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Original Articles
Age group analysis of patients with dog bite injuries who visited a single regional emergency medical center and factors affecting wound infections
Dong Ho Kang, Jea Yeon Choi, Woo Sung Choi, Jae Ho Jang, Jin-Seong Cho, Sung Youl Hyun
J Trauma Inj. 2022;35(2):84-91.   Published online May 17, 2022
DOI: https://doi.org/10.20408/jti.2021.0046
  • 2,297 View
  • 54 Download
AbstractAbstract PDF
Purpose
The aim of this study was to analyze by age group the characteristics of patients with dog bite injuries, as well as determine which factors were associated with wound infections in those patients.
Methods
We reviewed patients with dog bite injuries who presented to Gachon University Gil Medical Center in Incheon, Korea from January 1, 2014 to December 31, 2018. They were classified by age group: children (0–18 years), adults (19–59 years), or elderly (≥60 years). Event profiles, wound characteristics, and infections were compared across these age groups. Multivariable logistic regression was used to identify factors associated with wound infections.
Results
Of the total 972 dog bite injuries, 272 (28.0%) were in children, 606 (62.3%) were in adults, and 94 (9.7%) were in the elderly. The median age was 30 years (interquartile range, 16–48 years) and the majority of patients (60.5%) were female. The most common place of injury was at home (73.8%) and indoors (77.0%). In children, the head and neck were the most frequent sites of injury (43%), while the most frequent site in adults and the elderly (50.8% and 59.6%, respectively) was the upper extremity. The odds ratio (OR) for wound infection was 3.997 (95% confidence interval [CI], 1.279–12.491; P=0.017) for head and neck injuries and 3.881 (95% CI, 1.488–10.122; P=0.006) for lower extremity injuries. The OR for wound infection was 4.769 (95% CI, 2.167–10.494; P<0.001) for significant injuries. Elderly patients had a higher risk for wound infection than other age groups (OR, 2.586; 95% CI, 1.221–5.475; P=0.013).
Conclusions
When analyzing patients with dog bite injuries, differences across age groups were found, with the elderly at the highest risk for significant injury and wound infection. It is recommended that age-specific approaches and strategies be used to prevent dog bite wound infections.
Summary
Analysis of Exposure Factors for Clinical and Preventive Aspects of Pediatric Electrical Burn Patients who Visited the Emergency Department
Sang Jun Park, Sung Wook Kim, Won Jung Jeong, Sang Hoon Oh, Jeong Taek Park
J Trauma Inj. 2015;28(3):170-176.   Published online September 30, 2015
DOI: https://doi.org/10.20408/jti.2015.28.3.170
  • 1,824 View
  • 5 Download
  • 1 Citations
AbstractAbstract PDF
PURPOSE
The aims of this study were to discuss treatment and prevention under the age of 18 to identify the characteristics of the electrical burn patients.
METHODS
We retrospectively reviewed medical records of 97 patients with under age 18 of electric burn who were treated in emergency department of quarterly over 10,000 targets within the desired hospital for evaluation of electrical injuries between January 1, 2009 and December, 2013. We investigated age, gender, injury mechanism, season, degree of burn, surface of burn, complication, blood test, and voltage, kind of current.
RESULTS
Of the patients, 50 (50.5%) patients were in the first degree burn and 47 (49.5%) patients were in second degree burn. 68 (70.1%) patients had electric burn at home. 75 (85.2%) of 88 patients had normal sinus rhythm and other 13 people showed a RBBB, VPC, sinus bradycardia, sinus tachycardia. 41 (42.3) of 97 patients were in infants and 26 (26.8%) patients were in adolescence.
CONCLUSION
The results of this study emphasize the need for prevention of electricity at home for childhood and education of the adolescence.
Summary

Citations

Citations to this article as recorded by  
  • A Case of Resuscitation of an Electrocuted Child by a 119 Paramedic
    Jae-Min Lee, Dae-Won Kim, Hyeong-Wan Yun
    Fire Science and Engineering.2020; 34(4): 135.     CrossRef
Fall-Down Injuries in children in Treated at the Emergency Department; Preventable Aspects
Sun Deok Kim, Si Young Jung, Koo Young Jung
J Korean Soc Traumatol. 2010;23(2):96-101.
  • 989 View
  • 4 Download
AbstractAbstract PDF
PURPOSE
This study was conducted in order to evaluate the epidemiological characteristics of children with fall-down injuries according to age groups and to analyze the major trauma groups that were treated at the emergency room (ER).
METHODS
Among 1,222 children under age 6 who were treated at the ER from January 2008 to December 2009, a retrospective study was conducted through examination of medical records. The children were classified by age into 3 groups: infant, toddler, and pre-schooler. In each group, the differences between the causative factors that led to the fall-down injuries were analyzed. Also, ISS (Injury Severity Score) score above 4 was classified as major trauma, and an ISS score 0-1 was classified as a minor trauma. The relationship between major trauma and age group was also analyzed.
RESULTS
Through an analysis of child fall-down injuries, men (56.6%), toddler (47.3%), head-related symptoms (72.9%), furniture-related traumas (80.2%), and falls from less than a 1-m height (69.9%) were found to be common factors. Furthermore, in radiological studies, fractures and brain hemorrhages accounted for 16.9% of major traumas, and simple skull fractures were the most common (21.4%). Distributed according to age group, the factors relevant to fall injuries were fall height and head-related symptoms for infants, accident site, fall height and head-related symptoms for toddlers, and accident site for pre-schoolers (p<0.05). Also, head-related symptoms and fall height were independent factors of major trauma in all age groups. However, major traumas (17.3%) were related to dumped trauma, fall height and accident site (p<0.05).
CONCLUSION
This study was mainly about head-related injuries, and toddler were most common victims. The relevant factors for the major trauma were falling height for infants, accident site and falling height for toddlers, and accident site, falling height for pre-schoolers.
Summary

J Trauma Inj : Journal of Trauma and Injury