Evidence map›Paper›PMID 34787555›Full record

ArticleThe western journal of emergency medicine2021

Surgical Treatment of Pediatric Dog-bite Wounds: A 5-year Retrospective Review.

Christine J Lee, Ekaterina Tiourin, Sawyer Schuljak, Jonathan Phan, Theodore W Heyming, John Schomberg, Elizabeth Wallace, Yigit S Guner, Raj M Vyas

Open access · goldAbstract read
In one paragraph

Article in The western journal of emergency medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 47% of its field
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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Bite injuries at a level 1 trauma center in Germany.Trauma surgery & acute care open · 2025
    Article
  4. Article
  5. Establishment of an Animal Model of Dog Bite Injuries.International journal of medical sciences · 2024
    Article
  6. Article
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

9 authors at 4 institutions in 1 country.

Christine J LeeUniversity of California - Irvine School of Medicine, Department of Plastic Surgery, Orange, California.
Ekaterina TiourinUniversity of California - Irvine School of Medicine, Department of Plastic Surgery, Orange, California.
Sawyer SchuljakUniversity of California - Riverside, School of Medicine, Riverside, California.
Jonathan PhanUniversity of California - Riverside, School of Medicine, Riverside, California.
Theodore W HeymingChildren's Hospital Orange County, Department of Emergency Medicine, Orange, California.
John SchombergChildren's Hospital Orange County, Department of Nursing, Orange, California.
Elizabeth WallaceChildren's Hospital Orange County, CHOC Research Institute, Orange, California.
Yigit S GunerUniversity of California - Irvine Medical Center, Department of Surgery, Irvine, California.
Raj M VyasUniversity of California - Irvine School of Medicine, Department of Plastic Surgery, Orange, California.
University of California, Irvine Medical Center · USUniversity of California, Riverside · USUniversity of California, Irvine · USChildren's Hospital of Orange County · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDog bites are a significant health concern in the pediatric population. Few studies published to date have stratified the injuries caused by dog bites based on surgical severity to elucidate the contributing risk factors.

methodsWe used an electronic hospital database to identify all patients ≤17 years of age treated for dog bites from 2013-2018. Data related to patient demographics, injury type, intervention, dog breed, and payer source were collected. We extracted socioeconomic data from the American Community Survey. Data related to dog breed was obtained from public records on dog licenses. We calculated descriptive statistics as well as relative risk of dog bite by breed.

resultsOf 1,252 injuries identified in 967 pediatric patients, 17.1% required consultation with a surgical specialist for repair. Bites affecting the head/neck region were most common (61.7%) and most likely to require operating room intervention (P = 0.002). The relative risk of a patient being bitten in a low-income area was 2.24, compared with 0.46 in a high-income area. Among cases where the breed of dog responsible for the bite was known, the dog breed most commonly associated with severe bites was the pit bull (relative risk vs German shepherd 8.53, relative risk vs unknown, 3.28).

conclusionThe majority of injuries did not require repair and were sufficiently handled by an emergency physician. Repair by a surgical specialist was required <20% of the time, usually for bites affecting the head/neck region. Disparities in the frequency and characteristics of dog bites across socioeconomic levels and dog breeds suggest that public education efforts may decrease the incidence of pediatric dog bites.

Indexed as

Bites and StingsAnimalsChildDogsHeadHumansIncidenceRetrospective StudiesRisk Factors

Identifiers

PMID34787555
PMCPMC8597704
OpenAlexW3213476894

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.