National Trends of Pediatric Aspirated/Ingested Foreign Bodies.

Autor: Saw-Aung M; Department of Otolaryngology, School of Medicine, SUNY Downstate, Brooklyn, NY, USA., Kong RM; Department of Otolaryngology, School of Medicine, SUNY Downstate, Brooklyn, NY, USA., Cipriano N; Department of Otolaryngology, School of Medicine, SUNY Downstate, Brooklyn, NY, USA., Daniels A; Department of Otolaryngology, School of Medicine, SUNY Downstate, Brooklyn, NY, USA., Newen NL; Department of Otolaryngology, School of Medicine, SUNY Downstate, Brooklyn, NY, USA., Goldstein NA; Department of Otolaryngology, School of Medicine, SUNY Downstate, Brooklyn, NY, USA., Plum AW; Department of Otolaryngology, School of Medicine, SUNY Downstate, Brooklyn, NY, USA.
Jazyk: angličtina
Zdroj: Clinical pediatrics [Clin Pediatr (Phila)] 2024 May; Vol. 63 (4), pp. 531-540. Date of Electronic Publication: 2023 Jun 28.
DOI: 10.1177/00099228231181978
Abstrakt: Foreign body (FB) aspiration/ingestion in children represents a major cause of hospital admission and mortality. Evaluating risk factors and identifying trends in specific FB products could improve targeted health literacy and policy changes. A cross-sectional study querying emergency department patients less than 18 years old with a diagnosis of aspirated/ingested FB was conducted using the National Electronic Injury Surveillance System database between 2010 and 2020. Incidence rates per 100 000 people-year were calculated and multivariate analyses were performed to identify risk factors for hospital admission and mortality. There has been a significantly decreasing rate of aspirated (-23.6%; P = .013) but not ingested FB (-9.4%; P = .066) within the study period. Within pediatric aspirated FB, black compared with white patients had decreased odds of same hospital admission (odds ratio [OR]: 0.8), but increased odds of transfer admission (OR: 1.6) and mortality (OR: 9.2) (all, P < .001).
Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze: MEDLINE