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Trends in pediatric mortality from food choking in children with intellectual disability during 1991-2005
Mohammed Morad1, Isack Kandel, Jason Ahn
1Department of Family Medicine, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel.
Insights
Food choking is a rare but serious risk for children with intellectual disability in residential care. Prevention through caregiver education and hazard identification is crucial for reducing these unintentional injury deaths.
Area of Science:
- Pediatrics
- Public Health
- Disability Studies
Background:
- Unintentional injury is a leading cause of childhood mortality.
- Choking, often caused by food or small objects, obstructs the airway and can be fatal.
- Children with intellectual disability in residential care face unique risks.
Purpose of the Study:
- To investigate the incidence of food choking deaths among children with intellectual disability in Israeli residential care centers.
- To analyze data from 1991-2005 to understand the scope of this issue.
- To inform prevention strategies for this vulnerable population.
Main Methods:
- Retrospective analysis of mortality data from the Office of the Medical Director (OMD) in Israel.
- Data extracted from the OMD's mortality register for the period 1991-2004.
- Focus on deaths caused by food choking in children under 18 with intellectual disability.
Main Results:
- Over 15 years (1991-2005), 1,107 deaths were reported in residential centers.
- Five cases (0.245%) were attributed to food choking in children.
- The average food choking rate was 8.98 per 100,000 children in the study population.
Conclusions:
- Food choking deaths, while infrequent, represent a significant concern for children with intellectual disability in residential settings.
- Prevention is paramount, requiring identification of risk factors and education for caregivers and professionals.
- Minimizing exposure to common choking hazards is essential for protecting at-risk children.
Abstract:
Unintentional injury is one of the leading causes for mortality in childhood. Choking or the interruption of respiration by internal obstruction of the airway, usually by food or small toys, is such a case. The present study was conducted to examine choking-related deaths from 1991-2005 among children with intellectual disability younger than 18 years of age living in residential care centers in Israel. The data for this study were obtained from the Office of the Medical Director (OMD), Division for Mental Retardation (DMR), Ministry of Social Affairs and Social Services. Every case of death in residential centers is reported to the OMD, who since 1991 has registered place of residence, date of birth, age at death, gender, ethnic background, level of ID, cause of death, autopsy and review committee, if established in a data register. The data concerned with food choking were extracted from the mortality register for the period 1991-2004. Over the study period (15 years) 1,107 cases of death were reported, with 5 (0.245%) caused by food choking in children. The average rate was 8.98 per 100,000 study population for food choking in children. The solution is prevention. In recent years, the OMD together with other professionals have produced educational material and seminars on feeding and preventive measures. Not every case can be prevented, but it is important to identify risk factors, to educate the care givers and professionals, and to ensure that food products that are common choking hazards are kept away from children, who are at risk.
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