National Trends of Pediatric Aspirated/Ingested Foreign Bodies

• Published in: Clinical pediatrics 2024-05, Vol.63 (4), p.531-540
• Main Authors: Saw-Aung, Monica, Kong, Ryan M., Cipriano, Natalie, Daniels, Adam, Newen, Naomi L., Goldstein, Nira A., Plum, Ann W.
• Format: Article
• Language: English
• Subjects: Adolescent; Child; Cross-Sectional Studies; Digestive System; Emergency medical care; Epidemiology; Foreign bodies; Foreign Bodies - diagnosis; Foreign Bodies - epidemiology; Foreign Bodies - therapy; Health risks; Hospitalization; Humans; Mortality; Patients; Pediatrics; Pulmonary aspiration; Respiratory Aspiration - epidemiology; Retrospective Studies; Risk factors
• ISSN: 0009-9228; 1938-2707
• DOI: 10.1177/00099228231181978

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).