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. 2024 May;63(4):531-540.
doi: 10.1177/00099228231181978. Epub 2023 Jun 28.

National Trends of Pediatric Aspirated/Ingested Foreign Bodies

Monica Saw-Aung  1 , Ryan M Kong  1 , Natalie Cipriano  1 , Adam Daniels  1 , Naomi L Newen  1 , Nira A Goldstein  1 , Ann W Plum  1
Affiliations

National Trends of Pediatric Aspirated/Ingested Foreign Bodies

Monica Saw-Aung et al. Clin Pediatr (Phila). 2024 May.

Abstract

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).

Keywords: airway foreign body; airway obstruction; aspiration; ingestion; pediatric choking hazards.

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Conflict of interest statement

Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.