ความชุกและลักษณะทางคลินิกของการบาดเจ็บจากไฟฟ้าช็อต ไฟไหม้ น้ำร้อนลวก และสารเคมีทางการเกษตรในกลุ่มเกษตรกรชาวสวนผลไม้ที่เป็นผู้ป่วยใน ณ โรงพยาบาลพระปกเกล้า: การบาดเจ็บจากไฟฟ้าช็อต ไฟไหม้ น้ำร้อนลวก และการบาดเจ็บจากสารเคมี

Suphot  Chattinnakorn

Authors

Suphot Chattinnakorn Department of Surgery, Phrapokklao Hospital, Chanthaburi

Keywords:

prevalence, inpatients, electrical injuries, burns, scalds, fruit farmers, mortality

Abstract

Injuries from electric shocks, burns, scalding, and agricultural chemical exposure present significant physical and economic losses, particularly among farmers. This study evaluated the prevalence of these injuries among fruit farmers in Chanthaburi Province by analyzing inpatient medical records from Prapokklao Hospital between January 1, 2015 and December 31, 2024. Nine patients were excluded due to incomplete records. Factors associated with in-hospital mortality were analyzed using univariate analysis, reporting crude odds ratios (OR), 95% confidence intervals (CI), and p-values. Among 74 patients analyzed, 64 were male (86.5%), with a median age of 32 years. Causes included electric shock (47; 63.5%), burns (23; 31%), scalding (2; 2.7%), and chemical exposure (2; 2.7%). Compartment syndrome occurred in 8 patients (10.8%), rhabdomyolysis in 5 (6.8%), and in-hospital mortality was 8.1% (6 patients). Univariate analysis revealed statistically significant predictors of mortality: ICU admission (crude OR = 25.91, 95% CI: 2.71-247.78), sepsis (crude OR = 13.40, 95% CI: 0.72-248.80), respiratory failure (crude OR = 67.00, 95% CI: 5.48-819.34), and shock within the first 24 hours (crude OR = 22.83, 95% CI: 1.13-461.22)

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