Foreign bodies in children: A comparison between Argentina and Europe

Chinski, Alberto; Foltran, Francesca; Gregori, Darío; Ballali, Simonetta; Passàli, Desiderio; Bellussi, Luisa

doi:10.1016/j.ijporl.2012.02.018

Cited by 16 publications

(16 citation statements)

References 23 publications

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“…A variety of foreign bodies were ingested, of which coins were the most common in our cohort, as in many other studies [1,5,8,11,12]. However, the proportion was lower in our study (18%) than that reported by others (49 to 88 %), which may re ect changes over time or differences in patient referral, selection and inclusion, in object classi cation and localization, or in the diets and habits of the patient populations [4,5,12,30,31] (supplemental Table). The ingestion patterns also differed by sex, age and season (e.g., Christmas decorations) [8,32].…”

Section: Ingestion Of Foreign Bodies or Chemical Substances Is Frequesupporting

confidence: 50%

Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017

Speidel

Woelfle

Mayer

et al. 2020

Preprint

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Background: Children with a history of caustic or foreign body ingestion (FBI) seem to be presenting more frequently to emergency departments. This study aims to elucidate the clinical presentation, diagnostic procedures, and complications associated with the ingestion of on different object categories over a 13-year time period.Methods: A structured retrospective data analysis of patients who presented in between January 2005 and December 2017 to the University Medical Centre Ulm was performed. Patients up to 17 years of age with food impaction or foreign body or harmful substance ingestion were included by selection of the corresponding International Statistical Classification of Diseases and Related Health Problems (ICD10-GM) codes. Descriptive statistics, parametric or non-parametric tests, and linear regression analysis were performed.Result: In total, 1199 patients were analysed; the mean age was 3.3 years (SD 3.12; range 7 days to 16 years), the male to female ratio was 1.15:1, and 194 (16.2%) were hospitalized. The number of patients seen annually increased from 66 in 2005 to 119 in 2017, with a rise in percentage of all emergency patients from 0.82% in 2010 to 1.34% in 2017. The majority of patients (n=619) had no symptoms, and 244 out of 580 symptomatic patients complained of retching or vomiting. Most frequently, ingested objects were coins (18.8%). Radiopaque objects accounted for 47.6%, and sharp objects accounted for 10.5% of the ingested foreign bodies, both of which were significantly more often ingested by girls (p<0.001 for both). Button battery ingestion was recorded for 63 patients with a significant annual increase (R2=0.57; β=0.753; p=0.003). The annual rate of complications also increased significantly (R2=0.42; β=0.647; p=0.017).Conclusion: We found an alarming increase in the number of children who presented to our emergency department with FBI and associated complications. A standardized diagnostic and therapeutic approach may reduce and prevent serious complications. Further preventive measures within the home environment are needed to stop this trend.

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Section: Ingestion Of Foreign Bodies or Chemical Substances Is Frequesupporting

confidence: 50%

Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017

Speidel

Woelfle

Mayer

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…A variety of foreign bodies is ingested of which coins appear the most common in our cohort like in many other studies [2,7,25,27,28]. However, the share was lower in our study (18%) compared to 49 to 88% reported by others, which may also re ect changes over time, differences in referral, selection and inclusion of the patients or classi cation and localization of objects as well as different diets and habits of the populations [2,26,[28][29][30]. A retrospective observational study from Japan reported cigarettes be the most frequent FB (17%) in a cohort of younger children (median age 1 year 3 months) compared to only 2.3% registered cases in our study although the smoking prevalence in both countries are equivalent (WHO statistics data).…”

