Abstract:
BACKGROUND:Children with a history of caustic or foreign body ingestion (FBI) seem to be presenting more frequently to emergency departments. This study aims to elucidate the clinical presentation, diagnostic procedures, and complications associated with the ingestion of different object categories over a 13-year time period. METHODS:A structured retrospective data analysis of patients who presented between January 2005 and December 2017 to the University Medical Centre Ulm was performed. Patients up to 17 years of age with food impaction or foreign body or harmful substance ingestion were included by selection of the corresponding International Statistical Classification of Diseases and Related Health Problems (ICD10-GM) codes. Descriptive statistics, parametric or non-parametric tests, and linear regression analysis were performed. RESULT:In total, 1199 patients were analysed; the mean age was 3.3 years (SD 3.12; range 7 days to 16 years), the male to female ratio was 1.15:1, and 194 (16.2%) were hospitalized. The number of patients seen annually increased from 66 in 2005 to 119 in 2017, with a rise in percentage of all emergency patients from 0.82% in 2010 to 1.34% in 2017. The majority of patients (n = 619) had no symptoms, and 244 out of 580 symptomatic patients complained of retching or vomiting. Most frequently, ingested objects were coins (18.8%). Radiopaque objects accounted for 47.6%, and sharp objects accounted for 10.5% of the ingested foreign bodies, both of which were significantly more often ingested by girls (p < 0.001 for both). Button battery ingestion was recorded for 63 patients with a significant annual increase (R2 = 0.57; β = 0.753; p = 0.003). The annual rate of complications also increased significantly (R2 = 0.42; β = 0.647; p = 0.017). CONCLUSION:We found an alarming increase in the number of children who presented to our emergency department with FBI and associated complications. A standardized diagnostic and therapeutic approach may reduce and prevent serious complications. Further preventive measures within the home environment are needed to stop this trend.
journal_name
BMC Pediatrjournal_title
BMC pediatricsauthors
Speidel AJ,Wölfle L,Mayer B,Posovszky Cdoi
10.1186/s12887-020-02444-8subject
Has Abstractpub_date
2020-12-18 00:00:00pages
560issue
1issn
1471-2431pii
10.1186/s12887-020-02444-8journal_volume
20pub_type
杂志文章相关文献
BMC Pediatrics文献大全abstract:BACKGROUND:Pediatric asthma is a serious public health problem in Chicago and has been designated a high priority concern by residents of Chicago's Humboldt Park, a diverse community area with a large number of Puerto Rican, African American, and Mexican American families. METHODS:In May 2009, following the principles...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-10-45
更新日期:2010-06-24 00:00:00
abstract:BACKGROUND:Children born at low gestational ages face a range of risks and number of neonates surviving very preterm birth is increasing. We present the objectives and methods of a French national cohort of very and moderately preterm children, the EPIPAGE 2 study. It aims to examine short- and long-term outcomes of ve...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-14-97
更新日期:2014-04-09 00:00:00
abstract:BACKGROUND:Early developmental interventions to prevent the high rate of neurodevelopmental problems in very preterm children, including cognitive, motor and behavioral impairments, are urgently needed. These interventions should be multi-faceted and include modules for caregivers given their high rates of mental healt...
journal_title:BMC pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/1471-2431-9-73
更新日期:2009-12-03 00:00:00
abstract:BACKGROUND:Alcohol intoxicated adolescents (AIA) in emergency department are an important target group for prevention and valid information on their familial risk and protective factors (RPF) is crucial for implementing customized family-based counseling in hospitals. We therefore, examined the psychometric characteris...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-015-0471-z
更新日期:2015-11-19 00:00:00
abstract:BACKGROUND:Asthma is the most common chronic childhood disease. Imbalance of cytokines released from T helper cells and environmental factors, such as exposure to poly-aromatic hydrocarbon (PAH), play pivotal roles in the pathogenesis of asthma. The aim of this study was to compare the mRNA expression patterns of Inter...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-14-17
更新日期:2014-01-23 00:00:00
abstract:BACKGROUND:Subacute Sclerosing Panencephalitis (SSPE) is so rare in developed countries with measles immunization programs that national active surveillance is now needed to capture sufficient number of cases for meaningful analysis of data. Through the Canadian Paediatric Surveillance Program (CPSP), the SSPE study wa...
