Patterson Kelli N, Bourgeois Tran, Wurster LeeAnn, VerLee Sarah N, Gil Lindsay A, Horvath Kyle Z, Minneci Peter C, Deans Katherine J, Thakkar Rajan K, Schwartz Dana
Center for Surgical Outcomes Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205 USA.
Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205 USA.
J Child Adolesc Trauma. 2024 Mar 12;17(4):1013-1018. doi: 10.1007/s40653-024-00619-4. eCollection 2024 Dec.
Long-term psychological effects may occur after childhood dog bite injuries. We performed a national survey to assess psychosocial interventions for children presenting with dog bite injuries to pediatric trauma centers.
A 26-question, online survey was administered to Pediatric Trauma Program Managers in the United States ( = 83). The survey queried whether institutions provide directed psychosocial interventions to pediatric dog bite injury patients in the Emergency Department, inpatient, or outpatient settings and the types of interventions being used. Descriptive statistics were performed to demonstrate survey results.
In total, 28 American College of Surgeons or State-verified Pediatric Trauma Centers responded to the survey ( = 28/83, 34%). Of the respondents, 18 (64.3%) did not have any interventions in place to address the psychosocial effects of pediatric patients' dog bite injuries. Of the 10 (35.7%) institutions with interventions in place, the types of psychosocial resources offered included: automated order sets within the electronic medical record, specialized teams that assess the patient while hospitalized or outpatient, child psychology referrals initiated at discharge, pet therapy, and trauma resiliency programs.
Most institutions surveyed did not have protocols or interventions in place to address psychosocial disturbances in children with dog bite injuries. We provide the example of our institution's practice, in which automatic psychology consults are placed for every child who is admitted with a dog bite injury. Performing caregiver education in the emergency department, providing caregivers with regional psychosocial resources, and communicating with a child's pediatrician may promote the necessary standardized psychological screening and/or follow up of these patients.
儿童被狗咬伤后可能会产生长期心理影响。我们开展了一项全国性调查，以评估为前往儿科创伤中心就诊的被狗咬伤儿童提供的心理社会干预措施。
对美国的儿科创伤项目管理人员（n = 83）进行了一项包含26个问题的在线调查。该调查询问了各机构是否在急诊科、住院部或门诊环境中为儿科狗咬伤患者提供定向心理社会干预措施以及所采用的干预措施类型。进行描述性统计以展示调查结果。
共有28家美国外科医师学会认证或州级认证的儿科创伤中心回复了调查（n = 28/83，34%）。在回复者中，18家（64.3%）没有任何针对儿科患者狗咬伤心理影响的干预措施。在有干预措施的10家机构（35.7%）中，所提供的心理社会资源类型包括：电子病历中的自动医嘱集、在住院或门诊时评估患者的专业团队、出院时启动的儿童心理转诊、宠物疗法以及创伤复原项目。
大多数接受调查的机构没有针对被狗咬伤儿童心理社会障碍的方案或干预措施。我们提供了本机构的做法示例，即对每一位因狗咬伤入院的儿童自动安排心理会诊。在急诊科对看护者进行教育、为看护者提供区域心理社会资源以及与儿童的儿科医生沟通，可能会促进对这些患者进行必要的标准化心理筛查和/或随访。
