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Trends of Magnet Ingestion in Children, an Ironic Attraction
Patrick Todd Reeves1, Cade M Nylund2, Jayasree Krishnamurthy2
1Department of Pediatrics, Brooke Army Medical Center, San Antonio, TX.
Insights
Consumer Product Safety Commission (CPSC) policy action in 2012 significantly decreased pediatric magnet ingestions. Emergency department visits for suspected magnet ingestions declined by an average of 13.3% annually after the policy.
Area of Science:
- Pediatric emergency medicine
- Consumer product safety
- Public health policy
Background:
- Rare earth magnet ingestion poses a significant hazard to children.
- Previous trends showed increasing emergency department (ED) visits for pediatric magnet ingestions.
Purpose of the Study:
- To evaluate the impact of the 2012 Consumer Product Safety Commission (CPSC) policy on pediatric magnet ingestions.
- To determine if policy action and advocacy efforts reduced magnet ingestion incidents in children.
Main Methods:
- Utilized data from the National Electronic Injury Surveillance System (NEISS) from 2010 to 2015.
- Analyzed emergency department (ED) encounters for suspected magnet ingestions (SMI) in patients under 18.
- Calculated national estimates of SMI using NEISS-supplied weights and variance variables.
Main Results:
- An estimated 14,586 children presented to EDs for SMI between 2010 and 2015.
- Magnet ingestions peaked in 2012, followed by a significant annual decrease of 13.3% in SMI ED visits post-policy (P=.03).
- The downward trend in SMI ED visits suggests a positive impact of the federal action.
Conclusions:
- Magnet ingestions in children peaked in 2012 and subsequently declined following federal policy action.
- Advocacy efforts are crucial in reducing pediatric magnet ingestions.
- Further research is needed to assess the impact of the 2016 court decision to lift the magnet ban.
Background And Objectives:
Ingestion of rare earth magnets is a serious ongoing hazard for pediatric patients. Our study aims to investigate whether 2012 Consumer Product Safety Commission (CPSC) policy action, in coordination with efforts from consumer and physician advocacy groups, decreased the incidence of magnet ingestions in children in the United States since 2012.
Methods:
Data from the National Electronic Injury Surveillance System (NEISS) was used to evaluate trends in emergency department (ED) encounters with pediatric patients (<18 years) who presented with suspected magnet ingestions (SMI) from 2010 to 2015. National estimates of SMI were made using the NEISS-supplied weights and variance variables.
Results:
An estimated 14,586 children (59% male, 50% age <5 years) presented to the ED for SMI from 2010 to 2015. A significant upward trend in magnet-related ED visits preceded the CPSC action, with the peak ingestions of 3167 (95% confidence interval, 1612-4723) recorded in 2012. This was followed by a steady decrease in the rate of SMI to 1907 (95% confidence interval, 1062-2752) in 2015, an average annual decrease of 13.3%. Most importantly, post-federal action estimates demonstrated a downward trend in overall SMI ED visits (P = 0.03).
Conclusions:
The frequency of magnet ingestions continued to rise from 2010 and then peak in 2012, followed by a decline in magnet ingestion ED visits during the post-federal action years. This down trend emphasizes the importance of advocacy on decreasing magnet ingestions in children. Further study will be required to determine the impact of the court decision to lift the magnet ban in 2016.
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