The Susy Safe project overview after the first four years of activity

Gregori, Darío; Foltran, Francesca; Ballali, Simonetta; Berchialla, Paola; Zaupa, P.; Spitzer, Peter; Demetriades, Christopher; Šlapák, Ivo; Sokolova, L A; Petridou, Eleni; D'Alessandro, A M; Clemente, Manuel Antonio Caldeira Pais; Jakubı́ková, Janka; As, S. Van; Koning, Ton de; Passàli, Desiderio; Chinsky, A.; Rodríguez, Héctor Rafael Céspedes; Brkić, Fuad; Mladina, R.; Kalakouta, Olga; Melis, Alessandra; Máchalova, Michaela; Cayé‐Thomasen, Per; El-Sheikh, Enas I; Ragab, Ahmed; Pitkäranta, Anne; Necker, P.C.; Derelle, J.; Duwelz, M.; François, M.; Pezzettigotta, S.; Righini, Christian; Stephane, P.; Buzarov, Jane; Rinderer, Bernhard; Jähnke, V.; Onder, Graziano; Zieriacks, P.; Kalampoki, Vasiliki; Simasko, N.; Skoulakis, Charalampos; Camaioni, A.; Cutrone, Cesare; Gaudini, E.; Grasso, Domenico Leonardo; Mansi, Nicola; Messi, G; Orlando, C.; Preziosi, S.; Sorrentini, I.; Trozzi, Marilena; Vigo, Alessandro; Villari, G.; Passàli, Giulio Cesare; Passàli, Francesco Maria; Nishida, Yoshifumi; Ussatayeva, Gainel; Hoyos, R. De; Ologe, Foluwasayo E.; Nasrullah, Muazzam; Melendez, Andrea; Chmielik, Mieczysław; Belchior, T.; Cobzeanu, M.D.; Gheorghe, Dan Cristian; Lorgulescu, A.; Caius, C.; Toader, Mioriţa; Barkociova, J.; Havelkova, B.; Žargi, Miha; Pumarola, M.; Rubio, L. Álvarez; Stierna, Pontus; Hsu, Wei‐Chung; Arj-Ong, Sakda; Chomchai, Chulathida; Hoep, L.S.; Rinkel, Rico N. P. M.; Baskent, E.A.; Erikçi, Volkan Sarper; Önerci, Metin; Graham, J. Christopher; Khwaja, Sadie; Raine, Chris

doi:10.1016/j.ijporl.2012.02.003

Cited by 15 publications

(5 citation statements)

References 25 publications

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“…As far as the clinical presentations are concerned, we had a large proportion of patients presenting with abdominal pain (55.73%), followed by vomiting in 34.42%, as well as 29.50% of asymptomatic children. These results are different from reports of working groups and authors like Arms, Abbas, and Conners that found asymptomatic children in variable percentages of 25%, 50%, and 55%, respectively [8–11]. In our opinion, these differences could be attributed to the nature of the ingested objects.…”

Section: Discussioncontrasting

confidence: 99%

“…Gender distribution showed a slight male predominance. These findings are consistent with other reports such as the ones of Adhikari and other authors regarding age and gender distribution [7, 8]. Discussions indicate that the high prevalence of foreign body ingestions in younger children is due to the exploratory habits of these children and that gender involvement is not significant in this pathology.…”

Section: Discussionsupporting

confidence: 92%

“…In the rest of the cases, the patients had either swallowed a nonradiopaque object or eliminated it prior to admission and passed unnoticed. In our study, the X-ray identification rate was 68.85%, which is similar to rates reported by working groups' studies and the research of Litovitz et al and Shastri et al that ranged from 64% to 96.04% [8, 13, 14]. We agree with other authors who stated that the optimal modality for removing the foreign body is largely dependent on many factors, including the patient's age, the clinical condition, the size, shape, and type of the foreign body, the anatomic location, the technical possibilities, and the skills of the endoscopist [15].…”

Section: Discussionsupporting

confidence: 91%

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Foreign Bodies Ingestion in Children: Experience of 61 Cases in a Pediatric Gastroenterology Unit from Romania

