English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases

Abstract Dog bites are a global health issue that can lead to severe health outcomes. This study aims to describe the incidence and sociodemographics of patients admitted to English National Health Service (NHS) hospitals for dog bites (1998–2018), and to estimate their annual direct health care cos...

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Autores principales:	John S. P. Tulloch, Sara C. Owczarczak-Garstecka, Kate M. Fleming, Roberto Vivancos, Carri Westgarth
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/d5a9208f2ef94248adbe1bd4effc4777
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spelling	oai:doaj.org-article:d5a9208f2ef94248adbe1bd4effc47772021-12-02T15:23:39ZEnglish hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases10.1038/s41598-021-81527-72045-2322https://doaj.org/article/d5a9208f2ef94248adbe1bd4effc47772021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81527-7https://doaj.org/toc/2045-2322Abstract Dog bites are a global health issue that can lead to severe health outcomes. This study aims to describe the incidence and sociodemographics of patients admitted to English National Health Service (NHS) hospitals for dog bites (1998–2018), and to estimate their annual direct health care costs. An analysis of patient level data utilising hospital episode statistics for NHS England, including: temporal trends in annual incidence of admission, Poisson models of the sociodemographic characteristics of admitted patients, and direct health care cost estimates. The incidence of dog bite admissions rose from 6.34 (95%CI 6.12–6.56) in 1998 to 14.99 (95%CI 14.67–15.31) admissions per 100,000 population in 2018, with large geographic variation. The increase was driven by a tripling of incidence in adults. Males had the highest rates of admission in childhood. Females had two peaks in admission, childhood and 35–64 years old. Two percent (2.05%, 95%CI 0.93–3.17) of emergency department attendances resulted in admission. Direct health care costs increased and peaked in the financial year 2017/2018 (admission costs: £25.1 million, emergency attendance costs: £45.7million). Dog bite related hospital admissions have increased solely in adults. Further work exploring human–dog interactions, stratified by demographic factors, is urgently needed to enable the development of appropriate risk reduction intervention strategies.John S. P. TullochSara C. Owczarczak-GarsteckaKate M. FlemingRoberto VivancosCarri WestgarthNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q John S. P. Tulloch Sara C. Owczarczak-Garstecka Kate M. Fleming Roberto Vivancos Carri Westgarth English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases
description	Abstract Dog bites are a global health issue that can lead to severe health outcomes. This study aims to describe the incidence and sociodemographics of patients admitted to English National Health Service (NHS) hospitals for dog bites (1998–2018), and to estimate their annual direct health care costs. An analysis of patient level data utilising hospital episode statistics for NHS England, including: temporal trends in annual incidence of admission, Poisson models of the sociodemographic characteristics of admitted patients, and direct health care cost estimates. The incidence of dog bite admissions rose from 6.34 (95%CI 6.12–6.56) in 1998 to 14.99 (95%CI 14.67–15.31) admissions per 100,000 population in 2018, with large geographic variation. The increase was driven by a tripling of incidence in adults. Males had the highest rates of admission in childhood. Females had two peaks in admission, childhood and 35–64 years old. Two percent (2.05%, 95%CI 0.93–3.17) of emergency department attendances resulted in admission. Direct health care costs increased and peaked in the financial year 2017/2018 (admission costs: £25.1 million, emergency attendance costs: £45.7million). Dog bite related hospital admissions have increased solely in adults. Further work exploring human–dog interactions, stratified by demographic factors, is urgently needed to enable the development of appropriate risk reduction intervention strategies.
format	article
author	John S. P. Tulloch Sara C. Owczarczak-Garstecka Kate M. Fleming Roberto Vivancos Carri Westgarth
author_facet	John S. P. Tulloch Sara C. Owczarczak-Garstecka Kate M. Fleming Roberto Vivancos Carri Westgarth
author_sort	John S. P. Tulloch
title	English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases
title_short	English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases
title_full	English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases
title_fullStr	English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases
title_full_unstemmed	English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases
title_sort	english hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/d5a9208f2ef94248adbe1bd4effc4777
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English hospital episode data analysis (1998–2018) reveal that the rise in dog bite hospital admissions is driven by adult cases

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