Associate Professor, Istanbul University, School of Dentistry, Department of Oral and Maxillofacial Surgery, Istanbul, Turkey.
Dental Student, Columbia University College of Dental Medicine, New York, NY.
J Oral Maxillofac Surg. 2022 Oct;80(10):1633-1640. doi: 10.1016/j.joms.2022.06.022. Epub 2022 Jun 30.
The purpose of the present study is to compare the characteristics of dog bite wounds to the face and that of the rest of the body among the pediatric population in the United States and to determine independent risk factors for dog bite wounds to the face.
A retrospective cohort study was conducted using the Kids' Inpatient Database. There were multiple, heterogenous predictor variables. The primary outcome variable was a facial dog bite. A multivariate logistic regression was employed to identify independent risk factors for the primary outcome variable. A P value less than .05 was the threshold for statistical significance.
Our final sample consisted of 9,057 patients who suffered dog bite injuries, of which 2,913 (32.2%) occurred on the face. Relative to individuals aged 16-20 years, individuals aged 0-5 (odds ratio [OR] 5.7; confidence interval [CI] 4.0, 8.1), 6-10 (OR 3.8; CI 2.6, 5.5), and 11-15 years (OR 1.6; CI 1.1, 2.5) were all independently associated with increased odds of incurring a facial dog bite injury. Patients who were not admitted electively were 2.5 times (CI 1.4, 4.6) more likely to incur a facial dog bite injury relative to patients who were admitted electively.
Young children (0-5 years) were at the greatest risk for facial dog bites relative to children aged 16-20 years. Dog bites that were admitted on emergency were more likely to occur on the face relative to those that were electively admitted to the hospital. To reduce the risk for facial dog bites and the host of chronic psychological ramifications that accompany them, established preventative strategies ought to be exercised.
本研究旨在比较美国儿科人群中面部和身体其他部位狗咬伤的特征，并确定导致面部狗咬伤的独立危险因素。
本研究采用回顾性队列研究方法，使用 Kids' Inpatient Database 数据库。存在多个异质的预测变量。主要结局变量为面部狗咬伤。采用多变量逻辑回归分析识别主要结局变量的独立危险因素。P 值小于 0.05 为统计学显著性阈值。
本研究最终纳入 9057 名发生狗咬伤的患者，其中 2913 名（32.2%）发生在面部。与 16-20 岁的个体相比，0-5 岁（比值比[OR] 5.7；95%置信区间[CI] 4.0，8.1）、6-10 岁（OR 3.8；95%CI 2.6，5.5）和 11-15 岁（OR 1.6；95%CI 1.1，2.5）的个体发生面部狗咬伤的风险均增加。与择期入院的患者相比，非择期入院的患者发生面部狗咬伤的风险增加 2.5 倍（95%CI 1.4，4.6）。
与 16-20 岁的儿童相比，幼儿（0-5 岁）发生面部狗咬伤的风险最高。与择期入院的患者相比，因急诊入院的狗咬伤更易发生在面部。为了降低面部狗咬伤的风险以及随之而来的一系列慢性心理影响，应采取已建立的预防策略。