journal_title:BMC pediatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2431-5-47
更新日期:2005-12-15 00:00:00
abstract:BACKGROUND:Knowledge about psychometric properties of the Pediatric Quality of Life Inventory (PedsQL) in the Netherlands is limited and Dutch reference data are lacking. Aim of the current study is to collect Dutch reference data of the PedsQL and subsequently assess reliability, socio-demographic within-group differe...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-9-68
更新日期:2009-11-03 00:00:00
abstract:BACKGROUND:The study evaluates children in schools that participate in the School Health Program in the Northern region of Brazil with the objective of assessing whether their schools interfered in the development of overweight/obesity and how individual and school environment variables behave according to contextual a...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02096-8
更新日期:2020-04-28 00:00:00
abstract:BACKGROUND:This study aimed to summarize common pathogens and associated drug resistance in neonatal sepsis (NS). METHODS:Blood culture and drug sensitivity results from 96 NS cases treated from January 2010 to August 2014 were retrospectively analyzed. RESULTS:A total of 97 pathogenic bacteria were detected from the...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-017-0789-9
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:For treatment of Graf class IIb dysplastic hips at walking onset a treatment concept with abduction splints allowing patterns as walking and crawling under constant abduction control was investigated. However, as the splint still incapacitates child movements the research question remains whether the physiol...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-5-17
更新日期:2005-06-15 00:00:00
abstract:BACKGROUND:The majority of children with disability live in low and middle income (LAMI) countries. Although a number of important reviews of childhood disability in LAMI countries have been published, these have not, to our knowledge, addressed the association between childhood disability and the home socio-economic c...
journal_title:BMC pediatrics
pub_type: 杂志文章,评审
doi:10.1186/1471-2431-11-119
更新日期:2011-12-21 00:00:00
abstract:BACKGROUND:Severe acute malnutrition affects around 17 million under-five children in the world, of which the highest burden is accounted by Sub-Saharan Africa where Ethiopia is found. Though there are few individual, inconsistent and inconclusive studies, there is no nationally representative study on treatment outcom...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02188-5
更新日期:2020-07-07 00:00:00
abstract:BACKGROUND:Systemic fungal infection (SFI) is one of leading causes of morbidity and mortality in very low birth weight (VLBW) preterm infants. Because early diagnosis of SFI is challenging due to nonspecific manifestations, prophylaxis becomes crucial. This study aimed to assess effectiveness of oral nystatin as an an...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02074-0
更新日期:2020-04-17 00:00:00
abstract:BACKGROUND:Premedication before neonatal intubation is heterogeneous and contentious. The combination of a short acting, rapid onset opioid with a muscle relaxant is considered suitable by many experts. The purpose of this study was to describe the tolerance and conditions of intubation following anaesthesia with atrop...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-14-120
更新日期:2014-05-07 00:00:00
abstract:BACKGROUND:Infants are in a state of rapid development and maturation; the growth rate is most rapid during the first 4 to 6 months of life. Few studies indicated that in developing countries including Ethiopia the prevalence and duration of breastfeeding is declining and being replaced by formula milk. Therefore, this...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1789-8
更新日期:2019-11-04 00:00:00
abstract:BACKGROUND:Neonatal jaundice is a common finding in newborns in Asia, including Indonesia. In some cases, the serum total bilirubin levels exceeds the 95th percentile for hours of life (neonatal hyperbilirubinemia). Severe neonatal hyperbilirubinemia (NH) could lead to kernicterus and neonatal death. Glucose-6-Phosphag...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1882-z
更新日期:2019-12-20 00:00:00
abstract:OBJECTIVE:The aim of this study was to analyze the evolution from 1997 to 2009 of survival without significant (moderate and severe) bronchopulmonary dysplasia (SWsBPD) in extremely-low-birth-weight (ELBW) infants and to determine the influence of changes in resuscitation, nutrition and mechanical ventilation on the su...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-12-63
更新日期:2012-06-08 00:00:00
abstract:BACKGROUND:This randomized controlled trial aims to evaluate the effects of an early developmental intervention program on the development of young children in low- and low-middle-income countries who are at risk for neurodevelopmental disability because of birth asphyxia. A group of children without perinatal complica...
