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Foreign Body injuries in children in India: Recommendations for prevention from a comparative analysis with
Megan A French1, Giulia Lorenzoni2, Purnima3
1Prochild ONLUS, Trieste, Italy.
Insights
Foreign Body (FB) injuries in Indian children are common, with non-food items like coins frequently ingested. Airway FB injuries require the longest hospital referral times, highlighting the need for targeted prevention strategies.
Area of Science:
- Pediatric Traumatology
- Public Health
- Injury Prevention Research
Background:
- Foreign Body (FB) injuries pose a significant health risk to children globally.
- Understanding specific risk patterns in diverse populations is crucial for effective prevention.
Purpose of the Study:
- To identify specific risk patterns associated with Foreign Body (FB) injuries in Indian children.
- To inform the development of targeted prevention strategies for FB injuries in India.
Main Methods:
- A single-center case series from the worldwide registry on Foreign Bodies Injuries (www.susysafe.org) was analyzed.
- Data from 252 Indian children (0-14 years) including age, FB location, and situational factors were statistically analyzed.
Main Results:
- The majority of FB injuries occurred in the gastrointestinal tract (34.5%) and nose (31.3%).
- Children with airway FB injuries experienced the longest hospital referral times (median 332.50 min, p<0.001).
- Non-food items, particularly coins, constituted the majority of FB types (25% of all FB injuries).
Conclusions:
- Cultural factors in India may influence FB injury types, with lower choking food risks but higher risks from objects like coins and stationery.
- Prevention strategies should consider these cultural nuances to effectively reduce the burden of FB injuries in Indian children.
Objectives:
This study aims to identify specific patterns of risk in order to contribute to the prevention of Foreign Body (FB) injuries by assessing FB injury characteristics in Indian children.
Methods:
Single center case series are included in the worldwide registry on Foreign Bodies Injuries www.susysafe.org. Statistical analysis performed on FB injury data (age, medical information, FB anatomical location (ICD) and characteristics, and situational data) from 252 Indian children (0-14 years) was used to identify FB risk patterns.
Results:
The study included 252 FB injury cases, out of which 110 occurred in females (43.7%). Most of the reported FB injuries (N = 252) were located in the mouth, esophagus and stomach, or intestines and colon (34.5%), and in the nose (31.3%). The analysis of the median duration of all injuries (i.e., the difference between the reported injury time/date and the reported time/date of arrival at hospital) showed that children with a FB in the airways were those referred to the hospital latest (median of 332.50 min, p-value <0.001). With regards to FB type, the majority of FB objects were non-food items and ingestion of coins accounted for 25% of all FB injuries.
Conclusions:
Cultural differences may exist with regards to the Indian diet being conducive to lower choking food risk for children, and to acceptability and accessibility to objects such as coins and stationery. Such findings should be taken into account when developing primary and secondary prevention strategies aimed at reducing the burden of such injuries in India.
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