Recent trends in foreign body ingestion (FBI) epidemiology: A national cohort study.

IF 4 3区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY Digestive and Liver Disease Pub Date : 2024-10-29 DOI:10.1016/j.dld.2024.10.002

Cecilia Mantegazza, Francesca Destro, Simona Ferraro, Davide Biganzoli, Giuseppe Marano, Paolo Quitadamo, Giovanni Di Nardo, Monica Malamisura, Giulia Chiarazzo, Sara Renzo, Luca Scarallo, Giorgio Fava, Martina Ichino, Roberto Panceri, Debora Sala, Maristella Pellegrino, Francesco Macchini, Paolo Gandullia, Giacomo Tantari, Matteo Bramuzzo, Marco Deganello Saccomani, Maria Teresa Illiceto, Paolo Orizio, Simona Gatti, Antonio Pizzol, Enrico Felici, Claudio Romano, Silvia Iuliano, Alessandra Marinari, Antonio Marseglia, Salvatore Oliva

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Abstract

Background and aims: Foreign body ingestion (FBI) in children is a critical health concern. This study aimed to describe the epidemiology of FBI in children in Italy.

Methods: We retrospectively enrolled children <18 years admitted for FBI from January 2015 to December 2020. Data were collected across 21 hospitals with dedicated pediatric endoscopy services and normalized by the population of the corresponding municipalities.

Results: A total of 5,771 FBI cases were analyzed. FBI incidents showed consistent time trends across age groups, with most events occurring at home and being witnessed (94.7 %). Children <6 years accounted for 74.3 % of cases. Comorbidities were present in 5.3 % of cases, primarily neurologic/psychiatric disorders in older children (6-17 years). Blunt objects accounted for 65.5 % of ingestions. Young males commonly ingested button batteries, while females showed higher rates of ingesting hair products and jewelry. Most children were discharged (60 %) or observed briefly (75 % of total admissions), with endoscopic removal performed in 24 % of cases.

Conclusions: Rates of FBI have remained stable over the years, including during the COVID-19 pandemic. FBI predominantly occurs in domestic settings among healthy young children, particularly those ≤5 years old. These findings emphasize the need for preventive measures to reduce the impact of FBI among children.

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异物摄入（FBI）流行病学的最新趋势：全国队列研究。

背景和目的：儿童异物摄入（FBI）是一个严重的健康问题。本研究旨在描述意大利儿童异物误食的流行病学：我们对儿童进行了回顾性登记：结果：共分析了 5771 例 FBI 病例。各年龄组的联邦调查局事件呈现出一致的时间趋势，大多数事件发生在家中并有人目击（94.7%）。儿童结论：多年来，包括在 COVID-19 大流行期间，FBI 的发生率一直保持稳定。FBI 主要发生在家庭环境中的健康幼儿，尤其是 5 岁以下的幼儿。这些发现强调有必要采取预防措施，以减少联邦调查局对儿童的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Digestive and Liver Disease 医学-胃肠肝病学

CiteScore

6.10

自引率

2.20%

发文量

632

审稿时长

19 days

期刊介绍： Digestive and Liver Disease is an international journal of Gastroenterology and Hepatology. It is the official journal of Italian Association for the Study of the Liver (AISF); Italian Association for the Study of the Pancreas (AISP); Italian Association for Digestive Endoscopy (SIED); Italian Association for Hospital Gastroenterologists and Digestive Endoscopists (AIGO); Italian Society of Gastroenterology (SIGE); Italian Society of Pediatric Gastroenterology and Hepatology (SIGENP) and Italian Group for the Study of Inflammatory Bowel Disease (IG-IBD). Digestive and Liver Disease publishes papers on basic and clinical research in the field of gastroenterology and hepatology. Contributions consist of: Original Papers Correspondence to the Editor Editorials, Reviews and Special Articles Progress Reports Image of the Month Congress Proceedings Symposia and Mini-symposia.