TY - JOUR
PY - 2022//
TI - Multicentre study of magnet ingestion in Spanish paediatric emergency departments
JO - Anales de Pediatría (English Edition)
A1 - Arbeloa Miranda, Amaia
A1 - Samson, Frederic
A1 - Andina Martínez, David
A1 - Ruiz Domínguez, Jose Antonio
A1 - Sáinz de la Maza, Victoria Trenchs
A1 - Azcúnaga Sanibañez, Beatriz
A1 - Cadenas Benítez, Maria Noelia
A1 - Díaz Simal, Laura
A1 - Lobato Salinas, Zulema
A1 - Gilabert Iriondo, Nuria
A1 - López de Soria, Cristina Olivas
A1 - Landa Maya, Jose Julian
A1 - Pérez Sáez, Maria Amalia
A1 - Romero-Hombrebueno Domínguez, Nieves
A1 - Casquero Cossio, Alejandro
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - 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. Keywords: Multiple magnet ingestion
Language: en
LA - en SN - 2341-2879 UR - http://dx.doi.org/10.1016/j.anpede.2022.09.001 ID - ref1 ER -