Canine and human factors related to dog bite injuries

Shuler, Carrie M.; DeBess, Emilio; Lapidus, Jodi; Hedberg, Katrina

doi:10.2460/javma.232.4.542

Cited by 85 publications

(65 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[22][23][24] This finding partially explains the fact that children are 3 times as likely as adults to require medical attention for dog bites and the fact that injury rates seem to be highest among children aged 5 to 9 years. [25][26][27][28][29][30] Children are more likely to engage in behaviors that unknowingly provoke dogs.…”

Section: Children As Frequent Targets Of Dog Attacksmentioning

confidence: 79%

Mortality, Mauling, and Maiming by Vicious Dogs

et al. 2011

View full text Add to dashboard Cite

show abstract

Section: Children As Frequent Targets Of Dog Attacksmentioning

confidence: 79%

Mortality, Mauling, and Maiming by Vicious Dogs

et al. 2011

View full text Add to dashboard Cite

show abstract

“…2,4,5,13,22,23,27,34,38 Individuals living close to bite-prone breeds, particularly children, may be at higher risk for bite injuries.…”

Section: Preventionmentioning

confidence: 99%

Retrospective analysis of facial dog bite injuries at a Level I trauma center in the Denver metro area

Gürünlüoğlu

Glasgow

Arton

et al. 2014

Journal of Trauma and Acute Care Surgery

View full text Add to dashboard Cite

show abstract

“…This risk-averse tendency with fear of bleeding may be responsible for underdosing with warfarin ("low-intensity anticoagulation") despite a proven lack of efficacy without improved safety [2]. Akin to the warfarin data, emerging registry evidence from non-Vitamin K antagonist (VKA) anticoagulants (NOACs) including dabigatran [3] and rivaroxaban [4] suggests that widespread underdosing of NOACs is commonplace. Whether this occurs in Australian practice is unknown.…”

Section: Discussionmentioning

confidence: 99%

Underdosing of Noacs for Af: Old Habits Die Hard

2016

Internal Medicine Journal

View full text Add to dashboard Cite

Background: Appropriateness use criteria (2011) were developed to guide the rational ordering of a cardiac imaging including transthoracic echocardiography (TTE), as a means of optimizing clinical outcomes while preventing unwarranted costs to the healthcare system. We aimed to evaluate concordance of TTE referrals against published appropriateness criteria.Methods: This was a retrospective audit of consecutive patients admitted to General Medicine, The Alfred Hospital from 1/1/2014 to 25/3/2014. Clinical and TTE characteristics were extracted by manual chart review.Results: Inpatient TTE referrals were made in 109 of 704 (15.5%) admissions in 107 patients. Patient characteristics included male gender in 63%, mean age 75 years (range 28 to 97 years) and 98 (92%) were home dwellers with 5 (4.7%) from residential aged care. Prevalence of co-morbidities included hypertension (60%), ischaemic heart disease (44%), heart failure (40%), atrial fibrillation (33%), diabetes (33%), chronic kidney disease (23%), chronic obstructive airways disease (21%), active malignancy (18%) and dementia (4.7%). TTE had been performed in the previous 12 months in 21% (23/109) of referrals. Of 109 referrals, 90 (83%) were appropriate, 10 (9.2%) uncertain and 9 (8.3%) were inappropriate. The most common inappropriate indication was evaluation of a murmur with no other signs or symptoms related to valvular or structural heart disease. TTE results were available in the discharge summary in 71 (65%) of admissions but where not documented (n = 38), no follow up of results was arranged in 28 (74%). Performance of TTE from request occurred within 2 days in 76.1%, 3 to 4 days in 17.4 %, 5-7 days in 5.5 % and >7 days in 0.9%. Conclusions:This audit revealed that nearly 1 in 10 TTE referrals were inappropriate and could have been avoided.Furthermore, over one third of TTE results were not documented in discharge summaries with followup not arranged in the majority of these patients. Strategies to reduce inappropriate TTE investigations and systems to address follow up of results are opportunities for further improvement. . This risk-averse tendency with fear of bleeding may be responsible for underdosing with warfarin ("low-intensity anticoagulation") despite a proven lack of efficacy without improved safety [2]. Akin to the warfarin data, emerging registry evidence from non-Vitamin K antagonist (VKA) anticoagulants (NOACs) including dabigatran [3] and rivaroxaban [4] suggests that widespread underdosing of NOACs is commonplace. Whether this occurs in Australian practice is unknown. UNDERDOSING OF NOACS FOR AF: OLD HABITS DIE HARDObjectives: This study was the first in Australia to specifically identify the proportion of underdosed "real-world" patients treated with a NOAC (either apixaban or rivaroxaban) in our tertiary centre.Methods: All new prescriptions of reduced dose apixaban and rivaroxaban were analysed from centralized electronic pharmaceutical records between 01/04/2014 and 31/03/2015. Based on the strict criteria for dose reduction in...

show abstract

Canine and human factors related to dog bite injuries

Abstract: Dog bites continue to be a source of preventable injury. Prevention programs should target owners of sexually intact male and purebred dogs and owners who live in lower income neighborhoods.

Cited by 85 publications

References 16 publications

Mortality, Mauling, and Maiming by Vicious Dogs

Mortality, Mauling, and Maiming by Vicious Dogs

Retrospective analysis of facial dog bite injuries at a Level I trauma center in the Denver metro area

Underdosing of Noacs for Af: Old Habits Die Hard

Contact Info

Product

Resources

About