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Pattern of injuries due to wild animal attack among patients presenting to the emergency department:A retrospective observational study

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Chinese Journal of Traumatology 2021年第6期24卷 383-388页

作者： Pradeep k.mar Singh S Manwar Ali Rakesh Vadakkethil Radhakrishnan Chitta Ranjan Mohanty Manas Ranjan Sahu Bishnu Prasad Patro Ijas MS susant k.mar panda Department of General Surgery All India Institute of Medical SciencesBhubaneswar751019India College of Nursing All India Institute of Medical SciencesBhubaneswar751019India Department of Trauma and Emergency All India Institute of Medical SciencesBhubaneswar751019India Department of Forensic Medicine and Toxicology All India Institute of Medical SciencesBhubaneswar751019India Department of Orthopedics All India Institute of Medical SciencesBhubaneswar751019India Department of General Surgery District Head Quarter HospitalAngulOdish1759122India

Purpose:The human-wildlife conflicts(HWCs)causing nuisances and injuries are becoming a growing public health concern over recent years *** aimed to study the demographic profile,mode of injury,pattern of injury,and outcome of wild animal attack victims presented to the emergency ***:This retrospective cross-sectional study was conducted in the emergency department of a tertiary-care hospital in Eastern *** were retrieved from the medical records from May 2017 to May *** of all ages and genders attacked by wild animals and secondary injuries were included in this *** with incomplete data,injuries due to the attack of stray and domestic animals and trauma due to other causes were *** profile,mode of injury,the pattern of injury,injury severity score(ISS),radiological pattern,and outcome were *** analysis with R(version 3.6.1.)was ***:A total of 411 wild animal attack victims were studied,of which 374(90.9%)were snakebite injuries and 37(9.1%)were wild mammalian(WM)attack *** mean age of WM attack victims was 46 years,and the male-to-female ratio was 4:*** attack injury(40.5%)was the most common WM attack injury *** WM attacks(43.2%)occurred between 4:00 *** 8:00 *** median ISS was 18.5(13-28),where 54.2%of patients had polytrauma(ISS>15).Elephant attack was associated with a higher ISS,but the difference was not significant compared to other animal types(p=0.2).Blunt trauma was common pattern of injury in the elephant attack injury *** and soft tissue injuries were common patterns in other animal *** snakebites,neurotoxic was the most common type(55.4%),and lower extremity was the most common site ***:The young male population is the major victim of HWCs;and elephant is the most common animal *** is a need to design scientifically sound preventive strategies for HWCs and to strengthen t

关键词： Wild animal Injury severity score Elephant Wild boar Polytrauma

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