PEDIATRIC COIN INGESTION - A HOME-BASED SURVEY

被引:36
作者
CONNERS, GP
CHAMBERLAIN, JM
WEINER, PR
机构
[1] Department of Emergency Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY
[2] Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY
[3] the Emergency Medical Trauma Center, Children's National Medical Center, Washington, DC
[4] the Pediatric Care Center, Bethesda, MD
关键词
COIN; FOREIGN BODY; SURVEY;
D O I
10.1016/0735-6757(95)90047-0
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
To improve understanding of the natural history of pediatric coin ingestions, an anonymous, home-based mail survey of parents followed by a five-physician private pediatric practice in suburban Maryland was conducted, Of 2,263 families surveyed, 798 (35.3%) responded, representing 1,510 children, Sixty-one (4.0%, 95% confidence interval: 3.1% to 5.1%) children had swallowed a coin, at a mean age of 2.8 years, Fifty-two (85%) coin ingestions were managed at home, usually without calling a physician or poison control center, Only 9 (15%) children were examined by a physician. No child (95% confidence interval: 0% to 4.9%) underwent a removal procedure or had an adverse outcome, Most coin ingestions were found to have been managed at home, often without calling a physician or poison control center, Hospital- or poison control center-based studies underestimate coin ingestion incidence and overestimate the frequency of complications. Copyright (C) 1995 by W.B. Saunders Company
引用
收藏
页码:638 / 640
页数:3
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