Symptoms associated with button batteries injuries in children: An epidemiological review

Elisa Buttazzoni, Dario Gregori, Bibiana Paoli, Nicola Soriani, Solidea Baldas, Hugo Rodriguez, Giulia Lorenzoni, Claudio Rene Marquez, Giselle Cuestas, Graciela Sica, Paola Berchialla, Paola Zaupa, Peter Spitzer, Costantinos Demetriades, Ivo Ŝlapák, Ljiljana Sokolova, Eleni Petridou, Manuel Antonio, Jana Jakubíková, Sebastian Van AsTon De Koning, Desiderio Passali, Nourredine Bouchikhi, Abderrahmane Boufersaoui, Alberto Chinsky, Susana Tortosa, Andrea Di Blasio, Verónica Rodríguez, Damian Taire, Juan Razetti, Carlos Adolfo Mariotti, Achával Héctor Ariel, Adrian Zanetta, Fajre Dario, Sonia Milena Pabón, Alejandro Quijano, Marìa Elena Nieto, Lucas Bordino, Nikolay Dallakyan, David Dallakyan, Nelson Villca, Fuad Brkic, Sekib Umihanic, Marcelo Reis, Dayse Manrique, Yves Nkodo, Jeffrey Ludemann, Jiang Chengpeng, Oscar Uriel Barón Puentes, Ranko Mladina, Evians Gomez De La Rosa, Olga Kalakouta, Andreas Melis, Florence Zeitouni, Michaela Máchalová, Jan Slapak, Pavla Pecková, Per Caye-Thomasen, Fernando Silva Chacon, John Parker, Enas Elsheikh, Ahmed Ragab, Anne Pitkäranta, Philippe Contencin Necker, Jocelyne Derelle, Magali Duwelz, Martine Francois, Stephane Pezzettigotta, Christian Righini, Ivane Chkhaidze, Roehrich Bernhard, Volker Jahnke, Goktas Onder, Petra Zieriacks, Klaue Siegfried, Assen Koitschev, Vicky Kalampoki, Nikola Simasko, Charalampos Skoulakis, Achal Gulati, Somashekhar Nimbalkar, Yojana Sharma, Marco Squicciarini, Mirko Damasco, Angelo Camaioni, Cesare Cutrone, Elisa Gaudini, Domenico Grassom, Gianni Messi, Nicola Mansi, Claudio Orlando, Sabino Preziosi, Italo Sorrentini, Giuseppe Villari, Marilena Trozzi, Alessandro Vigo, Giulio Cesare Passali, Francesco Maria Passali, Renato Piantanida, Carlo Giordano, Leonardo Mercuri, Alessandro Cecconi, Matteo Giovari, Edoardo Calderini, Yoshifumi Nishida, Tadashi Saito, Gainel Ussatayeva, Ricardo Antonio De Hoyos Parra, Jose Luis Treviño Gonzalez, Seraides Ramayo, Foluwasayo Emmanuel Ologe, Olushola Afolabi, Muazzam Nasrullah, Amarilis Melendez, Rafael Milanes, Mieckzyslaw Chmielik, Teresa Belchior, Mihail Dan Cobzeanu, Dan Cristian Gheorghe, Adelaida Iorgulescu, Miorita Toader, Caius Codrut, Katarina Stankovic, Jana Barkociová, Beata Havelkova, Janka Jakubikova, Andrej Koman, Miha Zargi, Felix Pumarola, Lorenzo Rubio, Karina Pernías Peco, Pontus Stierna, Wei Chung Hsu, Sakda Arj-Ong, Chulathida Chomchai, Chanticha Chotigavanich, Lennaert Hoep, Rico Rinkel, Anissa Berraies, Erdinc Aydin Baskent, Volkan Sarper Erikci, Metin Onerci, John Graham, Sadie Khwaja, Christopher Raine, Nora Haloob, Ines Doassans Gómez Haedo, Deepak Mehta, Margaretha Casselbrant, Pham Ngoc Toan

Research output: Contribution to journalArticle

Abstract

Objectives: To provide an epidemiological framework of symptoms related to Foreign Body (FB) injuries due to Button Battery (BB). Methods: Data on BB ingestion/inhalation have been obtained from the ButtonBatteryDB. The ButtonBatteryDB is a database collecting information on BB injuries in children (0-18 years of age). Data on 348 BB injures have been derived from the Registry of Foreign Body Injuries "Susy Safe" (269 cases) and from published scientific literature reporting case reports of FB injuries (79 cases). Results: Most of injured children were male and BBs were found more often in the mouth/esophagus/stomach (ICD935) and in the nose (ICD932). Analyzing symptoms related to BB located in the esophagus/mouth/stomach, we found that children had higher probability of experiencing dysphagia (30.19%, 95% C.I. 17.83-42.55), fever and cough (26.42%, 95% C.I. 14.55-38.28), compared to the other symptoms. Referring to the probability that symptoms occurred simultaneously, fever and cough are more likely (3.72%, 95% C.I. 1.0-6-43) to jointly showing up in children with BB in mouth/esophagus/stomach (ICD935), followed by fever and dysphagia (2.66%, 95% C.I. 0.36-4.96) and by fever and irritability/crying, fever and drooling, dysphagia and irritability/crying (2.13% C.I. 0.00-4.19, 95% C.I.). Conclusions: These findings provide new insight in clinical presentation of BB injuries: the identification of unique patterns of symptoms related to BB injuries is useful to perform an early diagnosis (and to guarantee a prompt medical reaction), also when the injury is un-witnessed.

Original languageEnglish
Pages (from-to)2200-2207
Number of pages8
JournalInternational Journal of Pediatric Otorhinolaryngology
Volume79
Issue number12
DOIs
Publication statusPublished - Dec 1 2015

Keywords

  • Button batteries
  • Children injuries
  • Choking
  • Foreign bodies
  • Ingestion

ASJC Scopus subject areas

  • Otorhinolaryngology
  • Pediatrics, Perinatology, and Child Health

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  • Cite this

    Buttazzoni, E., Gregori, D., Paoli, B., Soriani, N., Baldas, S., Rodriguez, H., Lorenzoni, G., Marquez, C. R., Cuestas, G., Sica, G., Berchialla, P., Zaupa, P., Spitzer, P., Demetriades, C., Ŝlapák, I., Sokolova, L., Petridou, E., Antonio, M., Jakubíková, J., ... Toan, P. N. (2015). Symptoms associated with button batteries injuries in children: An epidemiological review. International Journal of Pediatric Otorhinolaryngology, 79(12), 2200-2207. https://doi.org/10.1016/j.ijporl.2015.10.003