@article{ref1,
title="Horse and cattle-related trauma: a retrospective review of injuries and management in a regional Queensland hospital",
journal="Curēus",
year="2023",
author="Savage, Gabriella and Liesegang, Amanda and Campbell, Jakob and Lyon, Matthew and Fry, Damian",
volume="15",
number="3",
pages="e35746-e35746",
abstract="BACKGROUND: Horse and cattle-related trauma is a common presentation to regional hospitals in Australia. We review local incidence and patterns of injuries relating to horse and cattle trauma over a three-year period at the Toowoomba Base Hospital within the Darling Downs region in Queensland, an area rich in cattle farming and equestrian recreation. <br><br>METHODS: We conducted a single-centre retrospective cohort study. The inclusion criteria were all patients presenting with injuries following cattle or horse-related incidents between January 2018 and April 2021. Primary outcomes were the mechanism of trauma, confirmed injuries, and the need for admission, operative intervention, or inter-hospital transfer. <br><br>RESULTS: A total of 1002 individuals (55% female; mean age 34 years; median Injury Severity Score (ISS) 2) were identified during the study period. Presentations relating to horses (81%) were more frequent than cattle (19%). The most common mechanism of injury was &quot;falling&quot; for horse incidents (68%) and &quot;trampling&quot; for cattle incidents (40%). Horse incidents often resulted in soft tissue injury (55%), upper limb fracture (19%), or lower limb fracture (9%). Cattle incidents often resulted in soft tissue injury (57%), upper limb fracture (15%), and rib fracture (15%). Overall, 14% required admission, 13% required operative intervention, and 1% required inter-hospital transfer. <br><br>CONCLUSIONS: This local series demonstrates a high volume of cattle and horse-related trauma in our region. Whilst most patients are managed locally without operative intervention, the high frequency of injuries observed necessitates further development of preventative measures and safety advocacy.<p /> <p>Language: en</p>",
language="en",
issn="2168-8184",
doi="10.7759/cureus.35746",
url="http://dx.doi.org/10.7759/cureus.35746"
}