@article{3128754,
    title = "Food foreign body injuries",
    author = "Sebastian van As, A.B. and Yusof, A.M. and Millar, A.J.W. and Gregori, D. and Foltran, F. and Ballali, S. and Berchialla, P. and Rodriguez, H. and Zaupa, P. and Spitzer, P. and Demetriades, C. and Slapák, I. and Sokolova, L. and Petridou, E. and D'Alessandro, A. and Clemente, M.A.C.P. and Jakubíková, J. and As, S.V. and Koning, T.D. 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 Caye-Thomasen, P. 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 Righini, C. and Stephane, P. and Buzarov, J. and Bernhard, R. and Jahnke, V. and Onder, G. 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 Mansi, N. and Messi, G. and Orlando, C. and Preziosi, S. and Sorrentini, I. and Trozzi, M. and Vigo, A. and Villari, G. and Passali, G.C. and Passali, F.M. and Nishida, Y. and Ussatayeva, G. and Hoyos, R.D. 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 Caius-Codrut and Toader, M. and Barkociová, J. and Havelkova, B. and Zargi, M. and Sebastian van As, A.B. 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.",
    journal = "International Journal of Pediatric Otorhinolaryngology",
    year = "2012",
    volume = "76",
    number = "SUPPL. 1",
    pages = "S20-S25",
    issn = "0165-5876",
    doi = "10.1016/j.ijporl.2012.02.005",
    keywords = "accident prevention;  adolescent;  article;  asthma;  atelectasis;  bean;  bone;  bronchitis;  child;  child hospitalization;  child safety;  ear injury;  eating;  emphysema;  esophagus foreign body;  female;  food foreign body;  foreign body;  foreign body aspiration;  fruit;  human;  incidence;  infant;  lung infection;  major clinical study;  male;  mouth injury;  nut;  parental attitude;  pea;  preschool child;  priority journal;  register;  respiratory tract injury;  risk assessment;  risk reduction;  stomach injury, Adolescent;  Age Distribution;  Child;  Child, Preschool;  Europe;  Female;  Food;  Foreign Bodies;  Hospitalization;  Humans;  Infant;  Infant, Newborn;  Male;  Prospective Studies;  Registries;  Sex Distribution",
    abstract = "Rationale and aim: The purpose of this study is to acquire a better understanding of Food Foreign Bodies (FFB) injuries in children characterizing the risk of complications and prolonged hospitalization due to food items according to patients' characteristics, circumstances of the accident, Foreign Body (FB) features and FB location, as emerging from the SUSY Safe Web-Registry. Methods: The present study uses data provided by the SUSY Safe Project, a DG SANCO co-funded project started in February 2005, which was aimed at establishing an international registry of cases of Foreign Bodies (FB) injuries in children aged 0-14 years. The analysis was carried out on injuries due to a food item.FB location was reported according to ICD9-CM code: ears (ICD931), nose (ICD932), pharynx and larynx (ICD933) trachea, bronchi and lungs (ICD934), mouth, esophagus and stomach (ICD935).Age and gender injury distributions were assessed. Data regarding adult supervision and activity before injury were also evaluated. FBs which most frequently cause complications were identified. The association between children age, adult presence, object characteristics and hospitalization/complications was computed using unweighted odds ratios and the related 95% confidence intervals. Results: 16,878 FB injuries occurred in children aged 0-14 years have been recorded in the SUSY Safe databases. FB type was specified in 10,564 cases; among them 2744 (26%) were due to a food item. FB site was recorded in 1344 cases: FB was located in the ears in 99 patients, while 1140 occurred in the upper and lower respiratory tract; finally, 105 food items were removed from mouth, esophagus and stomach. Complications occurred in 176 cases and the most documented was pulmonary or bronchial infections (23%) followed emphysema or atelectasis and by and asthma (7%). Bones were the commonest retrieved FFB encountered in this study, while nuts seem to be the FFB most frequently associated to complications. Conclusions: On the basis of this study we make the strong recommendation that parents should be adequately educated and provide age-appropriate food to their children and be present in order to supervise them during eating especially during a critical period ranging from 2 to 3 years of age. © 2012 Elsevier Ireland Ltd."
}