Retrospective Analysis of Dog Bite Injuries in Children with Autism Spectrum Disorder
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| Title: | Retrospective Analysis of Dog Bite Injuries in Children with Autism Spectrum Disorder |
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| Language: | English |
| Authors: | Lauren E. Mazur (ORCID |
| Source: | Journal of Autism and Developmental Disorders. 2025 55(11):4129-4136. |
| Availability: | Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/ |
| Peer Reviewed: | Y |
| Page Count: | 8 |
| Publication Date: | 2025 |
| Sponsoring Agency: | National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH) |
| Contract Number: | UL1TR002014 |
| Document Type: | Journal Articles Reports - Research |
| Descriptors: | Injuries, Animals, Children, Autism Spectrum Disorders, Incidence, Clinical Diagnosis, Trauma, Medical Services, Immunization Programs, Diseases, Mortality Rate, Head Injuries |
| DOI: | 10.1007/s10803-024-06510-3 |
| ISSN: | 0162-3257 1573-3432 |
| Abstract: | 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. |
| Abstractor: | As Provided |
| Entry Date: | 2026 |
| Accession Number: | EJ1493142 |
| Database: | ERIC |
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| Abstract: | 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. |
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| ISSN: | 0162-3257 1573-3432 |
| DOI: | 10.1007/s10803-024-06510-3 |