journal_title:BMC pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/1471-2431-10-27
更新日期:2010-04-30 00:00:00
abstract:BACKGROUND:Children and adolescents dying from complex chronic conditions require paediatric palliative care. One aim of palliative care is to enable a home death if desired and well supported. However, there is little data to inform care, particularly from countries without paediatric palliative care, which constitute...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-017-0970-1
更新日期:2017-12-22 00:00:00
abstract:BACKGROUND:Although breastfeeding duration in New Zealand's indigenous Māori is shorter than in non-Māori, we know little about barriers or motivators of breastfeeding in this community. The aim of this analysis was to identify predictors for extended duration of breastfeeding amongst participants drawn from predominan...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-018-1274-9
更新日期:2018-09-12 00:00:00
abstract:BACKGROUND:The Pediatric Quality of Life Inventory (PedsQL) is a modular instrument, designed to integrate generic and disease specific measures, and includes both self- and proxy-reports. The aim of the study was to assess the reliability and limited validity of the Swedish version of the disease specific Pediatric Qu...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-020-02387-0
更新日期:2020-10-28 00:00:00
abstract:BACKGROUND:Child growth is internationally recognized as an important indicator of nutritional status and health in populations. This study was aimed to compare age- and gender-specific height, weight and BMI percentiles and nutritional status relative to the international growth references among Pakistani school-aged ...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-12-31
更新日期:2012-03-19 00:00:00
abstract:BACKGROUND:Even minor abnormalities of early child development may have dramatic long term consequences. Accurate prevalence rates for a range of developmental impairments have been difficult to establish. Since related studies have used different methodological approaches, direct comparisons of the prevalence of devel...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-12-188
更新日期:2012-12-05 00:00:00
abstract:BACKGROUND:Hydroxyurea (HU) is recommended as standard practice for youth with sickle cell disease (SCD). Yet, despite its efficacy, HU adherence in adolescents and young adults is often poor. Poor medication adherence increases disease burden, healthcare cost and widens health disparities. Adolescence is a critical ti...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1746-6
更新日期:2019-10-15 00:00:00
abstract:BACKGROUND:Sleep problems are common among children with attention-deficit/hyperactivity disorder (ADHD). Serum ferritin levels have been associated with the severity of symptoms and sleep disturbances among children with ADHD. This study was conducted to investigate parent-reported sleep problems in a sample of Egypti...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-13-217
更新日期:2013-12-30 00:00:00
abstract:BACKGROUND:Measuring adolescents' preferences for health states can play an important role in evaluating the delivery of pediatric healthcare. However, formal evaluation of the common direct preference elicitation methods for health states has not been done with adolescents. Therefore, the purpose of this study is to t...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-018-1179-7
更新日期:2018-06-22 00:00:00
abstract:BACKGROUND:Little is known about how pediatricians or internists manage influenza symptoms. Recent guidelines on antiviral prescribing by the Centers for Disease Control and Prevention (CDC) make almost no distinction between adults and children. Our objective was to describe how pediatricians in two large academic med...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-8-15
更新日期:2008-04-24 00:00:00
abstract:BACKGROUND:To construct birth weight charts for the Chongqing municipality, China and to identify whether differences in birth weight exist across urban/rural populations, thereby warranting separate charts. METHODS:Secondary analysis of routinely collected data from 338,454 live infants between 2014 and 2017 in Chong...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/s12887-019-1816-9
更新日期:2019-11-11 00:00:00
abstract:BACKGROUND:Children initially hospitalized with severe anaemia in Africa are at high risk of readmission or death within 6 months after discharge. No intervention strategy specifically protects children during the post-discharge period. Recent evidence from Malawi shows that 3 months of post-discharge malaria chemoprev...
journal_title:BMC pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12887-018-1199-3
更新日期:2018-07-20 00:00:00
abstract:BACKGROUND:Mucopolysaccharidoses are heritable, metabolic diseases caused by deficiency in an activity of one of specific lysosomal enzymes involved in degradation of mucoplysaccharides (glycosaminoglycans). Among many medical problems of patients with mucopolysaccharidoses, there are frequent episodes of diarrhea of u...
journal_title:BMC pediatrics
pub_type: 杂志文章
doi:10.1186/1471-2431-5-9
更新日期:2005-05-09 00:00:00