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Foreign body injuries in children: Are the younger siblings doomed?
Neha Jariwala1, Panagiotis Kratimenos2, David Eng1
1Dept. of Emergency Medicine, St Christopher's Hospital for Children, Drexel University College of Medicine, Philadelphia, PA, United States.
Insights
The risk of foreign body injury (FBI) in children increases with more children in the household. Higher income and more caregivers are associated with a decreased risk of FBI.
Area of Science:
- Pediatric Public Health
- Injury Prevention
- Child Safety
Background:
- Foreign body injury (FBI) is a significant public health concern for children.
- While age, gender, and object type are known risk factors, the influence of other demographic factors on FBI remains unclear.
- This study investigates the association between household demographics and the risk of FBI in children.
Purpose of the Study:
- To examine the relationship between household demographic factors and the incidence of foreign body injury (FBI) in children.
- To test the hypothesis that an increased number of children in a household elevates the risk of FBI.
- To identify demographic predictors associated with foreign body injuries in pediatric populations.
Main Methods:
- Retrospective analysis of 223 pediatric patients (aged 2-10 years) presenting with FBI.
- Guardians were contacted via phone to collect data on household income, parental education, number of children, and birth order.
- Statistical analysis included univariate and multivariate analyses, controlling for a matched population of 250 patients.
Main Results:
- Each additional child in a household increased the risk of FBI by 1.44-fold (OR = 1.442).
- An increase in the number of caregivers was associated with a 33% decrease in FBI risk (OR = 0.673).
- Higher income categories showed a significant reduction in FBI risk, decreasing by 59% (OR = 0.413).
Conclusions:
- The number of children in a household is a significant risk factor for foreign body injury.
- Household socioeconomic and caregiver factors appear to play a protective role against pediatric FBI.
- Findings highlight the need for targeted injury prevention strategies considering household composition and socioeconomic status.
Background And Objectives:
Foreign body injury (FBI) is a considerable public health issue for children. Although the relationships of FBI with age, gender, and objects of injury have been studied, the extent to which other demographic factors influence FBI is unclear. We hypothesized that the risk for FBI increases with the number of children in the household.
Design And Settings:
This was a retrospective analysis of 223 patients aged 2-10 years who presented to the emergency department of an inner-city pediatric hospital and who were found to have FBI.
Patients And Methods:
The guardians were contacted via phone to examine the associations of FBI with income, parental educational level, number of children in the household, and birth order while controlling with a matched population of 250 patients. Statistical analyses using frequencies and univariate and multivariate analyses were performed.
Results:
For each increase in the number of children, the risk of FBI increased 1.44-fold (OR = 1.442). With each increase in the number of caregivers, the risk of a FBI decreased 33% (OR = 0.673). With each increase in income category, the risk of a FBI decreased 59% (OR = 0.413).
Conclusion:
The results suggest that an increase in the number of children in a household is associated with a greater risk of FBI.
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