Pediatric button battery ingestion: A single center experience and risk score to predict severe outcomes
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Key Takeaways
- Esophageal location of button battery is an independent predictor of severe outcomes requiring urgent intervention.
- Button batteries larger than 2 cm carry significantly higher risk of complications than smaller batteries.
- Symptomatic presentation at initial evaluation predicts severe outcomes and should trigger aggressive management.
- Risk stratification using battery location, size, and symptoms helps identify high-risk patients needing close monitoring.
- 143-patient study identified 24 severe outcomes; three clinical factors enable early prediction of complications.
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Do you know which patients are in more risk after a bottom-battery ingestion? Hi, I'm Cecilia Higena from Cincinnati Children's Hospital and I think this is an article that you should know about. This is a retrospective study done in Boston Children's Hospital from 2008 to 2021. And their aim was to propose a risk score to predict severe outcomes in patients with a bottom battery ingestion. And what did they find? They analyzed 143 patients. Of them, 24 had severe outcomes. And they found three independent predictors for severe outcomes. The first was the location of the bottom battery in the esophagus. Second, a bottom battery larger than 2 cm. And third, having symptoms at presentation. So, make sure to check the signs at the initial evaluation. And stay tuned for more articles that you should know about.