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Foreign Body Accidents in a Pediatric Emergency Department
Saramira Cardoso Bohadana1, Rayza Gaspar Dos Santos1, Mirella Kalyne Cavalcante Magalhães1
1Department of Otorhinolaryngology, Hospital Infantil Sabará, São Paulo, SP, Brazil.
International Archives of Otorhinolaryngology
|May 1, 2023
Summary
Foreign body accidents (FBAs) are common in children, particularly those under 5. Most cases involve the digestive tract, nose, or ears, with respiratory system FBAs being the most severe.
Area of Science:
- Otorhinolaryngology
- Pediatric Emergency Medicine
- Public Health
Background:
- Foreign body accidents (FBAs) are a significant cause of pediatric morbidity and mortality.
- Understanding the clinical details and object characteristics is crucial for risk profiling and prevention.
Purpose of the Study:
- To describe the incidence of foreign body accidents in the aerodigestive system within otorhinolaryngology.
- To analyze anatomical locations, patient demographics, and outcomes of pediatric FBAs.
Main Methods:
- Retrospective review of 668 medical records from a tertiary pediatric hospital in São Paulo, Brazil (2014-2017).
- Data collection focused on anatomical location, age, gender, complications, and treatment settings.
Main Results:
- Foreign bodies (FBs) were most common in the digestive system (238), nasal cavities (206), and ears (182).
- The primary age group affected was under 5 years, with no significant gender difference.
- Digestive system FBs caused the most frequent complications, while respiratory system FBs were the most severe.
Conclusions:
- Multidisciplinary emergency room teams are essential for managing pediatric FBAs.
- Early diagnosis, prompt FB removal, and follow-up are critical.
- Prevention campaigns and a national database for pediatric FBAs are necessary to improve safety.
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