# Pediatric button battery ingestion: A single center experience and risk score to predict severe outcomes — GCMD Library

<p>Article you should know by Dr. Cecilia Gigena </p>

<p>"Pediatric button battery ingestion: A single center experience and risk score to predict severe outcomes" <a href="https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext#">P. Nina Scalise</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext#">Jonathan M. Durgin</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext#">Steven J. Staffa</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext#">Nicole Wynne</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext#">Jay Meisner</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext#">Peter Ngo</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext#">Benjamin Zendejas</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext#">Heung Bae Kim</a>, <a href="https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext#">Farokh R. Demehri</a></p>

<p>Full Article: https://www.jpedsurg.org/article/S0022-3468(22)00790-4/fulltext</p>

<p>Abstract</p>

<p>Purpose</p>

<p>The purpose of this study was to analyze the management and outcomes of primary button battery ingestions and their sequelae at a single high-volume center, and to propose a risk score to predict the likelihood of a severe outcome.</p>

<p>Methods</p>

<p>The medical record was queried for all patients under 21 years old evaluated at our institution for button battery ingestion from 2008 to 2021. A severe outcome was defined as having at least one of the following: deep/circumferential mucosal erosion, perforation, mediastinitis, vascular or airway injury/fistula, or development of esophageal stricture. From a selection of clinically relevant factors, logistic regression determined predictors of a severe outcome, which were incorporated into a risk model.</p>

<p>Results</p>

<p>143 patients evaluated for button battery ingestion were analyzed. 24 (17%) had a severe outcome. The independent predictors of a severe outcome in multivariate analysis were location of battery in the esophagus on imaging (96%), battery size >/ = 2 cm (95%), and presence of any symptoms on presentation (96%), with P < 0.001 in all cases. Predicted probability of a severe outcome ranged from 88% when all three risk factors were observed, to 0.3% when none were present.</p>

<p>Conclusion</p>

<p>We report the presentation, management, and complication profiles of a large cohort of BB ingestions treated at a single institution. A risk score to predict severe outcomes may be used by providers initially evaluating patients with button battery ingestion in order to allocate resources and expedite transfer to a center with pediatric endoscopic and surgical capabilities.</p>

<p>Level of evidence</p>

<p>Level IV.</p>

<p>Type of study</p>

<p>Clinical Research Paper.</p>


Type: video · posted 2023-05-10
Canonical: https://library.globalcastmd.com/watch/pediatric-button-battery-ingestion-a-single-center-experience-and-risk-score-to-predict-severe-outcomes-6630

---
Not medical advice · citation policy: https://library.globalcastmd.com/ai