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Magnet Injuries in Children: An Analysis of the National Poison Data System from 2008 to 2019
Leah K Middelberg1, Alexandra R Funk2, Hannah L Hays3
1Nationwide Children's Hospital, Columbus, OH; Department of Pediatrics, Ohio State University College of Medicine, Columbus, OH.
Insights
Pediatric magnet foreign body injuries surged 444% after high-powered magnet sets returned to market. This highlights the urgent need for preventative measures and legislation to protect children from these dangerous exposures.
Area of Science:
- Pediatric emergency medicine
- Public health surveillance
- Consumer product safety
Background:
- Magnet foreign body ingestion poses a significant risk to children.
- Previous market removal of high-powered magnets led to a decrease in reported injuries.
Purpose of the Study:
- To analyze trends and outcomes of magnet foreign body injuries in pediatric patients.
- To investigate the correlation between magnet set availability and injury incidence.
Main Methods:
- Retrospective analysis of the National Poison Data System (NPDS) from 2008-2019.
- Inclusion criteria: patients <19 years with magnet exposure (ingestion, inhalation, injection, dermal).
- Data collected: demographics, injury type, medical outcomes, and temporal trends.
Main Results:
- 5738 magnet exposures reported; majority in males (<6 years old) and unintentional.
- A 33% decrease in cases occurred when high-powered magnets were off the market (2012-2017).
- A 444% increase in cases (1249/year) followed the reintroduction of high-powered magnets (2018-2019).
Conclusions:
- Increased magnet injuries strongly correlate with sales periods of high-powered magnet sets.
- The 444% rise in injuries since 2018 necessitates immediate preventative strategies.
- Legislative action and enhanced public awareness are crucial to mitigate pediatric magnet-related harm.
Objective:
To examine, using the National Poison Data System (the data warehouse for poison control centers in the US), magnet foreign body injuries in pediatric patients. We sought to report demographic data, outcome data, and case trends between 2008 and 2019.
Study Design:
We conducted a retrospective analysis of the National Poison Data System for patients younger than 19 years of age with a magnet "exposure," which poison centers define as an ingestion, inhalation, injection, or dermal exposure to a poison.
Results:
A total of 5738 magnet exposures were identified. Most were male (3169; 55%), <6 years old (3572; 62%), with an unintentional injury (4828; 84%). There were 222 patients (3.9%) with a confirmed medical "effect," defined as signs, symptoms, and clinical findings not including therapeutic interventions (eg, endoscopy). There was a 33% decrease in cases from 418 (2008-2011) to 281 per year (2012-2017) after high-powered magnet sets were removed from the market. Calls subsequently increased 444% to 1249 per year (2018-2019) after high-powered magnet sets re-entered the market. Cases from 2018 and 2019 increased across all age groups and account for 39% of magnet cases since 2008.
Conclusions:
Significant increases in magnet injuries correspond to time periods in which high-powered magnet sets were sold, including a 444% increase since 2018. These results reflect the increased need for preventative or legislative efforts.
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