Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department
This paper presents the epidemiology of foreign body injuries in the Pediatric Emergency Department (PED) of Padova (Italy) along with its trends over an eleven-year period based on administrative data. Annual incidence rates (IRs) of PED presentations for foreign body (FB) injuries per 1000 person-...
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MDPI AG
2021-10-01
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author | Honoria Ocagli Danila Azzolina Silvia Bressan Daniele Bottigliengo Elisabetta Settin Giulia Lorenzoni Dario Gregori Liviana Da Dalt |
author_facet | Honoria Ocagli Danila Azzolina Silvia Bressan Daniele Bottigliengo Elisabetta Settin Giulia Lorenzoni Dario Gregori Liviana Da Dalt |
author_sort | Honoria Ocagli |
collection | DOAJ |
description | This paper presents the epidemiology of foreign body injuries in the Pediatric Emergency Department (PED) of Padova (Italy) along with its trends over an eleven-year period based on administrative data. Annual incidence rates (IRs) of PED presentations for foreign body (FB) injuries per 1000 person-years were calculated. Univariable and multivariable generalized linear (GLM) Poisson models were estimated to evaluate the relationship between FB injury incidence and year, triage priority, nationality, injury site, and FB type. During the study period, there were 217,900 presentations of pediatric residents in the province of Padova; of these, 3084 (1.5%) reported FB injuries involving the ears, nose, throat, gastrointestinal tract or eyes. The annual IR of FB injury episodes increased from 10.45 for 1000 residents in 2007 (95% CI, 9.24, 11.77) to 12.66 for 1000 residents in 2018 (95% CI, 11.35, 14.08). Nonfood items were the FBs that were most frequently reported. The intermediate urgent triage code was the most represented for FB injuries, with IRs ranging from 5.44 (95% CI: 4.59, 6.40) in 2008 to 8.56 in 2018 (95% CI: 7.50, 9.74). A total of 170 patients who presented for FB injuries were hospitalized (5.5%). The annual FB-related injury IR has increased over time, although most episodes are not life threatening. Educational and prevention programs on FB-related injuries should be promoted and dedicated to childcare providers. |
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issn | 2227-9067 |
language | English |
last_indexed | 2024-03-10T06:38:11Z |
publishDate | 2021-10-01 |
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series | Children |
spelling | doaj.art-0e1c8606482046248a01230739b1996e2023-11-22T17:51:32ZengMDPI AGChildren2227-90672021-10-0181093810.3390/children8100938Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency DepartmentHonoria Ocagli0Danila Azzolina1Silvia Bressan2Daniele Bottigliengo3Elisabetta Settin4Giulia Lorenzoni5Dario Gregori6Liviana Da Dalt7Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, via Loredan 18, 35128 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, via Loredan 18, 35128 Padova, ItalyPediatric Emergency Unit—Department of Women’s and Children’s Health, University of Padova, via Nicolò Giustiniani, 3, 35128 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, via Loredan 18, 35128 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, via Loredan 18, 35128 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, via Loredan 18, 35128 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, via Loredan 18, 35128 Padova, ItalyPediatric Emergency Unit—Department of Women’s and Children’s Health, University of Padova, via Nicolò Giustiniani, 3, 35128 Padova, ItalyThis paper presents the epidemiology of foreign body injuries in the Pediatric Emergency Department (PED) of Padova (Italy) along with its trends over an eleven-year period based on administrative data. Annual incidence rates (IRs) of PED presentations for foreign body (FB) injuries per 1000 person-years were calculated. Univariable and multivariable generalized linear (GLM) Poisson models were estimated to evaluate the relationship between FB injury incidence and year, triage priority, nationality, injury site, and FB type. During the study period, there were 217,900 presentations of pediatric residents in the province of Padova; of these, 3084 (1.5%) reported FB injuries involving the ears, nose, throat, gastrointestinal tract or eyes. The annual IR of FB injury episodes increased from 10.45 for 1000 residents in 2007 (95% CI, 9.24, 11.77) to 12.66 for 1000 residents in 2018 (95% CI, 11.35, 14.08). Nonfood items were the FBs that were most frequently reported. The intermediate urgent triage code was the most represented for FB injuries, with IRs ranging from 5.44 (95% CI: 4.59, 6.40) in 2008 to 8.56 in 2018 (95% CI: 7.50, 9.74). A total of 170 patients who presented for FB injuries were hospitalized (5.5%). The annual FB-related injury IR has increased over time, although most episodes are not life threatening. Educational and prevention programs on FB-related injuries should be promoted and dedicated to childcare providers.https://www.mdpi.com/2227-9067/8/10/938foreign bodypediatric emergency departmentchildreninjury diagnosischilddescriptive epidemiology |
spellingShingle | Honoria Ocagli Danila Azzolina Silvia Bressan Daniele Bottigliengo Elisabetta Settin Giulia Lorenzoni Dario Gregori Liviana Da Dalt Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department Children foreign body pediatric emergency department children injury diagnosis child descriptive epidemiology |
title | Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department |
title_full | Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department |
title_fullStr | Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department |
title_full_unstemmed | Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department |
title_short | Epidemiology and Trends over Time of Foreign Body Injuries in the Pediatric Emergency Department |
title_sort | epidemiology and trends over time of foreign body injuries in the pediatric emergency department |
topic | foreign body pediatric emergency department children injury diagnosis child descriptive epidemiology |
url | https://www.mdpi.com/2227-9067/8/10/938 |
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