b013e3182a9007e
Open Access Status
Volume 76
Issue 1
Start page 205
End page 212
Total pages 8
Place of publication Baltimore, MD, United States
Publisher Lippincott Williams & Wilkins
Language eng
Formatted abstract
BACKGROUND: The dangers associated with horse riding, a popular activity throughout Australia, are well documented; yet, few studies have comprehensively described injuries caused by horses to nonriders. This study aimed to facilitate targeted injury prevention strategies and appropriate trauma management by describing all horse-related injuries, for both riders and nonriders, in Queensland, and identifying those at greatest risk.

METHODS: Horse-related injury data from 2005 to 2009 were extracted from the Queensland Trauma Registry. Descriptive comparisons were undertaken for demographic, injury, and acute care characteristics between riders and nonriders, between pediatric and adult cases, and between sports/leisure and work injuries. The relative risk of surgery by sex and between riders and nonriders was assessed.

RESULTS: More than 25% of injuries occurred in people not riding a horse. Nonriders sustained a significantly higher proportion of internal organ injuries, open wounds, as well as facial and pelvic/abdominal injuries. Females accounted for more than 80% of children who were injured while riding a horse. For adults, 25% were injured while working, and more than 66% of injured workers were male. Injuries most commonly occurred in regional areas. Surgery was most common among children, nonriders, and those with Injury Severity Score (ISS) of 1 to 8. The likelihood of surgery was 25% higher for nonriders (95% confidence interval, 1.14–1.38%).

CONCLUSION: Horse-related injuries are most prevalent in identifiable populations, particularly young female riders and adult males injured while working. Injuries inflicted by horses to nonriders contribute more than 27% of all horse-related injuries; however, most previous research has been limited to injured riders. Compared with riders, nonriders more frequently sustain internal, facial, and pelvic injuries; are male; and undergo surgery. The results of this study may be used to tailor prevention strategies and inform trauma management specific to the type of horse exposure, patient age, and activity engaged in when injured.
Keyword Horse-related injury
Horse rider
Nonrider
Work vs. sport/leisure activities
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2015 Collection
School of Medicine Publications
 
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Created: Wed, 29 Jan 2014, 22:46:28 EST by Adina Trutwin on behalf of National Research on Disability and Rehabilitation Medicine