Retrospective Analysis of Dog Bite Injuries in Children with Autism Spectrum Disorder.

Purpose: Children with autism spectrum disorder (ASD) may suffer a dog bite injury, but the frequency and its clinical impact is unknown. We sought to evaluate the (1) subject characteristics; (2) injury type; (3) clinical care provided; and (4) mortality in children with ASD who suffer a dog bite i...

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Publicado en:Journal of Autism & Developmental Disorders Vol. 55; no. 11; pp. 4129 - 4137
Autores principales: Mazur, Lauren E., Even, Katelyn M., Krawiec, Conrad
Formato: research tables/charts Journal Article
Publicado: Springer Nature Nov2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 55
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10803-024-06510-3
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        atl: Retrospective Analysis of Dog Bite Injuries in Children with Autism Spectrum Disorder.
      aug:
        au:
          Mazur, Lauren E.
          Even, Katelyn M.
          Krawiec, Conrad
        affil: https://ror.org/02c4ez492 Penn State College of Medicine, P.O. Box 850, 500 University Drive, 17033-0850, Hershey, PA, USA
      sug:
        subj:
          Autism Spectrum Disorder In Infancy and Childhood
          Autism Spectrum Disorder In Adolescence
          Dog and Cat Bites Mortality
          Wounds and Injuries Classification
          Medical Care Evaluation
          Patient Care Evaluation
          Human
          Pennsylvania
          Male
          Female
          Infant, Newborn
          Infant
          Child, Preschool
          Child
          Adolescence
          Retrospective Design
          Record Review
          Prospective Studies
          Descriptive Statistics
          Fisher's Exact Test
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Trauma
          Head Injuries
          Critical Care
          Hospitalization
          Respiration, Artificial
          Rabies Vaccine Administration and Dosage
          Needs Assessment
          Infant, Newborn: birth-1 month
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Adolescent: 13-18 years
          Male
          Female
      ab: Purpose: Children with autism spectrum disorder (ASD) may suffer a dog bite injury, but the frequency and its clinical impact is unknown. We sought to evaluate the (1) subject characteristics; (2) injury type; (3) clinical care provided; and (4) mortality in children with ASD who suffer a dog bite injury. We hypothesized that children with ASD have higher mortality and require more clinical care than children without ASD. Methods: This is a retrospective observational cohort study utilizing the TriNetX ® EHR database of subjects aged 0 to 18 years with dog bite diagnostic codes. Data were analyzed for demographics, diagnostic, medication, procedural codes, and mortality. Results: We analyzed 38,337 subjects (n, %) coded for a dog bite injury [619 (1.6%) with ASD and 37718 (98.4%) without ASD]. Children with ASD had a higher odds of a traumatic injury to the head [1.34 (1.15, 1.57), p < 0.0001] compared to those without. There was no difference in critical care services, hospitalization, mechanical ventilation, and rabies vaccine administration. All-cause mortality at 1 year was low with no deaths reported within the ASD cohort and 37 (0.1%) deaths reported within the no ASD cohort. Conclusions: Children with ASD that suffer dog bite injuries have similar clinical needs to children without ASD but are more likely to suffer a traumatic injury to the head. Future studies are needed to better understand inciting factors for injuries in this population.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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