A Retrospective Analysis of Foreign Body Ingestions Among the Pediatric Age Group in a Tertiary Care Hospital in Jeddah, Saudi Arabia

Background: Foreign body ingestion (FBI) among the pediatric age group is considered a major clinical problem that can cause life-threatening complications, as it can obstruct the airway due to poor/immature airway protection reflexes.Objective: In this study, we aimed to retrospectively describe th...

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Veröffentlicht in:Curēus (Palo Alto, CA) CA), 2023-11, Vol.15 (11), p.e48113-e48113
Hauptverfasser: Abudungor, Rahaf L, Arif, Deema O, Alsulaiman, Yasmeen S, Alrabghi, Dana A, Jarb, Ahmed F, Algari, Lojien M
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container_title Curēus (Palo Alto, CA)
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creator Abudungor, Rahaf L
Arif, Deema O
Alsulaiman, Yasmeen S
Alrabghi, Dana A
Jarb, Ahmed F
Algari, Lojien M
description Background: Foreign body ingestion (FBI) among the pediatric age group is considered a major clinical problem that can cause life-threatening complications, as it can obstruct the airway due to poor/immature airway protection reflexes.Objective: In this study, we aimed to retrospectively describe the epidemiology, clinical characteristics, and outcomes of FBI among the pediatric age group in Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.Methods: We conducted a retrospective study of pediatric patients (0-14 years) presenting to a tertiary care hospital in Jeddah, Saudi Arabia, from January 2019 to October 2022. The study reviewed records of patients with FBI in the emergency department. Data collection included age, gender, comorbidities, foreign body (FB) type, anatomical location, presenting symptoms, time to emergency room (ER) presentation, need for endoscopy, and complications. We performed a statistical analysis using the Statistical Package for Social Sciences (SPSS) 25 (IBM SPSS Statistics, Armonk, NY), where p
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The study reviewed records of patients with FBI in the emergency department. Data collection included age, gender, comorbidities, foreign body (FB) type, anatomical location, presenting symptoms, time to emergency room (ER) presentation, need for endoscopy, and complications. We performed a statistical analysis using the Statistical Package for Social Sciences (SPSS) 25 (IBM SPSS Statistics, Armonk, NY), where p&lt;0.05 was considered statistically significant.Results: We identified 244 FBI cases, with most cases being male (62.7%). The most common site of FB impaction was the stomach (38.9%), followed by the upper esophagus (29.1%). Clinical presentation was variable, with 20.5% of cases experiencing vomiting, 13.5% experiencing drooling, and 9.4% experiencing dysphagia. Out of 244 cases, 132 (54.1%) were referred to gastroenterology for urgent FB removal by endoscopy. A total of 186 cases (76.2%) did not have complications, whereas 3.6% had serious sequela. The association between age and FBI was statistically significant (p=0.00), whereas there was no association between gender and FBI.Conclusion: Our results showed that FB ingestion was prevalent among children at our tertiary care hospital, with urgent endoscopy being the most common removal procedure. Early detection and immediate presentation to the emergency room are crucial for preventing complications. Common FBI included coins and batteries, with most incidents in 1-3-year-old males. Parents should be aware of the dangers of FBI and implement preventive measures to reduce its incidence.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.48113</identifier><language>eng</language><publisher>Palo Alto: Cureus Inc</publisher><subject>Abdomen ; Age groups ; Data collection ; Dysphagia ; Emergency medical care ; Endoscopy ; Esophagus ; Females ; Foreign bodies ; Gender ; Males ; Medical records ; Mortality ; Patients ; Pediatrics ; Pneumonia ; Variables ; Vomiting</subject><ispartof>Curēus (Palo Alto, CA), 2023-11, Vol.15 (11), p.e48113-e48113</ispartof><rights>Copyright © 2023, Abudungor et al. This work is published under https://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c221t-cd25e7396f76f1a2b27cc405d85eb207e44dc91f2adacf4cd1ab1fe5103828e83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Abudungor, Rahaf