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Consumer product ingestion and aspiration in children: A 15-year review

Curtis Hanba¹, Steven Cox², Michael Bobian¹

¹Department of Otolaryngology-Head and Neck Surgery, Wayne State University School of Medicine, Detroit, Michigan, U.S.A.

The Laryngoscope

|September 14, 2016

Insights

Pediatric consumer product (CP) ingestions rose significantly, while aspirations remained stable. Jewelry became the most aspirated CP, and coins were the most ingested. Young children are most at risk.

Area of Science:

Pediatric Emergency Medicine
Public Health
Consumer Product Safety

Background:

Consumer product (CP) ingestion and aspiration pose significant risks to children.
Understanding current trends is crucial for effective prevention strategies and medical guidance.

Purpose of the Study:

To identify trends in pediatric consumer product ingestion and aspiration.
To inform physicians and policymakers for improved preventative measures.

Main Methods:

Utilized the National Electronic Injury Surveillance System (NEISS) for pediatric CP aspiration and ingestion data (2000-2014).
Compared data from 2000-2004 to 2010-2014 to analyze trends.
Examined injury occurrence, patient demographics, and disposition.

Main Results:

Emergency department visits for pediatric CP ingestion increased by 41.4% from 2000-2014.
Jewelry surpassed coins as the most commonly aspirated CP.
Coins remained the most frequent ingestion, but their proportion decreased over time.
Children under 5 accounted for the majority of aspiration (89.4%) and ingestion (77.8%) cases between 2010-2014.

Conclusions:

Pediatric CP aspiration and ingestion are frequent occurrences with serious potential consequences.
Demographic data and common CPs involved offer valuable insights for otolaryngologists.
Further investigation into injury prevention is warranted.

Read full analysis

Abstract

Objectives/Hypothesis:

Our objectives were to identify consumer product (CP) ingestion and aspiration trends. Our hope is that evaluation of contemporary trends may be useful to physicians and policy makers and further guide preventative measures.

Methods:

The Consumer Product Safety Commission's National Electronic Injury Surveillance System was queried for pediatric CP aspiration and ingestion data for the years 2000 to 2014. Data from 2000 to 2004 were compared to 2010 to 2014 data and analyzed for CP and injury occurrence. Injury trends over the past 15 years were identified; patient demographics were analyzed; and patient disposition was reported.

Results:

Emergency department visits for pediatric CP ingestion increased 41.4% over the 15-year period analyzed and remained relatively stable for aspiration events. In all, an estimated 1.1 million visits occurred during this time frame. Jewelry overtook coins as the most common CP aspirated (29.3%). Coins remained the most frequent ingestion but comprised a smaller proportion of ingestions in recent years than years past. From 2010 through 2014, children under 5 years of age accounted for 89.4% and 77.8% of CP aspiration and ingestion cases, respectively.

Conclusion:

Pediatric aspiration/ingestion remains a frequent occurrence with potentially significant ramifications. Injury demographics and CPs most likely to be involved may represent valuable information to the otolaryngologist who wishes to provide appropriate counseling to patients and parents and continued investigation on injury prevention.

Level Of Evidence:

4. Laryngoscope, 127:1202-1207, 2017.

Keywords:

Aspiration consumer product safety ingestion national electronic injury surveillance system pediatric aspiration

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