Eyring J B, Hemeyer Brandon M, Walker Stephen, Allen Wesley P, Liang Shi, Stewart Christopher, Meier Jeremy D, Padia Reema
Spencer Fox Eccles School of Medicine, Salt Lake City, Utah, USA.
University of Utah Department of Otolaryngology-Head and Neck Surgery, Salt Lake City, Utah, USA.
Otolaryngol Head Neck Surg. 2025 Jul;173(1):96-105. doi: 10.1002/ohn.1206. Epub 2025 Mar 10.
Examine the demographic and social determinants of health linked to pediatric esophageal foreign body removals, with an emphasis on button battery ingestions.
A retrospective chart review was performed on pediatric patients who underwent operative removal of a foreign body from the esophagus (Current Procedural Terminologies [CPTs] 43215, 43194).
The study was conducted across four hospitals from November 2010 to December 2023.
Data on patient demographics and social determinants of health were analyzed. Exclusions included nonaccidental ingestions, patients older than 18 years, and cases with missing social determinants of health data. The Agency for Healthcare Research and Quality (AHRQ) database was used to link patient data to socioeconomic indicators.
Of 825 cases, 50 were button battery ingestions. Age was comparable between button battery and nonbutton battery patients. Button battery patients were predominantly male. Socioeconomic analysis revealed that button battery patients were from households with higher median incomes, lower poverty rates, higher home values, and greater internet access. The incidence of button battery ingestion increased over the study period.
This study highlights significant demographic and socioeconomic differences in pediatric foreign body ingestions compared to button battery ingestions. Male gender and higher socioeconomic status were notable risk factors for button battery ingestion. These findings support the need for educational and preventive strategies to address the risks associated with button battery ingestion.
研究与小儿食管异物取出相关的人口统计学和社会健康决定因素，重点关注纽扣电池摄入情况。
对接受食管异物手术取出的小儿患者进行回顾性病历审查（现行程序术语[CPT]43215、43194）。
该研究于2010年11月至2023年12月在四家医院进行。
分析患者人口统计学数据和社会健康决定因素。排除非意外摄入、18岁以上患者以及社会健康决定因素数据缺失的病例。使用医疗保健研究与质量局（AHRQ）数据库将患者数据与社会经济指标相关联。
在825例病例中，50例为纽扣电池摄入。纽扣电池患者和非纽扣电池患者的年龄相当。纽扣电池患者以男性为主。社会经济分析显示，纽扣电池患者来自家庭收入中位数较高、贫困率较低、房屋价值较高且互联网接入率较高的家庭。在研究期间，纽扣电池摄入发生率有所上升。
本研究强调了小儿异物摄入与纽扣电池摄入在人口统计学和社会经济方面的显著差异。男性和较高的社会经济地位是纽扣电池摄入的显著危险因素。这些发现支持需要采取教育和预防策略来应对与纽扣电池摄入相关的风险。
