Department of Gastroenterology, Hepatology, and Nutrition and
Center for Injury Research and Policy, The Research Institute, Nationwide Children's Hospital, Columbus, Ohio; and.
Pediatrics. 2019 May;143(5). doi: 10.1542/peds.2018-1988. Epub 2019 Apr 12.
To describe the epidemiology of foreign-body ingestions (FBIs) of children <6 years of age who were treated in US emergency departments from 1995 to 2015.
We performed a retrospective analysis using data from the National Electronic Injury Surveillance System for children <6 years of age who were treated because of concern of FBI from 1995 to 2015. National estimates were generated from the 29 893 actual cases reviewed.
On the basis of those cases, 759 074 children <6 years of age were estimated to have been evaluated for FBIs in emergency departments over the study period. The annual rate of FBI per 10 000 children increased by 91.5% from 9.5 in 1995 to 18 in 2015 ( = 0.90; < .001). Overall, boys more frequently ingested foreign bodies (52.9%), as did children 1 year of age (21.3%). Most children were able to be discharged after their suspected ingestion (89.7%). Among the types of objects ingested, coins were the most frequent (61.7%). Toys (10.3%), jewelry (7.0%), and batteries (6.8%) followed thereafter. The rates of ingestions of those products also increased significantly over the 21-year period. Across all age groups, the most frequently ingested coin was a penny (65.9%). Button batteries were the most common batteries ingested (85.9%).
FBIs remain common in children <6 years of age, and their rate of ingestions has increased over time. The frequency of ingestions noted in this study underscores the need for more research to determine how best to prevent these injuries.
描述 1995 年至 2015 年期间，6 岁以下因疑似吞食异物（FBIs）在美国急诊部门接受治疗的儿童的流行病学特征。
我们使用 1995 年至 2015 年期间国家电子伤害监测系统中因 FBI 而接受治疗的<6 岁儿童的数据进行了回顾性分析。从审查的 29893 例实际病例中得出了全国估计数。
基于这些病例，研究期间估计有 759074 名<6 岁儿童因 FBI 接受了急诊评估。每年每 10000 名儿童 FBI 的发生率从 1995 年的 9.5 例增加到 2015 年的 18 例（ = 0.90；<.001）。总体而言，男孩更常吞食异物（52.9%），1 岁儿童也是如此（21.3%）。大多数怀疑有异物吞食的儿童在接受治疗后可以出院（89.7%）。在吞食的异物类型中，硬币最常见（61.7%）。其次是玩具（10.3%）、珠宝（7.0%）和电池（6.8%）。在这 21 年期间，这些产品的吞食率也显著增加。在所有年龄组中，最常吞食的硬币是 1 美分硬币（65.9%）。纽扣电池是最常吞食的电池（85.9%）。
6 岁以下儿童的 FBI 仍然很常见，而且其吞食率随着时间的推移而增加。本研究中注意到的吞食频率强调需要更多的研究来确定如何最好地预防这些伤害。