Section: Ingestion Of Foreign Bodies or Chemical Substances Is Frequesupporting

confidence: 47%

Increase of foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017

Speidel

Woelfle

Mayer

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Children with a history of caustic or foreign body ingestions (FBI) are frequently presented at the emergency department. An uncertain case history, the different objects and diverse clinical presentation may complicate or delay a proper management and cause serious complications. Methods A structured retrospective data analysis of patients presented in between January 2005 and December 2017 at the University Medical Centre Ulm was performed. All patients up to 17 years of age with food impaction, foreign body or harmful substance ingestion were included by selection of the corresponding International Statistical Classification of Diseases and Related Health Problems (ICD10-GM) codes. Descriptive statistics, parametric or non-parametric tests, and linear regression analysis were performed. Result In total, 1199 cases were analysed; mean age 3.3 years (SD 3.12; range 7 days to 16 years), male to female ratio 1.15:1, thereof 194 (16.2%) were hospitalized. The majority (n = 619) had no symptoms, 244 out of 580 symptomatic patients complained retching or vomiting. The annually recorded cases increased from 66 in 2005 to 119 in 2017 with a rise of the percentage of all emergency cases by 0.52% since 2010 to 1.34% in 2017. Most frequently, coins were ingested (18,8%). Radiopaque objects accounted for 47.6%, and sharp objects for 10.5% of the FBI, which were significantly more often ingested by girls (p < 0.000015 and p < 0.000024, respectively). Button battery ingestion was recorded in 63 cases with a significant annual increase (R2 = 0.57; beta = 0,753; p < 0.003). The annual rate of complications raised significantly (R2 = 0.42; beta = 0,647; p < 0.017). Conclusion Children with FBI are increasingly presented at emergency departments. Special attention is necessary to prevent serious complications, especially in asymptomatic children. Further preventive measures within the home environment are needed to stop this trend.

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“…However, despite the severity of this type of injury, the availability of high‐quality evidence on FB injuries is lacking . Furthermore, most studies are concerned with FB aspiration and ingestion, and few studies have investigated FBs in the genitourinary tract, which are rare in pre‐schoolers. To improve the clinical management of children with FB injuries and reduce the risk of complications, we reviewed a series of 78 paediatric patients with FB injuries who were treated surgically at our institution over the last 10 years.…”

mentioning

confidence: 99%

Injuries due to foreign body ingestion and insertion in children: 10 years of experience at a single institution

Shao

Shen

Hong

et al. 2019

J Paediatrics Child Health

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Aim: Foreign body (FB) injuries represent a severe public health problem during childhood. The aim of this study was to report our experience with patients with injuries due to FB ingestion and insertion who were treated surgically at our institution. Methods: A total of 78 paediatric patients who were hospitalised for FB injuries were retrospectively reviewed. Results: The series was composed of 27 males and 51 females, with a median age of 3.6 years. The cases included 35 cases of FB ingestion and 43 cases of FB insertion, including 40 cases with a vaginal insertion, 2 cases with a rectal insertion and 1 case with a urethra insertion. Intestinal perforation (n = 26) was a more common complication than intestinal obstruction (n = 9) in patients who had ingested a FB. The main clinical symptom was persistent vaginal discharge, followed by vaginal bleeding for patients with a vaginal FB insertion. Exploratory laparotomy was performed on 36 patients, while a laparoscopic approach was employed in 1 patient. Forty patients underwent hysteroscopy and one patient underwent cystotomy to remove the FB. All FBs were successfully removed. Of the 78 FBs recovered, 26 were food objects, while non-food objects were found in 52 patients. All patients recovered well, except one patient with an intestinal obstruction from adhesions that occurred approximately 1 month after discharge. Conclusions: Early recognition of FB injuries and appropriate management can significantly reduce complications. Surgical removal of a FB can be safe and effective, and relatively better outcomes can be achieved.What is already known on this topic 1 Foreign body (FB) injuries represent a severe public health problem during childhood. 2 Some FB injuries have an unclear history and non-specific clinical presentation, resulting in a delay in diagnosis.

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Foreign bodies in children: A comparison between Argentina and Europe

Cited by 16 publications

References 23 publications

Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017

Increase in foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017

Increase of foreign body and harmful substance ingestion and associated complications in children: a retrospective study of 1199 cases from 2005 to 2017

Injuries due to foreign body ingestion and insertion in children: 10 years of experience at a single institution

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