Recent trends in foreign body ingestion (FBI) epidemiology: A national cohort study
Foreign body ingestion (FBI) in children is a critical health concern. This study aimed to describe the epidemiology of FBI in children in Italy. We retrospectively enrolled children
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| creator | Mantegazza, Cecilia Destro, Francesca Ferraro, Simona Biganzoli, Davide Marano, Giuseppe Quitadamo, Paolo Nardo, Giovanni Di Malamisura, Monica Chiarazzo, Giulia Renzo, Sara Scarallo, Luca Fava, Giorgio Ichino, Martina Panceri, Roberto Sala, Debora Pellegrino, Maristella Macchini, Francesco Gandullia, Paolo Tantari, Giacomo Bramuzzo, Matteo Saccomani, Marco Deganello Illiceto, Maria Teresa Orizio, Paolo Gatti, Simona Pizzol, Antonio Felici, Enrico Romano, Claudio Iuliano, Silvia Marinari, Alessandra Marseglia, Antonio Oliva, Salvatore |
| description | Foreign body ingestion (FBI) in children is a critical health concern. This study aimed to describe the epidemiology of FBI in children in Italy.
We retrospectively enrolled children |
| doi_str_mv | 10.1016/j.dld.2024.10.002 |
| format | Article |
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We retrospectively enrolled children <18 years admitted for FBI from January 2015 to December 2020. Data were collected across 21 hospitals with dedicated pediatric endoscopy services and normalized by the population of the corresponding municipalities.
A total of 5,771 FBI cases were analyzed. FBI incidents showed consistent time trends across age groups, with most events occurring at home and being witnessed (94.7 %). Children <6 years accounted for 74.3 % of cases. Comorbidities were present in 5.3 % of cases, primarily neurologic/psychiatric disorders in older children (6–17 years). Blunt objects accounted for 65.5 % of ingestions. Young males commonly ingested button batteries, while females showed higher rates of ingesting hair products and jewelry. Most children were discharged (60 %) or observed briefly (75 % of total admissions), with endoscopic removal performed in 24 % of cases.
Rates of FBI have remained stable over the years, including during the COVID-19 pandemic. FBI predominantly occurs in domestic settings among healthy young children, particularly those ≤5 years old. These findings emphasize the need for preventive measures to reduce the impact of FBI among children.</description><identifier>ISSN: 1590-8658</identifier><identifier>ISSN: 1878-3562</identifier><identifier>EISSN: 1878-3562</identifier><identifier>DOI: 10.1016/j.dld.2024.10.002</identifier><identifier>PMID: 39477708</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Emergency department ; Food ingestion ; Foreign body ingestion epidemiology ; Need for surgical or endoscopic removal ; Pediatric object ; Prevention</subject><ispartof>Digestive and liver disease, 2024-10</ispartof><rights>2024 Editrice Gastroenterologica Italiana S.r.l.</rights><rights>Copyright © 2024 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c1508-ba67421f7ee56bade70ad8ac08b2253701ff1528312973b8f907a309baae7bd63</cites><orcidid>0000-0002-6733-4166 ; 0000-0002-0239-7297 ; 0009-0000-4881-5928 ; 0009-0007-6094-7983 ; 0000-0002-6746-5561 ; 0000-0001-8827-2091 ; 0000-0003-2348-2308 ; 0000-0003-1769-7193 ; 0000-0002-5249-8248 ; 0000-0002-7901-4995 ; 0000-0003-1056-4400</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.dld.2024.10.002$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39477708$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mantegazza, Cecilia</creatorcontrib><creatorcontrib>Destro, Francesca</creatorcontrib><creatorcontrib>Ferraro, Simona</creatorcontrib><creatorcontrib>Biganzoli, Davide</creatorcontrib><creatorcontrib>Marano, Giuseppe</creatorcontrib><creatorcontrib>Quitadamo, Paolo</creatorcontrib><creatorcontrib>Nardo, Giovanni