Xiao Jenny B, Siu Jennifer M, Propst Evan J, Wolter Nikolaus E
Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Otolaryngology - Head and Neck Surgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
Laryngoscope. 2025 Jan;135(1):438-444. doi: 10.1002/lary.31728. Epub 2024 Aug 23.
To evaluate epidemiological trends of pediatric esophageal foreign body (EFB) ingestion over two decades.
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.
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 (R = 0.8, p < 0.0001). Incidence of coin ingestion increased from 3 to 4.5/10,000 children (R = 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 (R = 0.9, p < 0.0001), 0.3 to 1/10,000 (R = 0.7, p < 0.0001), and 0.6 to 2.3/10,000 (R = 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).
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.
4 Laryngoscope, 135:438-444, 2025.
评估二十年来小儿食管异物（EFB）摄入的流行病学趋势。
利用国家电子伤害监测系统（NEISS）数据库的数据进行回顾性分析，该数据库涵盖了2003年至2022年期间因EFB前往美国急诊科（ED）就诊的18岁以下儿童。记录病例数量和EFB类型。通过线性回归分析EFB随时间的发生率。
在20年期间共确定了52,315例EFB病例，全国估计有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%）。2003年至2022年期间，EFB摄入的总体发病率从7.3/10,000儿童增加到14.2/10,000儿童（R = 0.8，p < 0.0001）。硬币摄入的发病率从3/10,000儿童增加到4.5/10,000儿童（R = 0.06，p = 0.335），但随着时间的推移，在所有EFB中所占比例较小（2003年为66%，2022年为43%）。2003年至2022年期间，磁铁、电池和玩具摄入的发病率分别从0.3/10,000增加到1.0/10,000（R = 0.9，p < 0.0001）、0.3/10,000增加到1/10,000（R = 0.7，p < 0.0001）和0.6/10,000增加到2.3/10,000（R = 0.8，p < 0.0001）儿童。磁铁、电池和玩具摄入的比例随时间增加（2003年分别为3.2%、6.5%和11.8%，2022年分别为11.4%、11.7%和22.2%）。
在过去二十年中，磁铁、电池和玩具的摄入显著增加，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的变化以及随着数字货币的采用电子产品的可获得性增加。
4《喉镜》，135:438 - 444，2025年。
