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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009

Meyli M. Chapin, Lynne M. Rochette, Joseph L. Annest, Tadesse Haileyesus, Kristen A. Conner and Gary A. Smith
Pediatrics August 2013, 132 (2) 275-281; DOI: https://doi.org/10.1542/peds.2013-0260
Meyli M. Chapin
aCenter for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio;
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Lynne M. Rochette
aCenter for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio;
bUnited States Army Research Institute for the Behavioral and Social Sciences, Fort Belvoir, Virginia;
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Joseph L. Annest
cDivision of Analysis, Research, and Practice Integration, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia;
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Tadesse Haileyesus
cDivision of Analysis, Research, and Practice Integration, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia;
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Kristen A. Conner
aCenter for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio;
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Gary A. Smith
aCenter for Injury Research and Policy, The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio;
dThe Ohio State University College of Medicine, Columbus, Ohio; and
eChild Injury Prevention Alliance, Columbus, Ohio
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Abstract

OBJECTIVE: The objective of this study was to investigate the epidemiology of nonfatal choking on food among US children.

METHODS: Using a nationally representative sample, nonfatal pediatric choking-related emergency department (ED) visits involving food for 2001 through 2009 were analyzed by using data from the National Electronic Injury Surveillance System–All Injury Program. Narratives abstracted from the medical record were reviewed to identify choking cases and the types of food involved.

RESULTS: An estimated 111 914 (95% confidence interval: 83 975–139 854) children ages 0 to 14 years were treated in US hospital EDs from 2001 through 2009 for nonfatal food-related choking, yielding an average of 12 435 children annually and a rate of 20.4 (95% confidence interval: 15.4–25.3) visits per 100 000 population. The mean age of children treated for nonfatal food-related choking was 4.5 years. Children aged ≤1 year accounted for 37.8% of cases, and male children accounted for more than one-half (55.4%) of cases. Of all food types, hard candy was most frequently (15.5% [16 168 cases]) associated with choking, followed by other candy (12.8% [13 324]), meat (12.2% [12 671]), and bone (12.0% [12 496]). Most patients (87.3% [97 509]) were treated and released, but 10.0% (11 218) were hospitalized, and 2.6% (2911) left against medical advice.

CONCLUSIONS: This is the first nationally representative study to focus solely on nonfatal pediatric food-related choking treated in US EDs over a multiyear period. Improved surveillance, food labeling and redesign, and public education are strategies that can help reduce pediatric choking on food.

  • aspiration
  • choking
  • emergency department
  • epidemiology
  • injury prevention
  • National Electronic Injury Surveillance System–All Injury Program
  • Abbreviations:
    AAP —
    American Academy of Pediatrics
    CDC —
    Centers for Disease Control and Prevention
    CI —
    confidence interval
    CPSC —
    Consumer Product Safety Commission
    ED —
    emergency department
    FHSA —
    Federal Hazardous Substances Act
    NEISS–AIP —
    National Electronic Injury Surveillance System–All Injury Program
    RR —
    risk ratio
    • Accepted May 21, 2013.
    • Copyright © 2013 by the American Academy of Pediatrics

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    Pediatrics
    Vol. 132, Issue 2
    1 Aug 2013
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    Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009
    Meyli M. Chapin, Lynne M. Rochette, Joseph L. Annest, Tadesse Haileyesus, Kristen A. Conner, Gary A. Smith
    Pediatrics Aug 2013, 132 (2) 275-281; DOI: 10.1542/peds.2013-0260

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    Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001–2009
    Meyli M. Chapin, Lynne M. Rochette, Joseph L. Annest, Tadesse Haileyesus, Kristen A. Conner, Gary A. Smith
    Pediatrics Aug 2013, 132 (2) 275-281; DOI: 10.1542/peds.2013-0260
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