Diaconescu

Gimiga

Sârbu

et al. 2016

Gastroenterology Research and Practice

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The ingestion of foreign bodies is a worldwide pediatric pathology. We assessed the clinical, endoscopic, and therapeutic aspects of this condition in a pediatric gastroenterology unit. We reviewed 61 patients (median age of 3.25 ± 4.7 years). The most frequently ingested objects were coins (26.23%), unidentified metal objects (13.11%), bones (8.19%), batteries, and buttons (6.55%). The clinical features we encountered included abdominal pain (55.73%), vomiting (34.42%), and asymptomatic children (29.5%). Routine X-ray examination enabled finding the foreign body in 42 of the cases. An esophagogastroduodenoscopy was performed within 24–72 hours. 25 cases resulted in a negative endoscopy (40.98%), 19 objects (31.14%) were removed using a polypectomy snare, and extraction failure occurred in 17 patients (27.86%). 28 foreign bodies were passed without incidents; in 14 cases, the swallowed objects were never found. In one case, a battery was stuck in the esophageal folds and led to tracheal-esophageal fistula and bronchopneumonia and later to esophageal stenosis. We report a large proportion of foreign bodies that could not be identified or removed due to lack of early endoscopy and poor technical settings. Batteries and sharp objects lead to severe complications and preschool-age children are at high risk for such events.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 91%

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Foreign Bodies Ingestion in Children: Experience of 61 Cases in a Pediatric Gastroenterology Unit from Romania

Diaconescu

Gimiga

Sârbu

et al. 2016

Gastroenterology Research and Practice

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“…The Susy Safe project [10] has collected data to frame the situation more clearly. The data obtained to date show that 40% of choking injuries occurred while children were eating without adult supervision and that the remaining 60% happened when children were eating hazardous food when an adult was present [22]. Such data are consistent with findings from the international literature.…”

Section: Discussionsupporting

confidence: 87%

Perception of Choking Injury Risk Among Healthcare Students

et al. 2019

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Choking injuries in children represent a severe public health burden. Although most choking injuries are due to food, parents have often been found to be unaware of the choking hazards presented by food. In this context, healthcare professionals may play an important role in choking prevention by educating families. We investigate the perception of choking injury risk among healthcare profession students by comparing their awareness and knowledge of choking hazards with those of people without a specific health education. A survey was conducted among a sample of final year healthcare profession students from two universities in northern Italy and a sample of adults from the general population without any health education.Respondents were asked to look at ten pictures and identify the items that pose the greatest choking hazard to children of different age groups. Seventy-one students and 742 adults without any health education responded to the survey. A higher percentage of the adults without a health education identified a food item as posing the greatest choking hazard in comparison to the percentage of healthcare profession students. The results of this study suggest that there is a need to include specific educational modules on choking prevention in healthcare-related degree programs.

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“…Additionally, Susy Safe data, perhaps one of the world’s largest registries collecting data on foreign body (FB) injuries in children aged 0–14 years old [7], shows that about 40% of recorded food injuries occurred while children were eating without adult supervision. The remaining 60% occurred when children were eating improper food (or food prepared improperly) despite adult supervision [8]. These findings denote a concerning lack of knowledge about choking hazard among caregivers.…”

Section: Introductionmentioning

confidence: 99%

Increasing awareness of food-choking and nutrition in children through education of caregivers: the CHOP community intervention trial study protocol

Lorenzoni

Azzolina

Baldas³

et al. 2019

BMC Public Health

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Background Choking is one of the leading causes of death among unintentional injuries in young children. Food choking represents a considerable public health burden, which might be reduced through increased effective preventative education programs. We present a protocol for a community intervention trial termed CHOP (CHOking Prevention project) that aimed to teach Italian families how to prevent food choking injuries and increase knowledge relating to nutrition. Methods Italian educational facilities were enrolled. Stratified randomization blocked by geographical area was performed. Each stratum was randomized to one of three different intervention strategies or to a control group. Educational intervention was delivered in the schools by experts and certified trainers as per the following three intervention strategies: directly to families (Strategy A); to teaching staff only, who subsequently delivered the same educational intervention to families (Strategy B); to health service staff only, who then delivered the educational intervention to teaching staff, who subsequently delivered the intervention to families (Strategy C). Participants completed a questionnaire about their knowledge on the topics presented during the educational interventions (pre-, post-, and follow-up of intervention). Information from the questionnaires was synthetized into 6 indicators in order to measure how effective each intervention strategy was. Discussion The issue of food choking injuries in children is relevant to public health. The protocol we present provides an opportunity to progress towards overcoming such challenges through a working model that can be implemented also in other countries. Trial registration ClinicalTrials.gov NCT03218618. The study was registered on 14 July 2017.

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The Susy Safe project overview after the first four years of activity

Cited by 15 publications

References 25 publications

Foreign Bodies Ingestion in Children: Experience of 61 Cases in a Pediatric Gastroenterology Unit from Romania

Foreign Bodies Ingestion in Children: Experience of 61 Cases in a Pediatric Gastroenterology Unit from Romania

Perception of Choking Injury Risk Among Healthcare Students

Increasing awareness of food-choking and nutrition in children through education of caregivers: the CHOP community intervention trial study protocol

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