Button Battery Ingestion: Exploring Socioeconomic Risk Factors.

IF 2.6 3区 医学 Q1 OTORHINOLARYNGOLOGY
Otolaryngology- Head and Neck Surgery Pub Date : 2025-07-01 Epub Date: 2025-03-10 DOI:10.1002/ohn.1206
J B Eyring, Brandon M Hemeyer, Stephen Walker, Wesley P Allen, Shi Liang, Christopher Stewart, Jeremy D Meier, Reema Padia
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引用次数: 0

Abstract

Objective: Examine the demographic and social determinants of health linked to pediatric esophageal foreign body removals, with an emphasis on button battery ingestions.

Study design: A retrospective chart review was performed on pediatric patients who underwent operative removal of a foreign body from the esophagus (Current Procedural Terminologies [CPTs] 43215, 43194).

Setting: The study was conducted across four hospitals from November 2010 to December 2023.

Methods: Data on patient demographics and social determinants of health were analyzed. Exclusions included nonaccidental ingestions, patients older than 18 years, and cases with missing social determinants of health data. The Agency for Healthcare Research and Quality (AHRQ) database was used to link patient data to socioeconomic indicators.

Results: Of 825 cases, 50 were button battery ingestions. Age was comparable between button battery and nonbutton battery patients. Button battery patients were predominantly male. Socioeconomic analysis revealed that button battery patients were from households with higher median incomes, lower poverty rates, higher home values, and greater internet access. The incidence of button battery ingestion increased over the study period.

Conclusion: This study highlights significant demographic and socioeconomic differences in pediatric foreign body ingestions compared to button battery ingestions. Male gender and higher socioeconomic status were notable risk factors for button battery ingestion. These findings support the need for educational and preventive strategies to address the risks associated with button battery ingestion.

纽扣电池摄入:探索社会经济风险因素。
目的:检查与儿童食管异物清除相关的人口统计学和社会决定因素,重点是纽扣电池摄入。研究设计:对接受手术切除食管异物的儿科患者进行回顾性图表回顾(Current Procedural Terminologies [CPTs] 43215, 43194)。环境:该研究于2010年11月至2023年12月在四家医院进行。方法:对患者人口统计数据和健康的社会决定因素进行分析。排除包括非意外摄入、18岁以上患者和缺少健康数据社会决定因素的病例。医疗保健研究和质量局(AHRQ)数据库用于将患者数据与社会经济指标联系起来。结果:825例患者中,扣式电池摄入50例。纽扣电池患者和非纽扣电池患者的年龄具有可比性。纽扣电池患者以男性为主。社会经济分析显示,纽扣电池患者来自收入中位数较高、贫困率较低、房屋价值较高、互联网接入程度较高的家庭。纽扣电池摄入的发生率在研究期间有所增加。结论:本研究强调了儿科异物摄入与纽扣电池摄入的显著人口统计学和社会经济差异。男性性别和较高的社会经济地位是钮扣电池误食的显著危险因素。这些发现支持了教育和预防策略的必要性,以解决与纽扣电池摄入相关的风险。
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来源期刊
Otolaryngology- Head and Neck Surgery
Otolaryngology- Head and Neck Surgery 医学-耳鼻喉科学
CiteScore
6.70
自引率
2.90%
发文量
250
审稿时长
2-4 weeks
期刊介绍: Otolaryngology–Head and Neck Surgery (OTO-HNS) is the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. The mission of Otolaryngology–Head and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery (ear, nose, throat, head, and neck disorders) that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.
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