@article{ref1,
title="Uncovering a failed pediatric patient population in rural America: a statewide analysis of over 1,000 dog bite injuries",
journal="Curēus",
year="2022",
author="Massand, Sameer and Giglio, Marisa and Patel, Akshilkumar and Shen, Chan and Tashima, Alexis and Rizk, Elias and Samson, Thomas",
volume="14",
number="6",
pages="e25734-e25734",
abstract="Pediatric dog bites are prevalent and often devastating. Population-based data on these injuries can aid public health intervention efforts. However, most existing literature comes from single institutions in urban settings. We assess a statewide cohort to compare injury characteristics in urban and rural regions and find predictors for inter-hospital transfer. Data from 1,007 injuries from 2000 to 2015 were analyzed. Patients in rural areas were younger, more likely to be white and low-income, and more likely to receive delayed patient care. Injuries occurring in public settings as opposed to the private residence were more likely to involve males, occur in low-income areas, and involve non-white patients. Patients who required inter-hospital transfer were more likely to require a surgical subspecialist and operative repair. Our population analysis reveals children living in rural areas as a previously unidentified vulnerable patient population that may be suitable targets for public health interventions.<p /> <p>Language: en</p>",
language="en",
issn="2168-8184",
doi="10.7759/cureus.25734",
url="http://dx.doi.org/10.7759/cureus.25734"
}