@article{3128752,
    title = "The Susy Safe project overview after the first four years of activity",
    author = "Gregori, D. and Foltran, F. and Ballali, S. and Berchialla, P. and Rodriguez, H. and Zaupa, P. and Spitzer, P. and Demetriades, C. and Sokolova, L. and Jane Buzarov and Petridou, E. and D'Alessandro, A. and Pais Clemente, M.A.C. and Jakubíková, J. and Van As, S. and De Koning, T. and Passali, D. and Chinsky, A. and Rodriguez, H. and Brkic, F. and Mladina, R. and Kalakouta, O. and Melis, A. and Máchalová, M. and Thomasen, P.C. and Elsheikh, E. and Ragab, A. and Pitkäranta, A. and Necker, P.C. and Derelle, J. and Duwelz, M. and Francois, M. and Pezzettigotta, S. and Pezzettigotta Stephane and Righini, C. and Bernhard, R. and Jahnke, V. and Goktas Onder and Zieriacks, P. and Kalampoki, V. and Simasko, N. and Skoulakis, C. and Camaioni, A. and Cutrone, C. and Gaudini, E. and Grasso, D. and Messi, G. and Mansi, N. and Orlando, C. and Preziosi, S. and Sorrentini, I. and Villari, G. and Trozzi, M. and Vigo, A. and Passali, G.C. and Passali, F.M. and Nishida, Y. and Ussatayeva, G. and De Hoyos, R. and Ologe, F.E. and Nasrullah, M. and Melendez, A. and Chmielik, M. and Belchior, T. and Cobzeanu, M.D. and Gheorghe, D.C. and Iorgulescu, A. and Codrut, C. and Toader, M. and Barkociová, J. and Havelkova, B. and Zargi, M. and Pumarola, F. and Rubio, L. and Stierna, P. and Hsu, W.-C. and Arj-Ong, S. and Chomchai, C. and Hoep, L. and Rinkel, R. and Baskent, E.A. and Erikci, V.S. and Onerci, M. and Graham, J. and Khwaja, S. and Raine, C. and Šlapäk, I.",
    journal = "International Journal of Pediatric Otorhinolaryngology",
    year = "2012",
    volume = "76",
    number = "SUPPL. 1",
    pages = "S3-S11",
    issn = "0165-5876",
    doi = "10.1016/j.ijporl.2012.02.003",
    keywords = "adolescent;  age distribution;  article;  asthma;  bronchus perforation;  child;  child hospitalization;  child safety;  disease registry;  disease surveillance;  endoscopic surgery;  esophagus foreign body;  Europe;  female;  food foreign body;  foreign body;  foreign body aspiration;  health hazard;  health survey;  human;  incidence;  infant;  lung infection;  major clinical study;  male;  non food foreign body;  pneumonia;  preschool child;  priority journal;  product safety;  register;  risk assessment;  sex ratio, Adolescent;  Airway Obstruction;  Child;  Child, Preschool;  Europe;  Female;  Foreign Bodies;  Humans;  Infant;  Infant, Newborn;  Male;  Registries;  Risk Factors",
    abstract = "Objectives: to collect relevant, up-to-date, representative, accurate, systematic information, related to foreign bodies (FB) injuries. Methods: The "Susy Safe" registry, a DG SANCO co-funded project gathering data on choking in all EU Countries and beyond, was established in order to create surveillance systems for suffocation injuries able to provide a risk-analysis profile for each of the products causing the injury. Main findings after 4 years of activities are resumed here. Results: 16,878 FB injuries occurred in children aged 0-14 years have been recorded in the SUSY SAFE databases; 8046 cases have been reported from countries outside EU. Almost one quart of the cases involving very young children (less than one year of age) presented a FB located in bronchial tract, thus representing a major threat to their health. Esophageal foreign bodies are still characterizing injuries occurred to children younger than one year, in older children the most common locations are the ears and the nose. FB type was specified in 10,564 cases. Food objects represented the 26% of the cases, whereas non-food objects were the remaining 74%. Among food objects, the most common were bones, nuts and seed, whereas for the non-food objects pearls, balls and marbles were observed most commonly (29%). Coins were involved in 15% of the non-food injuries and toys represented the 4% of the cases. Conclusions: this data collection system should be been taken into consideration for the calculation of the risk of injuries in order to provide the EU Commission with all the relevant estimates on FB injuries. © 2012 Elsevier Ireland Ltd."
}