Objective Agriculture is a hazardous industry. However, previous studies have focused on injuries to agricultural workers without comparison with injuries to nonagricultural workers. Therefore, we compared the clinical characteristics and outcomes of injuries reported at an emergency department (ED) between agricultural workers and nonagricultural workers.
Methods We established a prospective ED-based agricultural injury surveillance system at a tertiary university hospital. Adult patients visiting the ED for an injury were divided into farmer and non-farmer groups depending on their engagement with agriculture. Using an adjusted multivariate analysis and propensity score matching (age, sex, inhabitant, and insurance type), we compared the clinical characteristics and outcomes of injuries between the farmer and non-farmer groups.
Results In total, 38,556 injured adult patients (37,746 in the non-farmer group and 810 in the farmer group) were available for the unmatched sample analysis. The 1,620 matched subjects were equally classified after one-to-one nearest-neighbor propensity score matching. A multivariate logistic regression analysis of the unmatched sample revealed higher adjusted odds ratios (ORs) for intensive care unit admission (adjusted OR, 1.752; P=0.003) and overall surgery (adjusted OR, 1.870; P<0.001) in the farmer group. In contrast, univariate logistic regression analyses of the propensity score–matched sample found a higher OR in the farmer group only for overall surgery (OR, 1.786; P<0.001).
Conclusion Injuries of agricultural workers had higher odds only of requiring surgery; differences in injury-related mortality between groups were not statistically significant in either the matched or unmatched sample analyses.
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Stress, Health, and Injury Among Illinois Farmers Josie M. Rudolphi, Salah Issa, Courtney Cuthbertson, Kaleigh Barnett American Journal of Industrial Medicine.2025; 68(9): 761. CrossRef
Revathi Jyothindran, James P d’Etienne, Kevin Marcum, Amy F Ho, Richard D Robinson, Aubre Tijerina, Clare Graca, Heidi C Knowles, Nestor R Zenarosa, Hao Wang
Clin Exp Emerg Med 2021;8(1):55-64. Published online March 31, 2021
Objective Burnout is a common occurrence among healthcare providers and has been associated with provider wellness culture. However, this association has not been extensively studied among emergency medicine (EM) providers. We aim to determine the association between EM provider burnout and their culture of wellness, and to elicit the independent wellness culture domains most predictive of burnout prevention.
Methods This was a multi-center observational study. We enrolled EM physicians and advanced practice providers from sixteen different emergency departments (EDs). Provider wellness culture and burnout surveys were performed. The wellness culture domains included in this study are personal/organizational value alignment, provider appreciation, leadership quality, self-controlled scheduling, peer support, and family support. Correlations between each wellness culture domain and burnout were analyzed by Pearson correlation co-efficiency, and their associations were measured by multivariate logistic regression with adjustments of other confounders.
Results A total of 242 ED provider surveys were entered for final analysis. The overall burnout rate was 54% (130/242). Moderate correlations were found between burnout and two wellness culture domains (value alignment: r=-0.43, P<0.001 and provider appreciation: r=-0.49, P<0.001). The adjusted odds ratio of provider appreciation associated with burnout was 0.44 (95% confidence interval, 0.25–0.77; P=0.004), adjusted odds ratio of family support was 0.67 (95% confidence interval, 0.48–0.95; P=0.025).
Conclusion ED providers have a relatively high burnout rate. Provider burnout might have certain associations with wellness culture domains. Provider appreciation and family support seem to play important roles in burnout protection.
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Emergency medicine advances healthcare systems: the importance of recognizing EM as a specialty Marko Erak, Nour Khatib, Amanda Collier, Rodrick Lim, Eddy Lang, Eric Heymann Internal and Emergency Medicine.2026; 21(3): 1033. CrossRef
Common antecedents and outcomes of burnout among healthcare workers in the Emergency Department: A scoping review Luhuan Yang, Yunhong Lei, Rong Zhang, Firdaus Mukhtar, Poh Ying Lim, Jiawei Jiang, Zifeng Li, Yilan Zhang, Abd Rahman Anita The American Journal of Emergency Medicine.2025; 96: 140. CrossRef
Development of Wellness Culture through corrective gymnastics Darinka Ignatova Physical Culture, Recreation and Rehabilitation.2025; 4(1): 9. CrossRef
Factors influencing emergency medicine worker shift satisfaction: A rapid assessment of wellness in the emergency department Brooke Senken, Julie Welch, Elisa Sarmiento, Elizabeth Weinstein, Emma Cushman, Heather Kelker JACEP Open.2024; 5(6): e13315. CrossRef
Investigating Correlates of Home Visitor Burnout, Compassion Fatigue, and Compassion Satisfaction in New York State: Implications for Home Visiting Workforce Development and Sustainability Abigail M. Ross, Rahbel Rahman, Debbie Huang, Gwyneth Kirkbride Maternal and Child Health Journal.2023; 27(10): 1787. CrossRef
Not just a figurehead: improved resident perception of training following the addition of Administrative Chief Residents in a general surgery residency program Steven A. Wisel, Clara I. Gomez-Sanchez, Lily S. Cheng, Anamaria J. Robles, Patricia S. O’Sullivan, Linda M. Reilly, Kenzo Hirose Global Surgical Education - Journal of the Association for Surgical Education.2022;[Epub] CrossRef
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