Evidence map›Paper›PMID 33469116›Full record

ArticleScientific reports2021

English hospital episode data analysis (1998-2018) reveal that the rise in dog bite hospital admissions is driven by adult cases.

John S P Tulloch, Sara C Owczarczak-Garstecka, Kate M Fleming, Roberto Vivancos, Carri Westgarth

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Trial
  2. Article
  3. Massive abdominal wall hematoma following a dog bite: a case report.International journal of surgery case reports · 2026
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  5. Article
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  11. Review
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  16. Review
  17. RE: Pediatric Dog Bites to the Face May Have Been Less Severe During COVID 19 Pandemic: A Retrospective Cohort Study.Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 2023
    Article
  18. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

John S P TullochNIHR Health Protection Research Unit in Emerging and Zoonotic Infections, University of Liverpool, Liverpool, L69 3GL, UK. jtulloch@liverpool.ac.uk.ORCID 0000-0003-2150-0090
Sara C Owczarczak-GarsteckaInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, CH64 7TE, UK.ORCID 0000-0001-5323-8117
Kate M FlemingInstitute of Population Health, University of Liverpool, Liverpool, L69 3GL, UK.ORCID 0000-0002-6572-5016
Roberto VivancosPublic Health England, Liverpool, L3 1DS, UK.ORCID 0000-0002-8203-8867
Carri WestgarthInstitute of Infection, Veterinary and Ecological Sciences, University of Liverpool, Liverpool, CH64 7TE, UK.ORCID 0000-0003-0471-2761

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dog bites are a global health issue that can lead to severe health outcomes. This study aims to describe the incidence and sociodemographics of patients admitted to English National Health Service (NHS) hospitals for dog bites (1998-2018), and to estimate their annual direct health care costs. An analysis of patient level data utilising hospital episode statistics for NHS England, including: temporal trends in annual incidence of admission, Poisson models of the sociodemographic characteristics of admitted patients, and direct health care cost estimates. The incidence of dog bite admissions rose from 6.34 (95%CI 6.12-6.56) in 1998 to 14.99 (95%CI 14.67-15.31) admissions per 100,000 population in 2018, with large geographic variation. The increase was driven by a tripling of incidence in adults. Males had the highest rates of admission in childhood. Females had two peaks in admission, childhood and 35-64 years old. Two percent (2.05%, 95%CI 0.93-3.17) of emergency department attendances resulted in admission. Direct health care costs increased and peaked in the financial year 2017/2018 (admission costs: £25.1 million, emergency attendance costs: £45.7million). Dog bite related hospital admissions have increased solely in adults. Further work exploring human-dog interactions, stratified by demographic factors, is urgently needed to enable the development of appropriate risk reduction intervention strategies.

Indexed as

Accidental InjuriesAdolescentAdultAgedAged, 80 and overAnimalsBites and StingsChildChild, PreschoolData AnalysisDelivery of Health CareDogsEmergency Service, HospitalEnglandFemaleHealth Care Costs

Identifiers

PMID33469116
PMCPMC7815787

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.