Dog-bite injuries in Korea and risk factors for significant dog-bite injuries: A 6-year cross-sectional study.
<h4>Introduction</h4>An accurate understanding of the current status of dog-bite injuries in Korea is essential for establishing preventive strategies. There have been no national reports about dog-bite injuries in Korea. This study investigated dog-bite injuries in Korea that were regis...
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doaj-fecd10abf23d4bc2afed0bcc2c53f8592021-03-04T10:36:22ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01142e021054110.1371/journal.pone.0210541Dog-bite injuries in Korea and risk factors for significant dog-bite injuries: A 6-year cross-sectional study.Joong Wan ParkDo Kyun KimJae Yun JungSe Uk LeeIkwan ChangYoung Ho KwakSoyun Hwang<h4>Introduction</h4>An accurate understanding of the current status of dog-bite injuries in Korea is essential for establishing preventive strategies. There have been no national reports about dog-bite injuries in Korea. This study investigated dog-bite injuries in Korea that were registered in the nationwide injury surveillance database and analysed the risk factors for significant dog-bite injury.<h4>Methods</h4>A multicentre cross-sectional study was conducted using the emergency department (ED)-based Injury In-depth Surveillance (EDIIS) registry in Korea between 2011 and 2016. We defined significant injury as death, admission, surgery, or fracture or amputation. A multivariable logistic regression model was used to obtain the adjusted odds ratios (aORs) for the factors associated with significant dog-bite injuries.<h4>Results</h4>Among 1,537,617 injured patients, 9,966 (6.5 per 1,000 injured patients) presented to the ED for dog-bite injuries (5.6 in 2011 to 7.6 in 2016, P for trend < 0.001), and 489 (4.9%) were significant injuries. In the age-specific analysis, there were increasing trends only among teenagers (12-18 years) and adults (> 18 years). Being elderly (≥ 60 years) (aOR: 2.70, 95% CI: 2.15-3.39), having injuries to multiple anatomic sites (aOR: 4.37, 95% CI: 2.96-6.45), being bitten outdoors (aOR: 2.71, 95% CI: 2.20-3.34), and being bitten by a relative's dog (aOR: 2.37, 95% CI: 1.09-5.17) were strongly associated with significant dog-bite injury.<h4>Conclusion</h4>Dog-bite injuries are increasing in Korea, especially in teenagers and adults. A relative's or neighbour's dog may be more dangerous than a stranger's dog. Preventive strategies are needed to prevent dog-bite injuries in adults and children.https://doi.org/10.1371/journal.pone.0210541 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Joong Wan Park Do Kyun Kim Jae Yun Jung Se Uk Lee Ikwan Chang Young Ho Kwak Soyun Hwang |
spellingShingle |
Joong Wan Park Do Kyun Kim Jae Yun Jung Se Uk Lee Ikwan Chang Young Ho Kwak Soyun Hwang Dog-bite injuries in Korea and risk factors for significant dog-bite injuries: A 6-year cross-sectional study. PLoS ONE |
author_facet |
Joong Wan Park Do Kyun Kim Jae Yun Jung Se Uk Lee Ikwan Chang Young Ho Kwak Soyun Hwang |
author_sort |
Joong Wan Park |
title |
Dog-bite injuries in Korea and risk factors for significant dog-bite injuries: A 6-year cross-sectional study. |
title_short |
Dog-bite injuries in Korea and risk factors for significant dog-bite injuries: A 6-year cross-sectional study. |
title_full |
Dog-bite injuries in Korea and risk factors for significant dog-bite injuries: A 6-year cross-sectional study. |
title_fullStr |
Dog-bite injuries in Korea and risk factors for significant dog-bite injuries: A 6-year cross-sectional study. |
title_full_unstemmed |
Dog-bite injuries in Korea and risk factors for significant dog-bite injuries: A 6-year cross-sectional study. |
title_sort |
dog-bite injuries in korea and risk factors for significant dog-bite injuries: a 6-year cross-sectional study. |
publisher |
Public Library of Science (PLoS) |
series |
PLoS ONE |
issn |
1932-6203 |
publishDate |
2019-01-01 |
description |
<h4>Introduction</h4>An accurate understanding of the current status of dog-bite injuries in Korea is essential for establishing preventive strategies. There have been no national reports about dog-bite injuries in Korea. This study investigated dog-bite injuries in Korea that were registered in the nationwide injury surveillance database and analysed the risk factors for significant dog-bite injury.<h4>Methods</h4>A multicentre cross-sectional study was conducted using the emergency department (ED)-based Injury In-depth Surveillance (EDIIS) registry in Korea between 2011 and 2016. We defined significant injury as death, admission, surgery, or fracture or amputation. A multivariable logistic regression model was used to obtain the adjusted odds ratios (aORs) for the factors associated with significant dog-bite injuries.<h4>Results</h4>Among 1,537,617 injured patients, 9,966 (6.5 per 1,000 injured patients) presented to the ED for dog-bite injuries (5.6 in 2011 to 7.6 in 2016, P for trend < 0.001), and 489 (4.9%) were significant injuries. In the age-specific analysis, there were increasing trends only among teenagers (12-18 years) and adults (> 18 years). Being elderly (≥ 60 years) (aOR: 2.70, 95% CI: 2.15-3.39), having injuries to multiple anatomic sites (aOR: 4.37, 95% CI: 2.96-6.45), being bitten outdoors (aOR: 2.71, 95% CI: 2.20-3.34), and being bitten by a relative's dog (aOR: 2.37, 95% CI: 1.09-5.17) were strongly associated with significant dog-bite injury.<h4>Conclusion</h4>Dog-bite injuries are increasing in Korea, especially in teenagers and adults. A relative's or neighbour's dog may be more dangerous than a stranger's dog. Preventive strategies are needed to prevent dog-bite injuries in adults and children. |
url |
https://doi.org/10.1371/journal.pone.0210541 |
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