scholarly journals Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 938
Author(s):  
Honoria Ocagli ◽  
Danila Azzolina ◽  
Silvia Bressan ◽  
Daniele Bottigliengo ◽  
Elisabetta Settin ◽  
...  
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Pediatric Emergency ◽  
Incidence Rates ◽  
Pediatric Emergency Department ◽  
Injury Incidence ◽  
Poisson Models ◽  
Life Threatening ◽  
Trends Over Time ◽  
Over Time

This paper presents the epidemiology of foreign body injuries in the Pediatric Emergency Department (PED) of Padova (Italy) along with its trends over an eleven-year period based on administrative data. Annual incidence rates (IRs) of PED presentations for foreign body (FB) injuries per 1000 person-years were calculated. Univariable and multivariable generalized linear (GLM) Poisson models were estimated to evaluate the relationship between FB injury incidence and year, triage priority, nationality, injury site, and FB type. During the study period, there were 217,900 presentations of pediatric residents in the province of Padova; of these, 3084 (1.5%) reported FB injuries involving the ears, nose, throat, gastrointestinal tract or eyes. The annual IR of FB injury episodes increased from 10.45 for 1000 residents in 2007 (95% CI, 9.24, 11.77) to 12.66 for 1000 residents in 2018 (95% CI, 11.35, 14.08). Nonfood items were the FBs that were most frequently reported. The intermediate urgent triage code was the most represented for FB injuries, with IRs ranging from 5.44 (95% CI: 4.59, 6.40) in 2008 to 8.56 in 2018 (95% CI: 7.50, 9.74). A total of 170 patients who presented for FB injuries were hospitalized (5.5%). The annual FB-related injury IR has increased over time, although most episodes are not life threatening. Educational and prevention programs on FB-related injuries should be promoted and dedicated to childcare providers.

Foreign Body Ingestions in Children: Risk of Complication Varies With Site of Initial Health Care Contact

PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 121-127 ◽  
Author(s):  
Ronald I. Paul ◽  
Katherine Kaufer Christoffel ◽  
Helen J. Binns ◽  
David M. Jaffe ◽  
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Tertiary Care ◽  
Standard Of Care ◽  
Pediatric Emergency ◽  
Adverse Outcomes ◽  
Pediatric Emergency Department ◽  
Parent Supervision ◽  
Tertiary Care Hospitals ◽  
Patient Enrollment

Current recommendations for the management of pediatric foreign body ingestions are based on studies of patients cared for at tertiary care hospitals; they call for aggressive evaluation because of a high incidence of complications. Two hundred forty-four children with suspected foreign body ingestions were prospectively followed to analyze adverse outcomes, ie, procedures, complications, and hospitalizations. Patient enrollment into the study was from three sources: (1) patients who referred themselves to a tertiary pediatric emergency department, (2) patients referred to the same tertiary pediatric emergency department after an initial evaluation by another hospital or physician, and (3) Patients who reported their foreign body ingestions to a private pediatric practitioner participating in the study. Most children were well toddlers in normal circumstances, under parent supervision at the time of ingestion. Coins were the most common item ingested (46%). Procedures were done in 53 (24%) of 221 patients and complications occurred in 48 (22%) of 221. Complications were higher in patients referred to the emergency department (63%) than in emergency department self-referred patients (13%) or private practice patients (7%) (x2, P < .01). These findings demonstrate the risk of drawing conclusions regarding a universal standard of care from studies involving only hospital-based patients.

scholarly journals Foreign body aspiration in an 11-month-old child; the importance of anamnesis and respiratory examination

2020 ◽  
Vol 10 (6) ◽  
pp. 156-157
Author(s):  
Muhammet Mesut Nezir ENGİN ◽  
Fatih ERDOĞAN ◽  
Özlem KÜÇÜK ◽  
Murat KAYA
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Foreign Body ◽  
Respiratory Distress ◽  
Mortality Rates ◽  
Pediatric Emergency ◽  
Foreign Body Aspiration ◽  
Morbidity And Mortality ◽  
Pediatric Emergency Department ◽  
Delay In Diagnosis

Foreign body aspiration (FBA) is common in children. Especially in children, the majority of accidental deaths occur due to FBA. Morbidity and mortality rates increase, especially in children between the ages of one and four, and as a result of delay in diagnosis. The most common symptoms in patients with FBA are cough, dyspnea, hemoptysis, stridor and wheezing. In this case report, a patient who presented with sudden respiratory distress in the Pediatric Emergency Department was presented and the importance of anamnesis and respiratory examination in the diagnosis of FBA was emphasized.

