Assessing process measures and practice variability in pediatric esophageal button battery cases: A multi-institutional cohort study

jpedsurg.org

Esophageal button battery (BB) is a rare, time-sensitive pediatric emergency with potential for severe morbidity and mortality. This study uses first available esophageal BB process measure data from the National Surgical Quality Improvement Program-Pediatric (NSQIP-Ped) to identify areas of practice variability and identify opportunities for improving care.

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Article · Aug 2025 · 1 min read

In brief

This multi-institutional study analyzes NSQIP-Ped data to examine process measures and practice variations in managing esophageal button battery ingestions in children. The research identifies opportunities to standardize care for this rare but potentially life-threatening emergency requiring urgent intervention.

Esophageal button battery ingestion is a rare but time-critical pediatric emergency requiring rapid intervention to prevent severe complications.
NSQIP-Ped data reveals significant practice variability in management of esophageal button battery cases across institutions.
Process measure analysis identifies specific opportunities to standardize and improve care protocols for button battery ingestions.
Multi-institutional data is essential for understanding best practices in low-frequency, high-risk pediatric emergencies.
Timely removal is critical—delays in esophageal button battery extraction increase risk of perforation, fistula, and vascular injury.

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