– Foreign body ingestion in children(<12 years) at a tertiary care hospital: a retrospective cohort study studying role of socioeconomic status and parental supervision.

Authors

Khyati Gupta, Topiwala National Medical College and B.Y.L Nair Charitable Hospital, Mumbai, IndiaFollow
Gargi Rekhawar, Topiwala National Medical College and B.Y.L Nair Charitable Hospital, Mumbai, IndiaFollow
Anisha Jain, , Topiwala National Medical College and B.Y.L Nair Charitable Hospital, Mumbai, IndiaFollow
Vishal D. Sawant, Department of Paediatrics, Topiwala National Medical College and B.Y.L Nair Charitable Hospital, Mumbai, IndiaFollow
Sushma Save, Topiwala National Medical College and B.Y.L Nair Charitable Hospital, Mumbai, IndiaFollow

Author ORCID Identifier

https://orcid.org/0000-0003-0440-7986

https://orcid.org/0000-0002-3906-1551

Corresponding Author

Vishal Dnyaneshwar Sawant.

Email- vsawant1989@ymail.com

Abstract

Background- Foreign body ingestion is a long-standing problem concerning pediatric population. We aim to evaluate the correlation between the median time interval between ingestion of foreign body and arrival to the hospital with socioeconomic factors, effect of parental supervision and number of children in the family. We also aim to find out the deciding factors for proper selection of method of removal of ingested foreign bodies.

Methods- The data was collected from patient’s admission files, medical and endoscopic records. Chi-square test was used to calculate the corelation of time since ingestion with the socioeconomic status of family, method of removal of foreign body with location of impaction, method of removal with time passed since ingestion and socioeconomic status with effect of parental supervision

Results- After analysing 104 cases of foreign body ingestion (FBI), a statistically significant association between difference of time interval of ingestion of foreign body and arrival to the hospital with socioeconomic status of the family was found, that is 100% patients belonging to upper class presented to the hospital within 0 to 24 hours of ingestion of foreign body. On the contrary, 71.5% patients belonging to lower class presented after 24 hours. In accordance to the statistically significant association between parental supervision and socioeconomic class, we established that 85.7% patients belonging to lower class had no parental supervision. Method of removal depends not on the time since ingestion rather on the level of impaction in the alimentary tract.

Conclusions- It is essential to keep foreign body ingestion as an important differential when young children from lower socioeconomic class who lack parental supervision present with a sudden onset of obstructive GI symptoms. Educational strategies regarding safe behaviour to alleviate myths and false beliefs have a pioneer role in FBI prevention.

Publication Date

2024

Publisher

JSS Academy of Higher Education & Research

Conflict of Interest

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Keywords

Foreign body; ingestion; paediatric; coin; socioeconomic class; parental supervision;

Word Count

4193

Recommended Citation

Gupta K, Rekhawar G, Jain A, Sawant VD, Save S. – Foreign body ingestion in children(<12 >years) at a tertiary care hospital: a retrospective cohort study studying role of socioeconomic status and parental supervision.. Digital Journal of Clinical Medicine. 2024; 6(3): -. doi: https://doi.org/10.55691/2582-3868.1196

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