Multivariate analysis of variables predictive of hospital admission and death after an animal encounter resulting in an emergency department visit—USA, 2010–2014
Hospital admission* | Death† | |||||
OR | P values | 95% CI | OR | P values | 95% CI | |
Age group (years) | ||||||
0–17 | Referent | – | – | Referent | – | – |
18–44 | 1.91 | <0.001 | 1.70 to 2.14 | 1.31 | 0.4 | 0.67 to 2.56 |
45–64 | 3.63 | <0.001 | 3.22 to 4.10 | 5.60 | <0.001 | 2.91 to 10.77 |
65–74 | 3.48 | <0.001 | 3.04 to 3.97 | 7.03 | <0.001 | 2.77 to 17.86 |
75–84 | 4.54 | <0.001 | 3.95 to 5.21 | 11.98 | <0.001 | 4.84 to 29.64 |
>85 | 6.42 | <0.001 | 5.57 to 7.40 | 27.71 | <0.001 | 10.38 to 73.99 |
Sex | ||||||
Female | 0.77 | <0.001 | 0.75 to 0.79 | 0.55 | <0.001 | 0.41 to 0.73 |
Hospital region | ||||||
Northeast | Referent | – | – | – | – | – |
Mid-west | 0.89 | 0.1 | 0.77 to 1.04 | – | – | – |
South | 1.08 | 0.2 | 0.94 to 1.25 | – | – | – |
West | 1.07 | 0.5 | 0.90 to 1.26 | – | – | – |
Payer status | ||||||
Medicare | Referent | – | – | Referent | – | – |
Medicaid | 0.75 | <0.001 | 0.71 to 0.79 | 0.73 | 0.4 | 0.33 to 1.60 |
Private insurance | 0.67 | <0.001 | 0.64 to 0.70 | 0.56 | 0.06 | 0.30 to 1.01 |
Self-pay | 0.55 | <0.001 | 0.52 to 0.58 | 0.79 | 0.5 | 0.40 to 1.56 |
No charge | 1.69 | <0.001 | 1.38 to 2.07 | NA | NA | NA |
Other | 0.69 | <0.001 | 0.63 to 0.75 | 0.75 | 0.5 | 0.36 to 1.59 |
Household income | ||||||
0–25th | Referent | – | – | Referent | – | – |
26th–50th | 1.01 | 0.6 | 0.96 to 1.07 | 1.27 | 0.2 | 0.90 to 1.78 |
51st–75th | 1.14 | <0.001 | 1.06 to 1.23 | 1.11 | 0.6 | 0.74 to 1.66 |
76th–100th | 1.25 | <0.001 | 1.15 to 1.36 | 1.05 | 0.8 | 0.68 to 1.62 |
Injury location | ||||||
Isolated head/neck | Referent | – | – | Referent | – | – |
Isolated face | 3.36 | <0.001 | 2.57 to 4.37 | 1.30 | 0.8 | 0.18 to 9.16 |
Isolated chest | 3.19 | <0.001 | 2.55 to 3.99 | 0.78 | 0.7 | 0.20 to 3.03 |
Isolated abdomen | 9.51 | <0.001 | 7.61 to 11.89 | 5.15 | 0.01 | 1.39 to 18.99 |
Isolated extremity | 2.19 | <0.001 | 1.87 to 2.56 | 0.72 | 0.5 | 0.25 to 2.06 |
Isolated external | 1.77 | <0.001 | 1.48 to 2.12 | 0.10 | 0.04 | 0.01 to 0.85 |
Multiple body regions | 0.44 | <0.001 | 0.38 to 0.52 | 0.17 | 0.001 | 0.06 to 0.47 |
Injury Severity Score >15 | 14.63 | <0.001 | 11.35 to 18.87 | 39.93 | <0.001 | 12.36 to 87.74 |
Type of encounter | ||||||
Venomous snakes and lizards | Referent | – | – | Referent | – | – |
Venomous spiders | 0.40 | <0.001 | 0.35 to 0.45 | 0.98 | 1.0 | 0.36 to 2.70 |
Scorpions | 0.04 | <0.001 | 0.03 to 0.06 | NA | NA | NA |
Hornets, wasps, bees | 0.04 | <0.001 | 0.03 to 0.04 | 0.44 | 0.09 | 0.17 to 1.13 |
Centipede and venomous millipedes | 0.06 | <0.001 | 0.04 to 0.10 | NA | NA | NA |
Other venomous arthropods | 0.07 | <0.001 | 0.06 to 0.08 | 0.81 | 0.7 | 0.28 to 2.38 |
Venomous marine animals and plants | 0.05 | <0.001 | 0.04 to 0.07 | NA | NA | NA |
Other sting or bite, specified | 0.12 | <0.001 | 0.06 to 0.23 | NA | NA | NA |
Sting or venomous bite not otherwise specified | 0.08 | <0.001 | 0.06 to 0.09 | 0.78 | 0.7 | 0.18 to 3.29 |
Dog bite | 0.09 | <0.001 | 0.08 to 0.11 | 0.28 | 0.006 | 0.11 to 0.70 |
Rat bite | 0.09 | <0.001 | 0.07 to 0.11 | 1.38 | 0.7 | 0.27 to 7.14 |
Bite of non-venomous snake or lizard | 0.06 | <0.001 | 0.05 | NA | NA | NA |
Bite of other animals except arthropods | 0.26 | <0.001 | 0.23 to 0.30 | 0.22 | 0.004 | 0.08 to 0.61 |
Bite of non-venomous arthropods | 0.08 | <0.001 | 0.07 to 0.09 | 0.27 | 0.007 | 0.11 to 0.70 |
Bite by unspecified animal | 0.08 | <0.001 | 0.06 to 0.10 | 0.40 | 0.3 | 0.08 to 2.11 |
Other specified injury caused by animal | 0.11 | <0.001 | 0.10 to 0.12 | 0.28 | 0.02 | 0.09 to 0.83 |
Unspecified injury caused by animal | 0.06 | <0.001 | 0.04 to 0.07 | 0.14 | 0.08 | 0.01 to 1.23 |
NA, not applicable.
*Area under the receiver operating characteristic curve=0.772.
†Area under the receiver operating characteristic curve=0.858.