Stairway Injuries in Children

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 457-461 ◽  
Author(s):  
Mark Joffe ◽  
Stephen Ludwig
Keyword(s):  
Emergency Department ◽  
Body Part ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Mechanism Of Injury ◽  
Neck Injuries ◽  
Severity Of Injury ◽  
Proximal Extremity ◽  
Life Threatening ◽  
Extremity Injuries

Children frequently injure themselves falling down stairways, but the characteristics of these injuries are not well described. A total of 363 consecutive patients seen in a pediatric emergency department were studied. The majority of patients had minor superficial injuries. Bony injuries occurred in 7% of patients. Head and neck injuries occurred in 73% of patients, extremity injuries, which were predominantly distal, in 28%, and truncal injuries in 2%. Children younger than 4 years of age were more likely to sustain head trauma than children older than 4 years of age (P < .005). Injury to more than one body part occurred in only 2.7% of patients. Children who fell down more than four steps had no greater number or severity of injury than those who fell down less than four steps (P = .67). Patients were admitted to hospitals in 3% of cases. No patient had life-threatening injuries and no patients required intensive care. When multiple, severe, truncal, or proximal extremity injuries are noted in a patient who reportedly fell down stairs, a different mechanism of injury should be suspected.

Vertigo/dizziness in pediatric emergency department: Five years’ experience

Cephalalgia ◽  
2015 ◽  
Vol 36 (6) ◽  
pp. 593-598 ◽  
Author(s):  
Umberto Raucci ◽  
Nicola Vanacore ◽  
Maria Chiara Paolino ◽  
Romina Silenzi ◽  
Rosanna Mariani ◽  
...  
Keyword(s):  
Emergency Department ◽  
Clinical Characteristics ◽  
Signs And Symptoms ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Nervous System Diseases ◽  
Central Nervous System Diseases ◽  
Cardiac Syncope ◽  
Life Threatening ◽  
Rule Out

Background Vertigo/Dizziness in childhood is not a rare cause of visits to the emergency department (ED). We analyzed a selected group with vertigo/dizziness to identify signs and symptoms that may help to guide the diagnostic approach and management. Methods A total of 616 children admitted for vertigo to the ED over a five-year period were retrospectively reviewed. Their medical history, clinical characteristics, laboratory and neuroimaging tests, final diagnoses and management were analyzed. Results Migraine and syncope were the most frequent causes. Two patients were affected by life-threatening cardiac syncope, while structural life-threatening central nervous system diseases were found in 15 patients, none of whom presented with vertigo as an isolated clinical finding. Conclusions Most cases of vertigo/dizziness in childhood that consist mainly of migraine and syncope are of benign origin. The prompt identification of neurological or cardiological signs or symptoms associated with vertigo in children is mandatory to rule out life-threatening conditions.

What’s This Pounding in My Head?

2020 ◽  
pp. 123-130
Author(s):  
Sakina Sojar ◽  
Lauren Allister
Keyword(s):  
Emergency Department ◽  
Severe Pain ◽  
Imaging Modality ◽  
Pediatric Population ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Advantages And Disadvantages ◽  
Common Causes ◽  
Viral Illness ◽  
Life Threatening

Headaches are a common chief complaint within the pediatric emergency department. They can be a source of significant morbidity in the pediatric population causing severe pain, cognitive dysfunction, and missed school days. It is critical that the physician delineates between life-threatening versus non-life-threatening etiologies of headache and obtain imaging of the head when appropriate. Computed tomography and magnetic resonance imaging are the modalities of choice. Each imaging modality presents advantages and disadvantages. Common causes of headaches in the pediatric emergency department include migraine, tension headaches, and viral illness. Physicians must be aware of more serious etiologies (such as space occupying lesions) that may warrant further investigation.

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