Τίτλος:
Magnitude and object-specific hazards of aspiration and ingestion
injuries among children in Greece
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Objective: To assess the public health impact of injuries due to foreign
body aspirations and ingestions among children in terms of overall
magnitude and estimation of object-specific incidence.
Methodology: Two thousand two hundred and seven injuries due to
aspiration and ingestion of foreign bodies were identified among 110 066
records of children (less than 15 years old) collected by the Hellenic
Emergency Department Injury Surveillance System (EDISS) during the
5-year study period 1996-2000. Countrywide estimates of overall and
object-specific injury incidence rates were computed using appropriate
age and place of residence-sampling ratios. Simple cross-tabulations
were performed along with a free text description analysis of injury
events, whereas a composite score using (1) frequency of injury
occurrence, (2) hospitalisation rate and (3) average length of
hospitalisation was developed to measure the overall object-specific
burden of injuries.
Results: Aspirations and ingestions of foreign bodies accounted for 2%
of the total burden of accident and emergency department visits,
corresponding to an annual incidence of approximately 2.3 accidents per
1000 children. Fish bones and nuts prevailed among the high (44%)
proportion of aspirations and ingestions due to edible foreign bodies,
while the main inedibles involved were small objects. Toddlers, boys and
migrant children were over-represented among children sustaining
injuries due to inedibles. As expected, the vast majority of
food-related injuries occurred in the kitchen, in most instances under
parental supervision. Injuries due to edibles were of minor severity and
treatment was provided in the emergency departments, while those due to
inedibles were responsible for injuries resulting in higher
hospitalisation rates, albeit of relatively short duration. The
composite impact score was highest for nuts and other food, nails, pins
and sharp instruments. X-rays were performed in nearly all cases; upper
gastrointestinal endoscopy was required in about 1 out of 10 instances
and laryngoscopy or bronchoscopy in 1 out of 20, whereas the object was
spontaneously removed in less than 3% of the cases.
Conclusions: Depending on whether caused by edible or inedible objects,
injuries due to foreign body aspirations and ingestions showed distinct
epidemiological patterns. Composite scores taking into account measures
of injury frequency and severity, seemed to reflect a country-specific
spectrum of this type of injuries and provided useful information for
the design of targeted public health oriented interventions. (C) 2006
Elsevier Ireland Ltd. All rights reserved.
Συγγραφείς:
Farmakakis, Theologos
Dessypris, Nick
Alexe, Delia-Marina and
Frangakis, Constantine
Petoussis, George
Malliori, Melpomeni and
Petridou, Th. Eleni
Περιοδικό:
International Journal of Pediatric Otorhinolaryngology
Εκδότης:
Elsevier Ireland Ltd
Λέξεις-κλειδιά:
aspiration; ingestion; foreign body; edible; inedible; prevention
DOI:
10.1016/j.ijporl.2006.10.021
