Multicentre study of magnet ingestion in Spanish paediatric emergency departments
Por:
Miranda, AA, Samson, F, Martinez, DA, Dominguez, JAR, Trenchs-Sainz de la Maza V, Sanibanez, BA, Benitez, MNC, Simal, LD, Salinas, ZL, Iriondo, NG, de Soria, COL, Maya, JJL, Saez, MAP, Dominguez, NRH and Cossio, AC
Publicada:
1 nov 2022
Ahead of Print:
1 nov 2022
Categoría:
Pediatrics, perinatology and child health
Resumen:
Introduction: The ingestion of magnetic objects can cause complications in children, and there are no epidemiological or clinical data on the subject in Spain. Objectives: To determine the incidence, epidemiological characteristics and management of magnet ingestion in paediatric emergency departments in Spain. Material and methods: Prospective observational multicentre study conducted over a 3-year period. The study universe consisted of patients aged less than 14 years. Results: The incidence was 4.8 cases per 100 000 emergency care episodes. Of the 72 patients included (mean age, 7.2 years), 54% were male. Seven percent had neuropsychiatric disorders. Sixty-one percent of the magnets were spherical and 69% came from toys. The size was variable, most frequently between 5 and 10 mm (50%), and ranging from 3 to 30 mm. Eighty-six percent of patients were asymptomatic. The most frequent symptom was abdominal pain. Eighty-three percent of the patients sought medical care within 6 h of ingestion and 92% within 24 h. Thirty-one percent of the cases were of multiple ingestion. Endoscopy was required for extraction in 15% of cases, a proportion that rose to 36% in the group of cases of multiple ingestion. None of the patients required surgery. We did not observe any gastrointestinal complications of magnet ingestion. Conclusions: The ingestion of multiple magnets is less frequent than single magnet ingestion, and we did not observe any complications despite the lower frequency of procedures compared to other studies. (c) 2022 Asociacion cess article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/ 4.0/).
Filiaciones:
Miranda, AA:
Hosp Univ Basurto, Secc Urgencias Pediat, Bilbao, Bizkaia, Spain
Samson, F:
Hosp Univ Basurto, Secc Urgencias Pediat, Bilbao, Bizkaia, Spain
Martinez, DA:
Hosp Infantil Univ Nino Jesus, Serv Urgencias, Madrid, Spain
Dominguez, JAR:
Hosp Univ La Paz, Serv Urgencias Pedidt, Madrid, Spain
Trenchs-Sainz de la Maza V:
Hosp St Joan Deu, Area Urgencias, Barcelona, Spain
Sanibanez, BA:
Univ Basque Country, Hosp Univ Cruces, Serv Urgencias Pediat, Baracaldo, Bizkaia, Spain
Benitez, MNC:
Hosp Univ Virgen Rocio, Secc Urgencias Pediat, Seville, Spain
Simal, LD:
Hosp Univ Parc Tauli, Unidad Area Urgencias, Barcelona, Spain
Salinas, ZL:
Univ Manresa, Hosp Xarxa, Barcelona, Spain
Iriondo, NG:
Hosp Univ Son Espases, Palma De Mallorca, Islas Baleares, Spain
de Soria, COL:
Hosp Univ Principe Asturias, Madrid, Spain
Maya, JJL:
Hosp Univ Donostia, Donostia San Sebastian, Gipuzkoa, Spain
Saez, MAP:
Hosp Zumdrraga, Serv Pediat, Org Sanitaria Integrada Goierri Urola Garaia, Zumarraga, Gipuzkoa, Spain
Dominguez, NRH:
Hosp Univ Tajo, Madrid, Spain
Cossio, AC:
Hosp Univ Vall dHebron, Barcelona, Spain
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