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Pre-hospital triage of children at risk of oesophageal button battery impaction: the button battery impaction score

dc.rights.licenseopenen_US
dc.contributor.authorVAUCEL, J. A.
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorGIL-JARDINE, Cedric
ORCID: 0000-0001-5329-6405
IDREF: 159039223
dc.contributor.authorPARADIS, C.
dc.contributor.authorENAUD, R.
dc.contributor.authorLABADIE, M.
dc.contributor.authorFRENCH POISON CTR RES, Grp
dc.date.accessioned2024-05-07T12:23:10Z
dc.date.available2024-05-07T12:23:10Z
dc.date.issued2023-12-01
dc.identifier.issn1556-9519en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/199703
dc.description.abstractEnIntroduction: Button battery ingestion in children can be fatal if oesophageal perforation occurs. Such children require chest radiography in the emergency department to determine the button battery position and number. Current guidelines recommend that a button battery impacted in the oesophagus should be removed within two hours. We developed a clinical tool (the button battery impaction score) to estimate the risk of oesophageal impaction and help determine the most appropriate healthcare facility for initial assessment, either a local medical centre or a medical centre with the infrastructure for endoscopic retrieval. Methods: A multicentre retrospective study was conducted over seven years in eight French poison centres. We included patients aged less than 12 years with radiography showing the button battery position and a symptom description before radiography. Button battery impaction scores were calculated using backward stepwise selection. Results and discussion: A total of 1,430 patients were included, of whom 86, 461, and 375 had a button battery in their oesophagus, stomach, and post-pyloric position, respectively. No button batteries were identified by radiography in 508 patients. Sixteen of thirty-five factors independently predicted oesophageal impaction before chest radiography (P < 0.05). After the backward stepwise selection, the following seven factors contributed to the button battery impaction score: cough, drooling, dysphagia/food refusal, fever, pain (unspecified location), vomiting, and button battery >= 15 mm. The button battery impaction score showed an area under the curve value of 0.87, a negative predictive value of 0.98, and a sensitivity of 0.86. No cases of death, stricture, or haemorrhage were observed in patients with negative scores, including those with oesophageal impaction. Conclusions: A button battery impaction score used readily available data to predict the risk of oesophageal impaction after button battery ingestion and before chest radiography. When further validated, this rapid tool may be widely applicable in determining an appropriate facility for patient transfer to either a local medical centre or a medical centre with the infrastructure for endoscopic retrieval.
dc.language.isoENen_US
dc.subject.enForeign Body
dc.subject.enChildren
dc.subject.enEmergency Medical Service
dc.subject.enOesophageal Injury
dc.subject.enPaediatric Emergency Medicine
dc.title.enPre-hospital triage of children at risk of oesophageal button battery impaction: the button battery impaction score
dc.title.alternativeClin Toxicol (Phila)en_US
dc.typeArticle de revueen_US
dc.identifier.doi10.1080/15563650.2023.2289358en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed38270057en_US
bordeaux.journalClinical Toxicologyen_US
bordeaux.page1047-1054en_US
bordeaux.volume61en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue12en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamAHEAD_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.identifierhal-04570970
hal.version1
hal.date.transferred2024-05-07T12:23:12Z
hal.popularnonen_US
hal.audienceInternationaleen_US
hal.exporttrue
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&amp;rft_val_fmt=info:ofi/fmt:kev:mtx:journal&amp;rft.jtitle=Clinical%20Toxicology&amp;rft.date=2023-12-01&amp;rft.volume=61&amp;rft.issue=12&amp;rft.spage=1047-1054&amp;rft.epage=1047-1054&amp;rft.eissn=1556-9519&amp;rft.issn=1556-9519&amp;rft.au=VAUCEL,%20J.%20A.&amp;GIL-JARDINE,%20Cedric&amp;PARADIS,%20C.&amp;ENAUD,%20R.&amp;LABADIE,%20M.&amp;rft.genre=article


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