L</creatorcontrib><creatorcontrib>Arif, Deema O</creatorcontrib><creatorcontrib>Alsulaiman, Yasmeen S</creatorcontrib><creatorcontrib>Alrabghi, Dana A</creatorcontrib><creatorcontrib>Jarb, Ahmed F</creatorcontrib><creatorcontrib>Algari, Lojien M</creatorcontrib><title>A Retrospective Analysis of Foreign Body Ingestions Among the Pediatric Age Group in a Tertiary Care Hospital in Jeddah, Saudi Arabia</title><title>Curēus (Palo Alto, CA)</title><description>Background: Foreign body ingestion (FBI) among the pediatric age group is considered a major clinical problem that can cause life-threatening complications, as it can obstruct the airway due to poor/immature airway protection reflexes.Objective: In this study, we aimed to retrospectively describe the epidemiology, clinical characteristics, and outcomes of FBI among the pediatric age group in Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.Methods: We conducted a retrospective study of pediatric patients (0-14 years) presenting to a tertiary care hospital in Jeddah, Saudi Arabia, from January 2019 to October 2022. The study reviewed records of patients with FBI in the emergency department. Data collection included age, gender, comorbidities, foreign body (FB) type, anatomical location, presenting symptoms, time to emergency room (ER) presentation, need for endoscopy, and complications. We performed a statistical analysis using the Statistical Package for Social Sciences (SPSS) 25 (IBM SPSS Statistics, Armonk, NY), where p&lt;0.05 was considered statistically significant.Results: We identified 244 FBI cases, with most cases being male (62.7%). The most common site of FB impaction was the stomach (38.9%), followed by the upper esophagus (29.1%). Clinical presentation was variable, with 20.5% of cases experiencing vomiting, 13.5% experiencing drooling, and 9.4% experiencing dysphagia. Out of 244 cases, 132 (54.1%) were referred to gastroenterology for urgent FB removal by endoscopy. A total of 186 cases (76.2%) did not have complications, whereas 3.6% had serious sequela. The association between age and FBI was statistically significant (p=0.00), whereas there was no association between gender and FBI.Conclusion: Our results showed that FB ingestion was prevalent among children at our tertiary care hospital, with urgent endoscopy being the most common removal procedure. Early detection and immediate presentation to the emergency room are crucial for preventing complications. Common FBI included coins and batteries, with most incidents in 1-3-year-old males. Parents should be aware of the dangers of FBI and implement preventive measures to reduce its incidence.</description><subject>Abdomen</subject><subject>Age groups</subject><subject>Data collection</subject><subject>Dysphagia</subject><subject>Emergency medical care</subject><subject>Endoscopy</subject><subject>Esophagus</subject><subject>Females</subject><subject>Foreign bodies</subject><subject>Gender</subject><subject>Males</subject><subject>Medical records</subject><subject>Mortality</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Pneumonia</subject><subject>Variables</subject><subject>Vomiting</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1Kw0AUhYMoWLQ7H-CCGxdtnZkknckyFvsjBUXrOkxmbtIpaSbOJEIfwPc2tS7E1T1wPw6cc4LghpIJ53FyrzqHnZ9EgtLwLBgwOhVjQUV0_kdfBkPvd4QQSjgjnAyCrxResXXWN6ha84mQ1rI6eOPBFjC3Dk1Zw4PVB1jVJfrW2NpDurd1Ce0W4QW1ka0zCtISYeFs14CpQcIGXWukO8BMOoRl729aWR1_T6i13I7gTXbaQOpkbuR1cFHIyuPw914F7_PHzWw5Xj8vVrN0PVaM0XasNIuRh8m04NOCSpYzrlREYi1izPs8GEVaJbRgUktVREpTmdMCY0pCwQSK8Cq4O_k2zn50fZxsb7zCqpI12s5nTCQ8EjxJjujtP3RnO9eX01MJEYTTWEQ9NTpRqq_QOyyyxpl9nzujJDvOkp1myX5mCb8BDmyBiQ</recordid><startdate>20231101</startdate><enddate>20231101</enddate><creator>Abudungor, Rahaf L</creator><creator>Arif, Deema O</creator><creator>Alsulaiman, Yasmeen S</creator><creator>Alrabghi, Dana A</creator><creator>Jarb, Ahmed F</creator><creator>Algari, Lojien M</creator><general>Cureus Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20231101</creationdate><title>A Retrospective Analysis of Foreign Body Ingestions Among the Pediatric Age Group in a Tertiary Care Hospital in Jeddah, Saudi Arabia</title><author>Abudungor, Rahaf L ; Arif, Deema O ; Alsulaiman, Yasmeen S ; Alrabghi, Dana A ; Jarb, Ahmed F ; Algari, Lojien