دورية أكاديمية
Utilization of Imaging in the Management of Pediatric Dog Bites.
العنوان: | Utilization of Imaging in the Management of Pediatric Dog Bites. |
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المؤلفون: | Borg BA; From the Department of Surgery, Wayne State University School of Medicine., Kato PJ; From the Department of Surgery, Wayne State University School of Medicine., Donoghue L; Department of Pediatric Surgery, Children's Hospital of Michigan, Detroit, MI., Shanti CM; Department of Pediatric Surgery, Children's Hospital of Michigan, Detroit, MI. |
المصدر: | Pediatric emergency care [Pediatr Emerg Care] 2022 Jan 01; Vol. 38 (1), pp. e431-e435. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8507560 Publication Model: Print Cited Medium: Internet ISSN: 1535-1815 (Electronic) Linking ISSN: 07495161 NLM ISO Abbreviation: Pediatr Emerg Care Subsets: MEDLINE |
أسماء مطبوعة: | Publication: Hagerstown, MD : Lippincott Williams & Wilkins Original Publication: Baltimore, Md. : Williams & Wilkins, [c1985- |
مواضيع طبية MeSH: | Bites and Stings*/diagnostic imaging, Animals ; Dogs ; Humans ; Retrospective Studies ; Tomography, X-Ray Computed ; Trauma Centers ; Upper Extremity |
مستخلص: | Introduction: We hypothesized that imaging is overused in the initial workup of dog bite patients. To reduce radiation exposure, we aim to determine which circumstances surrounding dog bites, patient population, and injury patterns would necessitate imaging studies for management. Methods: A retrospective review was performed on all patients presenting with dog bites to our level I pediatric trauma center between 2013 and 2015. Data collected included: circumstances surrounding the injury, patient demographics, injuries, and imaging studies performed. Our analysis focused on maxillofacial and head CT scans, and plain radiographic studies of the limbs, hands, and feet. Imaging studies were considered positive if there was evidence of bony injury. Results: We identified 615 patients with dog bites, with 114 patients having had at least one imaging study performed (a total of 145 imaging studies to analyze). Only 13 (11%) patients had a positive study. In the CT scan group, 6 (22.2%) of 27 studies were positive. In the plain radiographic group, 7 (5.9%) of 118 studies were positive. Conclusions: Our review indicates that imaging studies are overused in the initial workup of these patients, and the majority of these studies are negative. This study confirms that it is feasible to institute guidelines for ordering imaging studies in dog bite patients. This will ultimately reduce radiation exposure and the cost of care for these injuries. Competing Interests: Disclosure: The authors declare no conflict of interest. (Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.) |
References: | Centers for Disease Control and Prevention. Nonfatal dog bite–related injuries treated in hospital emergency departments—United States, 2001. https://www.cdc.gov/mmwr/PDF/wk/mm5226.pdf . Published July 4, 2003. Accessed August 30, 2019. Islam S, Ansell M, Mellor TK, et al. A prospective study into the demographics and treatment of paediatric facial lacerations. Pediatr Surg Int . 2006;22:797–802. Spiegel IB. A pilot study to evaluate an elementary school-based dog bite prevention program. Anthrozoös . 2000;13:164–173. Kaye AE, Belz JM, Kirschner RE. Pediatric dog bite injuries: a 5-year review of the experience at the Children's Hospital of Philadelphia. Plast Reconstr Surg . 2009;124:551–558. (1529-4242 (Electronic)). Golinko MS, Arslanian B, Williams JK. Characteristics of 1616 consecutive dog bite injuries at a single institution. Clin Pediatr (Phila) . 2017;56:316–325. LID - 0009922816657153 [pii]. (1938-2707 (Electronic)). O'Brien DC, Andre TB, Robinson AD, et al. Dog bites of the head and neck: an evaluation of a common pediatric trauma and associated treatment. Am J Otolaryngol . 2015;36:32–38. Galloway RE. Mammalian bites. J Emerg Med . 1988;6:325–331. Sabhaney V, Goldman RD. Child health update. Management of dog bites in children. Can Fam Physician . 2012;58:1094–1096. Kumar R, Deleyiannis FW, Wilkinson C, et al. Neurosurgical sequelae of domestic dog attacks in children. J Neurosurg Pediatr . 2017;19:24–31. (1933-0715 (Electronic)). Ellis JL, Thomason J, Kebreab E, et al. Cranial dimensions and forces of biting in the domestic dog. J Anat . 2009;214:362–373. (1469-7580 (Electronic)). Morgan JP 3rd, Haug RH, Murphy MT. Management of facial dog bite injuries. J Oral Maxillofac Surg . 1995;53:435–441. Wei LA, Chen HH, Hink EM, et al. Pediatric facial fractures from dog bites. Ophthalmic Plast Reconstr Surg . 2013;29:179–182. (1537-2677 (Electronic)). Bajaj M, Offiah AC. Imaging in suspected child abuse: necessity or radiation hazard? Arch Dis Child . 2015;100:1163–1168. Hendee WR, Becker GJ, Borgstede JP, et al. Addressing overutilization in medical imaging. Radiology . 2010;257:240–245. Brice J, Lindvall E, Hoekzema N, et al. Dogs and orthopaedic injuries: is there a correlation with breed? J Orthop Trauma . 2018;32:e372–e375 (1531-2291 (Electronic)). Reese LA. The dog days of Detroit: urban stray and feral animals. City Community . 2015;14:167–182. Reese LA, Vertalka JJ, Wilkins MJ, et al. Demographic and urban environmental variables associated with dog bites in Detroit. J Am Vet Med Assoc . 2019;254:986–990. Daniels DM, Ritzi RB, O'Neil J, et al. Analysis of nonfatal dog bites in children. J Trauma . 2009;66(suppl 3):S17–S22. Bykowski MR, Shakir S, Naran S, et al. Pediatric dog bite prevention: are we barking up the wrong tree or just not barking loud enough? Pediatr Emerg Care . 2019;35:618–623. Weiss HB. Incidence of dog bite injuries treated in emergency departments. JAMA . 1998;279:51. Wright JC. Canine aggression toward people. Bite scenarios and prevention. Vet Clin North Am Small Anim Pract . 1991;21:299–314. Loewe CL, Diaz FJ, Bechinski J. Pitbull mauling deaths in Detroit. Am J Forensic Med Pathol . 2007;28:356–360. Wilberger JE Jr., Pang D. Craniocerebral injuries from dog bites. JAMA . 1983;249:2685–2688. |
تواريخ الأحداث: | Date Created: 20220106 Date Completed: 20220107 Latest Revision: 20231003 |
رمز التحديث: | 20231215 |
DOI: | 10.1097/PEC.0000000000002317 |
PMID: | 34986595 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1535-1815 |
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DOI: | 10.1097/PEC.0000000000002317 |