Temporal and regional trends of choking injuries in children in Italy, 2001–2013

Lorenzoni, Giulia; Azzolina, Danila; Soriani, Nicola; Galadini, Marco; Carle, Flavia; Gregori, Darío

doi:10.1186/s40621-018-0160-0

Cited by 11 publications

(14 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Conversely, the Brazilian respondents identify a higher risk in coins and buttons. Epidemiological surveillance is helpful to define the configurations of choking injuries in children [ 33 ]. The literature shows that the majority of FB injuries in children are related to coins and marble ingestion [ 34 ], but the most dangerous items are magnets [ 35 ] and batteries [ 36 ], due to the increased chance of severe complications.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Monitoring Public Perception of Health Risks in Brazil and Italy: Cross-Cultural Research on the Risk Perception of Choking in Children

et al. 2021

Self Cite

View full text Add to dashboard Cite

One of the most relevant public health issues among pediatric injuries concerns foreign body (FB) aspiration. The risk perception of choking hazards (CH) and risk perception, in general, are complex multifactorial problems that play a significant role in defining protective behavior. Risk prevention policies should take this aspect into account. A lack of scientific knowledge of FB injury risk perception may be evidenced in Brazil and other newly developed countries. This study aims to characterize the differences and peculiarities in risk perception of CH between Italian and Brazilian populations. The risk perception among adults in Italy and Brazil between September and October 2017 was investigated in a survey. A Multiple Correspondence Analysis was carried out to identify the latent components characterizing the risk perception in Italian and Brazilian population samples. The most relevant dimension characterizing risk perception is the “Professional–educational status and the related perception of Risk” (13% of factorial inertia). The Italians identify batteries and magnets as the most dangerous choking risks (20% of responses). On the other hand, Brazilian people, mainly manual laborers (22%) with secondary or primary education (94%), perceive coins as the most dangerous items (30% of responses, p < 0.001). Socio-economic issues characterize the subjective risk perception of Italian and Brazilian survey respondents. In this framework, data-driven prevention strategies could be helpful to tailor intervention strategies to the cultural context to which they are addressed.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Most of the cases treated were children around the first 3 years of life, with a prevalence of boys, in a ratio of 2:1 [ 21 ]. In Italy, instead, the number of children hospitalized for FB injuries [ 33 ] has decreased in the last decade, but at the same time, the awareness of the problem has improved [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Monitoring Public Perception of Health Risks in Brazil and Italy: Cross-Cultural Research on the Risk Perception of Choking in Children

et al. 2021

Self Cite

View full text Add to dashboard Cite

show abstract

“…Published cases are few: Johns Hopkins Hospital, Baltimore for example, reported only 5.9 cases of children foreign body airways obstruction per year from 1939 to 1991 [5]. In Italy, 500 foreign body airways obstructions per year were reported over a 13 years period [6] but only 22 deaths were identified during the study period and the authors hypothesized that different research methods, such as the analysis of death cases due to choking reported from mass media could have been more useful.…”

Section: материал и методыmentioning

confidence: 99%

“…Опубликованных случаев немного: например, в больнице Джонса Хопкинса в Балтиморе было зарегистрировано всего 5,9 случаев обструкции дыхательных путей инородным телом у детей в год за период с 1939 по 1991 год [5]. В Италии сообщалось о 500 случаях обструкции дыхательных путей инородным телом в год на протяжении 13-летнего периода [6]. Поскольку за период исследования мы выявили лишь 22 летальных случая, можно предположить, что другие методы исследования, такие как анализ случаев смерти от удушья на основе данных СМИ, могли бы дать больше информации.…”

Section: Introductionunclassified

Elderly and Children Are Not The Only Victims of Foreign Body Airway Obstruction in Italy (A National Media-Based Survey)

Ландони

Сквиццато

Яворовский

et al. 2021

Obŝaâ reanimatologiâ

View full text Add to dashboard Cite

Choking is a relevant public health problem. Data in medical literature are scarce and fatal events are dramatically under-reported.The aim of this manuscript is to give a real estimation of this problem and to raise awareness about this topic.Materials and methods. All deaths caused by choking reported by Italian Mass Media over a two years period were collected. Suspected sudden infant death syndrome was an exclusion criteria.Results. 76 deaths due to foreign body airway obstruction were identified, 51% during 2018 and 49% in 2019, without identifiable time clusters. Choking affected every age, including pre-scholar children (25%), children 6 to 18 years old (3%), adults (38%), and elderly patients (34%). Witnessed cases were 61 (80%) but in almost half 26 cases (42%) the fatal event occurred before or without first aid maneuvers being performed.Conclusion. On the Italian territory, during a 2 years period, three cases per month of fatal choking due to foreign-body airway obstruction occurred, many of them in adult patients (38%). Italian people seem not to be educated to provide first aid in these settings.

show abstract

“…The need for choking prevention strategies is evidenced by epidemiological data [9]. Choking is one of the leading causes of death among unintentional injuries in young children, and remains relevant until the age of 14 [10].…”

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

Self Cite

View full text Add to dashboard Cite

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.

show abstract

Temporal and regional trends of choking injuries in children in Italy, 2001–2013

Cited by 11 publications

References 24 publications

Monitoring Public Perception of Health Risks in Brazil and Italy: Cross-Cultural Research on the Risk Perception of Choking in Children

Monitoring Public Perception of Health Risks in Brazil and Italy: Cross-Cultural Research on the Risk Perception of Choking in Children

Elderly and Children Are Not The Only Victims of Foreign Body Airway Obstruction in Italy (A National Media-Based Survey)

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

Contact Info

Product

Resources

About