M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c221t-cd25e7396f76f1a2b27cc405d85eb207e44dc91f2adacf4cd1ab1fe5103828e83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdomen</topic><topic>Age groups</topic><topic>Data collection</topic><topic>Dysphagia</topic><topic>Emergency medical care</topic><topic>Endoscopy</topic><topic>Esophagus</topic><topic>Females</topic><topic>Foreign bodies</topic><topic>Gender</topic><topic>Males</topic><topic>Medical records</topic><topic>Mortality</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Pneumonia</topic><topic>Variables</topic><topic>Vomiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Abudungor, Rahaf L</creatorcontrib><creatorcontrib>Arif, Deema O</creatorcontrib><creatorcontrib>Alsulaiman, Yasmeen S</creatorcontrib><creatorcontrib>Alrabghi, Dana A</creatorcontrib><creatorcontrib>Jarb, Ahmed F</creatorcontrib><creatorcontrib>Algari, Lojien M</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Abudungor, Rahaf L</au><au>Arif, Deema O</au><au>Alsulaiman, Yasmeen S</au><au>Alrabghi, Dana A</au><au>Jarb, Ahmed F</au><au>Algari, Lojien M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A Retrospective Analysis of Foreign Body Ingestions Among the Pediatric Age Group in a Tertiary Care Hospital in Jeddah, Saudi Arabia</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><date>2023-11-01</date><risdate>2023</risdate><volume>15</volume><issue>11</issue><spage>e48113</spage><epage>e48113</epage><pages>e48113-e48113</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Background: Foreign body ingestion (FBI) among the pediatric age group is considered a major clinical problem that can cause life-threatening complications, as it can obstruct the airway due to poor/immature airway protection reflexes.Objective: In this study, we aimed to retrospectively describe the epidemiology, clinical characteristics, and outcomes of FBI among the pediatric age group in Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.Methods: We conducted a retrospective study of pediatric patients (0-14 years) presenting to a tertiary care hospital in Jeddah, Saudi Arabia, from January 2019 to October 2022. The study reviewed records of patients with FBI in the emergency department. Data collection included age, gender, comorbidities, foreign body (FB) type, anatomical location, presenting symptoms, time to emergency room (ER) presentation, need for endoscopy, and complications. We performed a statistical analysis using the Statistical Package for Social Sciences (SPSS) 25 (IBM SPSS Statistics, Armonk, NY), where p&lt;0.05 was considered statistically significant.Results: We identified 244 FBI cases, with most cases being male (62.7%). The most common site of FB impaction was the stomach (38.9%), followed by the upper esophagus (29.1%). Clinical presentation was variable, with 20.5% of cases experiencing vomiting, 13.5% experiencing drooling, and 9.4% experiencing dysphagia. Out of 244 cases, 132 (54.1%) were referred to gastroenterology for urgent FB removal by endoscopy. A total of 186 cases (76.2%) did not have complications, whereas 3.6% had serious sequela. The association between age and FBI was statistically significant (p=0.00), whereas there was no association between gender and FBI.Conclusion: Our results showed that FB ingestion was prevalent among children at our tertiary care hospital, with urgent endoscopy being the most common removal procedure. Early detection and immediate presentation to the emergency room are crucial for preventing complications. Common FBI included coins and batteries, with most incidents in 1-3-year-old males. Parents should be aware of the dangers of FBI and implement preventive measures to reduce its incidence.</abstract><cop>Palo Alto</cop><pub>Cureus Inc</pub><doi>10.7759/cureus.48113</doi><oa>free_for_read</oa></addata></record>
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subjects Abdomen
Age groups
Data collection
Dysphagia
Emergency medical care
Endoscopy
Esophagus
Females
Foreign bodies
Gender
Males
Medical records
Mortality
Patients
Pediatrics
Pneumonia
Variables
Vomiting
title A Retrospective Analysis of Foreign Body Ingestions Among the Pediatric Age Group in a Tertiary Care Hospital in Jeddah, Saudi Arabia
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