Logo image
Back
Predicting outcome in pediatric coin ingestion
Journal article   Peer reviewed

Predicting outcome in pediatric coin ingestion

Milan R. Amin, Farrel J. Buchinsky, John P. Gaughan and Wasyl Szeremeta
International journal of pediatric otorhinolaryngology, v 59(3)
2001
DOI: https://doi.org/10.1016/S0165-5876(01)00486-4
PMID: 11397502
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Coin ingestion Esophagus X-ray
Objective: To determine the relationship between coin size, coin location, patient age, and patient weight and likelihood of coin passage through the esophagus following pediatric coin ingestion. A secondary objective is to test the hypothesis that coin denomination can be determined based on radiographic appearance. Methods: A retrospective review was performed of all children seen and evaluated for coin ingestion at a single institution over a 25-month period. Outcome measures included the number of coins that were retained in the esophagus, and the number that passed. Various factors were assessed for their predictive value in judging outcome in coin ingestion cases. Results: Nineteen percent of patients (15/79) in the study passed their ingested coins. Coin denomination could be accurately determined on every patient that had a standard AP or lateral X-ray film. These findings were marked when compared with the lack of reliability of history in determining coin denomination. Patients who passed coins were as a group older (4.6 vs. 3.2 year, P=0.04), but did not differ significantly by weight (19.5 vs. 15.4 kg, P=0.07) from those that retained the coins. Coins located at the gastroesophageal junction had a significantly higher passage rate than coins located elsewhere in the esophagus (89 vs. 8.2%, P<0.01). Coin size was not predictive of coin passage ( P=0.7 by χ 2). Conclusions: Radiographic assessment of coin denomination is reliable, but in this study could not be used to predict coin passage. Patient age and coin location at the gastroesophageal junction, however, do correlate with this event.

Metrics

20 Record Views
15 citations in Web of Science
19 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Otorhinolaryngology
Pediatrics
Logo image