Shadiack Anthony, Banks J Burton
Grand Strand Medical Center, Myrtle Beach, SC.
Mercer University School of Medicine, Savannah, GA.
HCA Healthc J Med. 2024 Dec 1;5(6):671-680. doi: 10.36518/2689-0216.1643. eCollection 2024.
With increasing numbers of human-animal interactions, there has been an increase in animal-related injuries. While canine bites are the most commonly reported animal injury, little data exists in regard to the other classes of animals, particularly marine life. The last comprehensive report on injuries related to noncanine bites and stings seen in emergency departments (EDs) across the US was between 2011 and 2015.
We performed a retrospective analysis from 2014-2019 on marine injuries from a large hospital network with over 180 hospitals, 100 freestanding EDs, and 170 urgent care centers to provide an update on the volume and greatest contributors to these types of injuries being treated in US hospital EDs. We used existing, de-identified data from HCA's EDW using Teradata SQL. All data were descriptive. Of the 4092 patients aged 18 and older included in this study; 2692 were male (65.8%) and 1400 were female (34.2%).
Of the total, 4010 (98.0%) patients were discharged home, 15 (0.4%) were admitted, 66 (1.6%) were classified as other, and 1 (0.02%) was referred to long-term care. The majority of injuries were caused by stingrays (1196, 29.23%), catfish (974, 23.8%), jellyfish (421, 10.3%), and other fish (541, 13.2%). The majority of injuries from all encounters occurred on the foot (1449, 35.4%) and hand (1181, 28.9%). The second and third quarters of each year were found to have the highest number of injuries (1290, 31.5% and 1742, 42.5%, respectively).
Our results demonstrated that the majority of injuries were due to stingrays, jellyfish, and small fish, specifically catfish. As expected, the majority of injuries occurred on hands and feet. They occurred mostly during the summer.
随着人与动物互动的增加，与动物相关的伤害也在增多。虽然犬咬伤是最常报告的动物伤害，但关于其他类动物，尤其是海洋生物的相关数据却很少。上一次关于美国急诊科所见非犬类咬伤和蜇伤相关伤害的综合报告是在2011年至2015年之间。
我们对一个拥有180多家医院、100个独立急诊科和170个紧急护理中心的大型医院网络在2014年至2019年期间的海洋伤害情况进行了回顾性分析，以更新在美国医院急诊科接受治疗的此类伤害的数量及主要致伤因素。我们使用了来自HCA的急诊数据仓库（EDW）中现有的、经过去识别处理的数据，运用Teradata SQL进行分析。所有数据均为描述性数据。本研究纳入的4092名18岁及以上患者中，2692名男性（65.8%），1400名女性（34.2%）。
总共4010名（98.0%）患者出院回家，15名（0.4%）入院，66名（1.6%）被归类为其他情况，1名（0.02%）被转至长期护理机构。大多数伤害是由黄貂鱼（1196例，29.23%）、鲶鱼（974例，23.8%）、水母（421例，10.3%）和其他鱼类（541例，13.2%）造成的。所有受伤情况中，大多数发生在足部（1449例，35.4%）和手部（1181例，28.9%）。发现每年的第二和第三季度受伤人数最多（分别为1290例，31.5%和1742例，42.5%）。
我们的结果表明，大多数伤害是由黄貂鱼、水母和小鱼，特别是鲶鱼造成的。正如预期的那样，大多数伤害发生在手和脚上。这些伤害大多发生在夏季。
