PDF(Pubmed)
Abstract：
Esophageal button battery impactions (BBI) in children pose a significant danger to children. Although there are expert-opinion guidelines to help manage this population, few studies detail the impact of guidelines on the clinical care of these patients. With this study, we aimed to describe the care of these patients before and following adoption of guidelines at a single center.
Retrospective cohort study of patients with esophageal BBI at a single center, large volume, urban academic pediatric hospital system before adoption of expert-opinion guidelines (2007-2017) and following adoption (2018-2020).
Cohort was comprised of 31 patients before adoption and 32 patients following adoption of guidelines. Patient characteristics did not differ between groups. After 2018, significantly more patients received acetic acid irrigation, initial cross-sectional imaging, and serial cross-sectional imaging. There was also an increase in intensive care unit (ICU) stays, number of intubations, nil per os time, and hospital length of stay. There was no difference in patient outcomes.
This study describes a large cohort of pediatric esophageal BBI before and following adoption of guidelines. Findings detail increased adherence to guidelines resulting in more cross-sectional imaging which led to ICU stays, longer length of stays, and more nil per os time. This study emphasizes the need for multi-disciplinary guidelines as well as further multi-institutional study.
Retrospective cohort study of patients with esophageal BBI at a single center, large volume, urban academic pediatric hospital system before adoption of expert-opinion guidelines (2007-2017) and following adoption (2018-2020).
Cohort was comprised of 31 patients before adoption and 32 patients following adoption of guidelines. Patient characteristics did not differ between groups. After 2018, significantly more patients received acetic acid irrigation, initial cross-sectional imaging, and serial cross-sectional imaging. There was also an increase in intensive care unit (ICU) stays, number of intubations, nil per os time, and hospital length of stay. There was no difference in patient outcomes.
This study describes a large cohort of pediatric esophageal BBI before and following adoption of guidelines. Findings detail increased adherence to guidelines resulting in more cross-sectional imaging which led to ICU stays, longer length of stays, and more nil per os time. This study emphasizes the need for multi-disciplinary guidelines as well as further multi-institutional study.
摘要：
儿童食管纽扣电池嵌塞（BBI）对儿童构成重大危险。尽管有专家意见指南来帮助管理这一人群，很少有研究详述指南对这些患者临床护理的影响.通过这项研究,我们旨在描述这些患者在单一中心采用指南之前和之后的护理.
单中心食管BBI患者的回顾性队列研究，体积大,在通过专家意见指南之前（2007-2017年）和之后（2018-2020年）的城市学术儿科医院系统。
队列由采用前的31名患者和采用指南后的32名患者组成。患者特征在组间没有差异。2018年后，接受醋酸灌洗的患者明显增多，初始横截面成像，和连续的横截面成像。重症监护病房(ICU)的住院时间也有所增加，插管次数,每个操作系统时间为零，和住院时间。患者的预后没有差异。
本研究描述了在采用指南之前和之后的大量小儿食管BBI队列。研究结果细节增加了对指南的依从性，导致更多的横截面成像，从而导致ICU停留，更长的停留时间，每个操作系统时间更多的零。本研究强调需要多学科指导以及进一步的多机构研究。
单中心食管BBI患者的回顾性队列研究，体积大,在通过专家意见指南之前（2007-2017年）和之后（2018-2020年）的城市学术儿科医院系统。
队列由采用前的31名患者和采用指南后的32名患者组成。患者特征在组间没有差异。2018年后，接受醋酸灌洗的患者明显增多，初始横截面成像，和连续的横截面成像。重症监护病房(ICU)的住院时间也有所增加，插管次数,每个操作系统时间为零，和住院时间。患者的预后没有差异。
本研究描述了在采用指南之前和之后的大量小儿食管BBI队列。研究结果细节增加了对指南的依从性，导致更多的横截面成像，从而导致ICU停留，更长的停留时间，每个操作系统时间更多的零。本研究强调需要多学科指导以及进一步的多机构研究。