Di</creatorcontrib><creatorcontrib>Malamisura, Monica</creatorcontrib><creatorcontrib>Chiarazzo, Giulia</creatorcontrib><creatorcontrib>Renzo, Sara</creatorcontrib><creatorcontrib>Scarallo, Luca</creatorcontrib><creatorcontrib>Fava, Giorgio</creatorcontrib><creatorcontrib>Ichino, Martina</creatorcontrib><creatorcontrib>Panceri, Roberto</creatorcontrib><creatorcontrib>Sala, Debora</creatorcontrib><creatorcontrib>Pellegrino, Maristella</creatorcontrib><creatorcontrib>Macchini, Francesco</creatorcontrib><creatorcontrib>Gandullia, Paolo</creatorcontrib><creatorcontrib>Tantari, Giacomo</creatorcontrib><creatorcontrib>Bramuzzo, Matteo</creatorcontrib><creatorcontrib>Saccomani, Marco Deganello</creatorcontrib><creatorcontrib>Illiceto, Maria Teresa</creatorcontrib><creatorcontrib>Orizio, Paolo</creatorcontrib><creatorcontrib>Gatti, Simona</creatorcontrib><creatorcontrib>Pizzol, Antonio</creatorcontrib><creatorcontrib>Felici, Enrico</creatorcontrib><creatorcontrib>Romano, Claudio</creatorcontrib><creatorcontrib>Iuliano, Silvia</creatorcontrib><creatorcontrib>Marinari, Alessandra</creatorcontrib><creatorcontrib>Marseglia, Antonio</creatorcontrib><creatorcontrib>Oliva, Salvatore</creatorcontrib><title>Recent trends in foreign body ingestion (FBI) epidemiology: A national cohort study</title><title>Digestive and liver disease</title><addtitle>Dig Liver Dis</addtitle><description>Foreign body ingestion (FBI) in children is a critical health concern. This study aimed to describe the epidemiology of FBI in children in Italy.
We retrospectively enrolled children <18 years admitted for FBI from January 2015 to December 2020. Data were collected across 21 hospitals with dedicated pediatric endoscopy services and normalized by the population of the corresponding municipalities.
A total of 5,771 FBI cases were analyzed. FBI incidents showed consistent time trends across age groups, with most events occurring at home and being witnessed (94.7 %). Children <6 years accounted for 74.3 % of cases. Comorbidities were present in 5.3 % of cases, primarily neurologic/psychiatric disorders in older children (6–17 years). Blunt objects accounted for 65.5 % of ingestions. Young males commonly ingested button batteries, while females showed higher rates of ingesting hair products and jewelry. Most children were discharged (60 %) or observed briefly (75 % of total admissions), with endoscopic removal performed in 24 % of cases.
Rates of FBI have remained stable over the years, including during the COVID-19 pandemic. FBI predominantly occurs in domestic settings among healthy young children, particularly those ≤5 years old. These findings emphasize the need for preventive measures to reduce the impact of FBI among children.</description><subject>Emergency department</subject><subject>Food ingestion</subject><subject>Foreign body ingestion epidemiology</subject><subject>Need for surgical or endoscopic removal</subject><subject>Pediatric object</subject><subject>Prevention</subject><issn>1590-8658</issn><issn>1878-3562</issn><issn>1878-3562</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kEtPAyEYRYnR2Fr9AW4My7qYCswDRle1sdqkiYmPNWHgm0ozHSpMTfrvZVJ16Qo-OPcGDkKXlEwoocXNemIaM2GEZXGeEMKO0JAKLpI0L9hx3OclSUSRiwE6C2EdAVrk5BQN0jLjnBMxRK8voKHtcOehNQHbFtfOg121uHJmH-cVhM66Fo_n94trDFtrYGNd41b7WzzFreovVYO1-3C-w6Hbmf05OqlVE-DiZx2h9_nD2-wpWT4_LmbTZaJpTkRSqYJnjNYcIC8qZYATZYTSRFSM5SkntK5pzkRKWcnTStQl4SolZaUU8MoU6QiND71b7z538Z1yY4OGplEtuF2QMciKjPJMRJQeUO1dCB5qufV2o_xeUiJ7l3Ito0vZu-yPoqqYufqp31UbMH-JX3kRuDsAED_5ZcHLoC20Goz1oDtpnP2n_htbc4OM</recordid><startdate>20241029</startdate><enddate>20241029</enddate><creator>Mantegazza, Cecilia</creator><creator>Destro, Francesca</creator><creator>Ferraro, Simona</creator><creator>Biganzoli, Davide</creator><creator>Marano, Giuseppe</creator><creator>Quitadamo, Paolo</creator><creator>Nardo, Giovanni Di</creator><creator>Malamisura, Monica</creator><creator>Chiarazzo, Giulia</creator><creator>Renzo, Sara</creator><creator>Scarallo, Luca</creator><creator>Fava, Giorgio</creator><creator>Ichino, Martina</creator><creator>Panceri, Roberto</creator><creator>Sala, Debora</creator><creator>Pellegrino, Maristella</creator><creator>Macchini, Francesco</creator><creator>Gandullia, Paolo</creator><creator>Tantari, Giacomo</creator><creator>Bramuzzo, Matteo</creator><creator>Saccomani, Marco