Sulaiman Ahmad, Liang Derek, Gianoutsos Mark, Moradi Pouria
Department of Plastic and Reconstructive Surgery, Sydney Children's Hospital, Sydney, New South Wales, Australia.
ANZ J Surg. 2022 May;92(5):1149-1152. doi: 10.1111/ans.17581. Epub 2022 Feb 28.
Dog bite injuries are largely preventable yet present the most common animal related cause of hospitalisation. This study examines the demographics and clinical cost of patients with dog bite related injuries who presented to Sydney Children's Hospital (SCH) from 2010 to 2020. The results from our study will be used to raise awareness regarding the impact of dog bite injuries in our community.
Data was obtained from the SCH database using ICD-10-AM code W54.0, which captures all patients presenting to SCH with dog bite injuries from 2010 to 2020. A chart review was then performed to retrieve demographic data for analysis. Data analysis was performed using SAS® software version 9.4 and cost for each patient retrieved from the SCH clinical costing department.
A total of 628 patients presented to SCH with dog bites during the study period. 273 (43.5%) patients received treatment in ED only with the remaining 355 (56.5%) patients admitted for treatment. The average age was 5.69 years old. There were 321 males (51.1%) and 307 females (48.9%). Facial and other head & neck injuries were most common (64.4%). Pitbull, Labrador and Rottweiler were the most commonly documented offending breeds (25%) with the family dog most likely to offend (49%). The mean clinical cost for per dog bite injury was $2968.
As part of the largest single centre study exploring dog bite injuries, we expect that this study will stimulate potential public health campaigns targeted at educating parents and children on interacting with dogs to minimise these injuries.
犬咬伤在很大程度上是可以预防的，但却是与动物相关的最常见住院原因。本研究调查了2010年至2020年期间在悉尼儿童医院（SCH）就诊的犬咬伤相关损伤患者的人口统计学特征和临床费用。我们的研究结果将用于提高社区对犬咬伤影响的认识。
使用ICD - 10 - AM编码W54.0从SCH数据库获取数据，该编码涵盖了2010年至2020年期间所有因犬咬伤到SCH就诊的患者。然后进行病历审查以检索人口统计学数据进行分析。使用SAS®软件版本9.4进行数据分析，并从SCH临床成本核算部门获取每位患者的费用。
在研究期间，共有628名患者因犬咬伤到SCH就诊。273名（43.5%）患者仅在急诊科接受治疗，其余355名（56.5%）患者住院治疗。平均年龄为5.69岁。男性321名（51.1%），女性307名（48.9%）。面部及其他头颈部损伤最为常见（64.4%）。比特犬、拉布拉多犬和罗威纳犬是最常记录的肇事犬种（25%），家犬最有可能肇事（49%）。每次犬咬伤损伤的平均临床费用为2968美元。
作为探索犬咬伤的最大规模单中心研究的一部分，我们预计这项研究将激发潜在的公共卫生运动，旨在教育家长和儿童如何与狗互动以尽量减少这些伤害。
