Prevalence of attention deficit hyperactivity disorder (ADHD) in children presenting with foreign body ingestion

Turgut, Kasım; Poyraz, Mehmet Kaan; Sekmen, Ebru; Aydın, İrfan; Algın, Abdullah; Yavuz, Erdal

doi:10.1016/j.ajem.2019.01.030

Cited by 6 publications

(6 citation statements)

References 17 publications

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“…There are several studies in the literature about FBA and child psychopathology. Turgut et al proposed a potentially elevated occurrence of ADHD symptoms among children who were referred to emergency services subsequent to the inadvertent ingestion of foreign bodies 5 . Similarly, Çelenk et al also mentioned that ADHD might be associated with the self-insertion of nasal and aural foreign bodies and suggested that clinicians should be aware of the possibility of ADHD in children, particularly those between the ages of 5 and 9 years who present with self-inserted nasal and aural foreign bodies 15 .…”

Section: Discussionmentioning

confidence: 99%

“…Turgut et al have reported a potentially high prevalence of ADHD symptoms among children presenting to emergency services due to unintentional ingestion of foreign bodies. This could be interpreted as children with ADHD are at an increased risk for FBA 5 . In addition, psychological problems are found more common in children with foreign body ingestion than in the controls 6 , and when compared with healthy children, children who had ingested caustic had impulsive behavior.…”

Section: Introductionmentioning

confidence: 99%

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Maternal temperament and anxiety sensitivity in children with foreign body aspiration

Çetin,

Erol,

Cesur

et al. 2023

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: Foreign body aspiration is one of the childhood emergencies that thoracic surgeons are interested in, and it can cause morbidity and mortality. Although the relationship between various behavioral problems related to children and foreign body aspiration has been investigated so far, there is no study investigating the relationship between maternal temperament and anxiety sensitivity. This study aimed to investigate the relationship between maternal emotional temperament, anxiety sensitivity, and foreign body aspiration. METHODS: Mothers of 18 children with foreign body aspiration have been evaluated by a thoracic surgeon, and 18 healthy controls have also been included in the study. Maternal emotional temperament has been measured with the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego – Auto questionnaire scale, and anxiety sensitivity has been measured with the Anxiety Sensitivity Index-3. RESULTS: There has been no statistically significant difference between groups in terms of maternal emotional temperament and anxiety sensitivity. In the logistic regression analysis conducted to determine the predictors of foreign body aspiration, it is determined that the mother’s anxious temperament has predicted foreign body aspiration significantly. CONCLUSION: As a result of the study, it can be concluded that mothers’ anxious temperament can be considered a risk factor for foreign body aspiration because it affects parenting skills and children’s ability to manage behavioral problems. Consistent results could be able to be obtained with studies including larger samples on the subject.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Maternal temperament and anxiety sensitivity in children with foreign body aspiration

Çetin,

Erol,

Cesur

et al. 2023

Rev. Assoc. Med. Bras.

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“…Turgut et al (8) reported that the rate of accidental foreign body ingestion was higher in children with attention-deficit/hyperactivity disorder. Serour et al (9) presented the case of an autistic adolescent in whom intestinal obstruction developed secondary to a plant foreign body ingestion.…”

Section: Discussionmentioning

confidence: 99%

Favorite esophageal foreign body ingestions in children

Altay¹

2019

Erciyes Med J

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Objective:The presence of a foreign body in the esophagus represents one of the gastroenterological emergencies. In this study, we aimed to evaluate retrospectively foreign bodies attached to the esophagus. Materials and Methods:The files of pediatric patients admitted to the university hospital due to ingestion of foreign bodies between January 2018 and January 2019 were examined retrospectively, and those attached to the esophagus were evaluated.Results: A total of 215 pediatric patients were admitted with the complaint of foreign bodies ingestion, and 63 (29.3%) of them had foreign bodies impacted in the esophagus. The mean age of the 63 patients (55.6% males) was 4.8±3.9 years. The mean age of 152 cases (58% males) was 5.3±3.8 years. Of the cases with foreign bodies impacted in the esophagus, 10% were Syrian refugees. Most of the foreign bodies removed from the esophagus endoscopically were coins, which were frequently attached to the upper esophageal sphincter. In the remaining patients, the foreign bodies (mostly coins) pass through the gastrointestinal tract without any problems.

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“…[IQ] duration of the foreign body retention was shorter among intubated patients (14 h [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20]) in comparison to natural airway patients (16 h [12-21]; p = .039).…”

Section: Demographic and Clinical Characteristicsmentioning

confidence: 99%

“…4 FBI is also noted in older children. 5 Retention of esophageal foreign bodies (EFB) can lead to morbidity and mortality due to esophageal laceration, obstruction, perforation, caustic injury, stricture, laryngeal edema, recurrent aspiration pneumonia, weight loss, and constipation. 6 Endotracheal intubation, the de facto gold standard for airway protection in endoscopic removal of foreign body procedures, can cause perioperative laryngospasm, bronchospasm, hypoxia, dental damage, sore throat, and postoperative stridor.…”

Section: Introductionmentioning

confidence: 99%

Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients

Lonsdale,

Rodriguez,

Shargo

et al. 2024

Pediatric Anesthesia

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BackgroundAnesthesia is required for endoscopic removal of esophageal foreign bodies (EFBs) in children. Historically, endotracheal intubation has been the de facto gold standard for airway management in these cases. However, as more elective endoscopic procedures are now performed under propofol sedation with natural airway, there has been a move toward using similar Monitored Anesthesia Care (MAC) for select patients who require endoscopic removal of an EFB.MethodsIn this single‐center retrospective cohort study, we compared endoscopic EFB removal with either MAC or endotracheal intubation. Descriptive statistics summarized factors stratified by initial choice of airway technique, including intra‐ and postanesthesia complications and the frequency of mid‐procedure conversion to endotracheal intubation in those initially managed with MAC. To demonstrate the magnitude of associations between these factors and the anesthesiologist's choice of airway technique, univariable Firth logistic and quantile regressions were used to estimate odds ratios (95% CI) and beta coefficients (95% CI).ResultsFrom the initial search, 326 patients were identified. Among them, 23% (n = 75) were planned for intubation and 77% (n = 251) were planned for MAC. Three patients (0.9%) who were initially planned for MAC required conversion to endotracheal intubation after induction. Two (0.6%) of these children were admitted to the hospital after the procedure and treated for ongoing airway reactivity. No patient experienced reflux of gastric contents to the mouth or dislodgement of the foreign body to the airway, and no patient required administration of vasoactive medications or cardiopulmonary resuscitation. Patients had higher odds that the anesthesiologist chose to utilize MAC if the foreign body was a coin (OR, 3.3; CI, 1.9–5.7, p < .001) or if their fasting time was >6 h. Median total operating time was 15 min greater in intubated patients (11 vs. 26 min, p < .001).ConclusionsThis study demonstrates that MAC may be considered for select pediatric patients undergoing endoscopic removal of EFB, especially those who have ingested coins, who do not have reactive airways, who have fasted for >6 h, and in whom the endoscopic procedure is expected to be short and uncomplicated. Prospective multi‐site studies are needed to confirm these findings.

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Prevalence of attention deficit hyperactivity disorder (ADHD) in children presenting with foreign body ingestion

Cited by 6 publications

References 17 publications

Maternal temperament and anxiety sensitivity in children with foreign body aspiration

Maternal temperament and anxiety sensitivity in children with foreign body aspiration

Favorite esophageal foreign body ingestions in children

Natural airway as an alternative to intubation for pediatric endoscopic esophageal foreign body removal: A retrospective cohort study of 326 patients

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