Deganello</creator><creator>Illiceto, Maria Teresa</creator><creator>Orizio, Paolo</creator><creator>Gatti, Simona</creator><creator>Pizzol, Antonio</creator><creator>Felici, Enrico</creator><creator>Romano, Claudio</creator><creator>Iuliano, Silvia</creator><creator>Marinari, Alessandra</creator><creator>Marseglia, Antonio</creator><creator>Oliva, Salvatore</creator><general>Elsevier Ltd</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6733-4166</orcidid><orcidid>https://orcid.org/0000-0002-0239-7297</orcidid><orcidid>https://orcid.org/0009-0000-4881-5928</orcidid><orcidid>https://orcid.org/0009-0007-6094-7983</orcidid><orcidid>https://orcid.org/0000-0002-6746-5561</orcidid><orcidid>https://orcid.org/0000-0001-8827-2091</orcidid><orcidid>https://orcid.org/0000-0003-2348-2308</orcidid><orcidid>https://orcid.org/0000-0003-1769-7193</orcidid><orcidid>https://orcid.org/0000-0002-5249-8248</orcidid><orcidid>https://orcid.org/0000-0002-7901-4995</orcidid><orcidid>https://orcid.org/0000-0003-1056-4400</orcidid></search><sort><creationdate>20241029</creationdate><title>Recent trends in foreign body ingestion (FBI) epidemiology: A national cohort study</title><author>Mantegazza, Cecilia ; 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This study aimed to describe the epidemiology of FBI in children in Italy.
We retrospectively enrolled children <18 years admitted for FBI from January 2015 to December 2020. Data were collected across 21 hospitals with dedicated pediatric endoscopy services and normalized by the population of the corresponding municipalities.
A total of 5,771 FBI cases were analyzed. FBI incidents showed consistent time trends across age groups, with most events occurring at home and being witnessed (94.7 %). Children <6 years accounted for 74.3 % of cases. Comorbidities were present in 5.3 % of cases, primarily neurologic/psychiatric disorders in older children (6–17 years). Blunt objects accounted for 65.5 % of ingestions. Young males commonly ingested button batteries, while females showed higher rates of ingesting hair products and jewelry. Most children were discharged (60 %) or observed briefly (75 % of total admissions), with endoscopic removal performed in 24 % of cases.
Rates of FBI have remained stable over the years, including during the COVID-19 pandemic. FBI predominantly occurs in domestic settings among healthy young children, particularly those ≤5 years old. These findings emphasize the need for preventive measures to reduce the impact of FBI among children.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>39477708</pmid><doi>10.1016/j.dld.2024.10.002</doi><orcidid>https://orcid.org/0000-0002-6733-4166</orcidid><orcidid>https://orcid.org/0000-0002-0239-7297</orcidid><orcidid>https://orcid.org/0009-0000-4881-5928</orcidid><orcidid>https://orcid.org/0009-0007-6094-7983</orcidid><orcidid>https://orcid.org/0000-0002-6746-5561</orcidid><orcidid>https://orcid.org/0000-0001-8827-2091</orcidid><orcidid>https://orcid.org/0000-0003-2348-2308</orcidid><orcidid>https://orcid.org/0000-0003-1769-7193</orcidid><orcidid>https://orcid.org/0000-0002-5249-8248</orcidid><orcidid>https://orcid.org/0000-0002-7901-4995</orcidid><orcidid>https://orcid.org/0000-0003-1056-4400</orcidid></addata></record> |
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| ispartof | Digestive and liver disease, 2024-10 |
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| language | eng |
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| source | ScienceDirect Journals (5 years ago - present) |
| subjects | Emergency department Food ingestion Foreign body ingestion epidemiology Need for surgical or endoscopic removal Pediatric object Prevention |
| title | Recent trends in foreign body ingestion (FBI) epidemiology: A national cohort study |
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