Epidemiology of Pediatric Foreign Body Ingestions Amidst the Coronavirus 2019 Pandemic at a Tertiary Care Children’s Hospital

Klein, Lauren; Black, Katherine; Dole, Michael; Orsagh-Yentis, Danielle

doi:10.1097/pg9.0000000000000168

Cited by 13 publications

(8 citation statements)

References 33 publications

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“…Pediatric EFBs have become increasingly prevalent and pose a significant danger to children. 2,3,20,21 Although risk factors such as anatomical abnormalities and younger age have been associated with higher rates of EFB ingestion, 22,23 SES as a risk factor has never been studied. Determining the influence of socioeconomic factors on EFB ingestion is important to further understand health disparities in children and to help target primary prevention measures.…”

Section: Discussionmentioning

confidence: 99%

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Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns

Chen,

M Siu,

Madan

et al. 2024

The Laryngoscope

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ObjectivePediatric esophageal foreign bodies (EFBs) are common and can result in serious complications. Little is known about the influence of socioeconomic status (SES) on EFB ingestion in children. The goal was to study SES as a risk factor for dangerous foreign body ingestion and in‐hospital complications in children.MethodsThis was a retrospective cohort study of children presenting to a tertiary care pediatric hospital with an esophageal foreign body from 2010 to 2021. SES was assessed for each patient by linking their postal code to the Ontario Marginalization Index to determine a quintile score across four dimensions of deprivation: residential instability, material deprivation, dependency, and ethnic concentration. Dangerous EFBs were defined as magnets, batteries, sharp objects, or bones. In‐hospital complications included: intensive care unit admission, prolonged length of stay, and postoperative sequelae.ResultsA total of 680 patients were included. Dangerous EFB ingestion was higher for children with increased residential instability (odds ratio [OR], 2.1; 95% confidence interval [CI], 1.2–3.6) and increased material deprivation (OR, 2.2; CI, 1.9–2.8), which was similarly true for odds of complications. Odds of dangerous EFB ingestion were higher in older children (OR, 1.1; CI, 1.0–1.1) and odds of complications were higher in children with comorbidities (OR, 1.1; CI, 1.0–1.3).ConclusionHigher levels of housing instability and material deprivation are associated with dangerous EFB ingestion and complications related to EFB ingestion. These findings emphasize the role that SES plays on child health outcomes and the need for initiatives to mitigate these disparities.Level of Evidence3 Laryngoscope, 2024

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Section: Discussionmentioning

confidence: 99%

“…Pediatric EFBs have become increasingly prevalent and pose a significant danger to children 2,3,20,21 . Although risk factors such as anatomical abnormalities and younger age have been associated with higher rates of EFB ingestion, 22,23 SES as a risk factor has never been studied.…”

Section: Discussionmentioning

confidence: 99%

Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns

Chen,

M Siu,

Madan

et al. 2024

The Laryngoscope

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“…This was further suggested in other studies documenting significant increases in foreign-body ingestions, which mentioned that most ingestions in children occur in the home environment and increased time spent at home by children was seen during the pandemic. 30 , 31 Although some included studies reported foreign bodies by anatomical location, there was not enough data reported to analyze presentation rates by location.…”

Section: Discussionmentioning

confidence: 99%

Otolaryngologic Presentations to Emergency Departments During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Munhall

Shah

Nguyen

et al. 2023

Ann Otol Rhinol Laryngol

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Objectives: To perform a systematic review of otolaryngologic presentation rates to emergency department settings before and after lockdown due to the COVID-19 pandemic. Sources: PubMed, Scopus, and CINAHL. Methods: A systematic search was conducted following PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-analyses) for studies describing otolaryngologic presentations to emergency department and rapid access clinic settings both in the before-lockdown and after-lockdown periods. The start of after-lockdown period varied based on initiation of lockdown, ranging from March 1st to June 1st of 2020 across general emergency department studies. Results: A total of 14 studies were included in this review. About 10 were general emergency departments, 3 were specifically pediatric emergency departments, and 1 study focused on the geriatric population (>65 years). A total of 13 790 patients were included, with 9446 in the before-lockdown period (68.5%) and 4344 in the after-lockdown period (31.5%). Meta-analysis of proportions for otolaryngologic presentations across general emergency departments was performed. Comparison of weighted proportions found significant differences between before-lockdown and after-lockdown presentation rates for infectious etiologies, tonsillitis specifically, foreign bodies, non-infectious airway issues, and epistaxis among these studies. Conclusions: The increased proportions of various non-infectious presentations (eg, epistaxis, foreign bodies, and airway issues) following lockdown might be associated with proportional decreases in infectious pathologies, given decreased social contact to prevent SARS-CoV-2 transmission. Overall, it is important for otolaryngologists to recognize what presentations might more commonly be seen and require evaluation and potential intervention in light of a global pandemic.

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“…Current pandemic crisis contributed several obvious reasons to shoot-up FBI cases. 18 As reported a remarkable higher rate of potentially fatal FBIs patients have been admitted to pediatric emergency departments during COVID-19 pandemic especially second pandemic period (2020-21) in different countries across the world. 19,20…”

Section: Epidemiologymentioning

confidence: 97%

Oral ingestion of foreign body in neonates and infants: a clinical review

Sahoo

Rath

Swain

et al. 2022

Int J Contemp Pediatr

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Foreign body (FB) ingestion in adult and children population is not uncommon but accidental. Same is rare in neonates and infants. Many of the FBs ingestion go unnoticed or unexpressed if baby is preverbal. Most of the foreign bodies pass spontaneously per anal. Only the larger size or sharp FBs get stuck in places of gastro intestinal tract and presents the patient in emergency department. Similarly corrosive and toxic FBs also invite immediate attention. Literature on the clinical aspects of the foreign body ingestion among neonates and infants was searched electronically through PubMed and individual study. Relevant articles were reviewed thoroughly and summarized. Instances of foreign body ingestion (FBI) in neonate and adult are in ascending trend over last several years. Imaging and identification of radiolucent FBs become challenging for surgeons. Conservative treatment for spontaneous evacuation, endoscopic retrieval and surgical removal are the modalities for FBI management.

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Epidemiology of Pediatric Foreign Body Ingestions Amidst the Coronavirus 2019 Pandemic at a Tertiary Care Children’s Hospital

Abstract: Supplemental Digital Content is available in the text.

Cited by 13 publications

References 33 publications

Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns

Pediatric Esophageal Foreign Bodies: The Role of Socioeconomic Status in Ingestion Patterns

Otolaryngologic Presentations to Emergency Departments During the COVID-19 Pandemic: A Systematic Review and Meta-Analysis

Oral ingestion of foreign body in neonates and infants: a clinical review

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