目的:评估20年来小儿食道异物(EFB)摄入的流行病学趋势。
方法:使用国家电子伤害监测系统(NEISS)数据库中的数据,对2003年至2022年期间向美国急诊科(ED)提供EFB的18岁以下儿童进行了回顾性分析。记录EFB的病例数和类型。通过线性回归分析EFB随时间的比率。
结果:在20年期间共发现52,315例EFB病例,全国估计为1,589,325例。最常摄入的物品是硬币(37.6%),玩具(13.5%),和电池(6.8%)。从2003年到2022年,EFB摄入的总体发生率从7.3增加到14.2/10,000儿童(R2=0.8,p<0.0001)。硬币摄入的发生率从3个增加到4.5/10,000个儿童(R2=0.06,p=0.335),但随着时间的推移,占所有EFB的比例较小(2003年为66%,2022年为43%)。磁铁的入射,电池,玩具摄入量从0.3增加到1.0/10,000(R2=0.9,p<0.0001),0.3到1/10,000(R2=0.7,p<0.0001),和0.6至2.3/10,000(R2=0.8,p<0.0001)儿童,分别,从2003年到2022年。磁铁的比例,电池,和玩具摄入量随着时间的推移而增加(3.2%,6.5%,和11.8%,分别,2003年为11.4%,11.7%,和22.2%,分别,2022年)。
结论:磁铁,电池,在过去的二十年里,玩具摄入量显著增加,而硬币摄入的比例有所下降。这种趋势可能反映了消费市场内的变化以及与数字货币的采用同时增加的电子产品可用性。
方法:4喉镜,2024.
OBJECTIVE: To evaluate epidemiological trends of pediatric esophageal foreign body (EFB)
ingestion over two decades.
METHODS: A retrospective analysis was performed using data from the National Electronic Injury Surveillance System (NEISS) database for children <18 years who presented to a United States Emergency Department (ED) with EFB between 2003 and 2022. Number of cases and type of EFB were recorded. Rates of EFBs over time were analyzed via linear regression.
RESULTS: A total of 52,315 EFB cases were identified over the 20-year period, with a national estimate of 1,589,325 cases. The most frequently ingested objects were coins (37.6%), toys (13.5%), and batteries (6.8%). Overall incidence of EFB
ingestion increased from 7.3 to 14.2/10,000 children from 2003 to 2022 (R2 = 0.8, p < 0.0001). Incidence of coin ingestion increased from 3 to 4.5/10,000 children (R2 = 0.06, p = 0.335) but represented a smaller proportion of all EFB over time (66% in 2003 versus 43% in 2022). Incidence of magnet, battery, and toy
ingestion have increased from 0.3 to 1.0/10,000 (R2 = 0.9, p < 0.0001), 0.3 to 1/10,000 (R2 = 0.7, p < 0.0001), and 0.6 to 2.3/10,000 (R2 = 0.8, p < 0.0001) children, respectively, between 2003 and 2022. The proportion of magnet, battery, and toy
ingestion have increased over time (3.2%, 6.5%, and 11.8%, respectively, in 2003 to 11.4%, 11.7%, and 22.2%, respectively, in 2022).
CONCLUSIONS: Magnet, battery, and toy ingestion have increased significantly in the past two decades, while the proportion of coin
ingestion has decreased. This trend may reflect shifts within the consumer market and increased availability of electronics concurrent with the adoption of digital currency.
METHODS: 4 Laryngoscope, 2024.