Literature DB >> 22376998

Food foreign body injuries.

Arjan B Sebastian van As1, Abdullah M Yusof, Alastair J W Millar.   

Abstract

RATIONALE AND AIM: The purpose of this study is to acquire a better understanding of Food Foreign Bodies (FFB) injuries in children characterizing the risk of complications and prolonged hospitalization due to food items according to patients' characteristics, circumstances of the accident, Foreign Body (FB) features and FB location, as emerging from the SUSY Safe Web-Registry.
METHODS: The present study uses data provided by the SUSY Safe Project, a DG SANCO co-funded project started in February 2005, which was aimed at establishing an international registry of cases of Foreign Bodies (FB) injuries in children aged 0-14 years. The analysis was carried out on injuries due to a food item. FB location was reported according to ICD9-CM code: ears (ICD931), nose (ICD932), pharynx and larynx (ICD933) trachea, bronchi and lungs (ICD934), mouth, esophagus and stomach (ICD935). Age and gender injury distributions were assessed. Data regarding adult supervision and activity before injury were also evaluated. FBs which most frequently cause complications were identified. The association between children age, adult presence, object characteristics and hospitalization/complications was computed using unweighted odds ratios and the related 95% confidence intervals.
RESULTS: 16,878 FB injuries occurred in children aged 0-14 years have been recorded in the SUSY Safe databases. FB type was specified in 10,564 cases; among them 2744 (26%) were due to a food item. FB site was recorded in 1344 cases: FB was located in the ears in 99 patients, while 1140 occurred in the upper and lower respiratory tract; finally, 105 food items were removed from mouth, esophagus and stomach. Complications occurred in 176 cases and the most documented was pulmonary or bronchial infections (23%) followed emphysema or atelectasis and by and asthma (7%). Bones were the commonest retrieved FFB encountered in this study, while nuts seem to be the FFB most frequently associated to complications.
CONCLUSIONS: On the basis of this study we make the strong recommendation that parents should be adequately educated and provide age-appropriate food to their children and be present in order to supervise them during eating especially during a critical period ranging from 2 to 3 years of age.
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

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Year:  2012        PMID: 22376998     DOI: 10.1016/j.ijporl.2012.02.005

Source DB:  PubMed          Journal:  Int J Pediatr Otorhinolaryngol        ISSN: 0165-5876            Impact factor:   1.675


  4 in total

Review 1.  Regulatory and Educational Initiatives to Prevent Food Choking Injuries in Children: An Overview of the Current Approaches.

Authors:  Giulia Lorenzoni; Alexander Hochdorn; Giulia Beltrame Vriz; Andrea Francavilla; Romina Valentini; Solidea Baldas; Giselle Cuestas; Hugo Rodriguez; Achal Gulati; A B Sebastian van As; Dario Gregori
Journal:  Front Public Health       Date:  2022-05-19

2.  Epidemiology of pediatric visits to the emergency department due to foreign body injuries in South Korea: Nationwide cross-sectional study.

Authors:  Joong Wan Park; Jin Hee Jung; Young Ho Kwak; Jae Yun Jung
Journal:  Medicine (Baltimore)       Date:  2019-05       Impact factor: 1.817

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

Authors:  Arne Jorma Speidel; Lena Wölfle; Benjamin Mayer; Carsten Posovszky
Journal:  BMC Pediatr       Date:  2020-12-18       Impact factor: 2.125

Review 4.  Foreign body injuries in children: a review.

Authors:  D Passali; D Gregori; G Lorenzoni; S Cocca; M Loglisci; F M Passali; L Bellussi
Journal:  Acta Otorhinolaryngol Ital       Date:  2015-10       Impact factor: 2.124

  4 in total

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