Consumer product ingestion and aspiration in children: A 15-year review.

OBJECTIVES/HYPOTHESIS: Our objectives were to identify consumer product (CP) ingestion and aspiration trends. Our hope is that evaluation of contemporary trends may be useful to physicians and policy makers and further guide preventative measures.

METHODS: The Consumer Product Safety Commission's National Electronic Injury Surveillance System was queried for pediatric CP aspiration and ingestion data for the years 2000 to 2014. Data from 2000 to 2004 were compared to 2010 to 2014 data and analyzed for CP and injury occurrence. Injury trends over the past 15 years were identified; patient demographics were analyzed; and patient disposition was reported.

RESULTS: Emergency department visits for pediatric CP ingestion increased 41.4% over the 15-year period analyzed and remained relatively stable for aspiration events. In all, an estimated 1.1 million visits occurred during this time frame. Jewelry overtook coins as the most common CP aspirated (29.3%). Coins remained the most frequent ingestion but comprised a smaller proportion of ingestions in recent years than years past. From 2010 through 2014, children under 5 years of age accounted for 89.4% and 77.8% of CP aspiration and ingestion cases, respectively.

CONCLUSION: Pediatric aspiration/ingestion remains a frequent occurrence with potentially significant ramifications. Injury demographics and CPs most likely to be involved may represent valuable information to the otolaryngologist who wishes to provide appropriate counseling to patients and parents and continued investigation on injury prevention.

LEVEL OF EVIDENCE: 4. Laryngoscope, 127:1202-1207, 2017.