High-Powered Magnet Exposures in Children: A Multi-Center Cohort Study-Reference-Cited by-同舟云学术

High-Powered Magnet Exposures in Children: A Multi-Center Cohort Study

Published:2022-02-03 Issue:3 Volume:149 Page:
ISSN:0031-4005
Container-title:Pediatrics
language:en
Short-container-title:

Author:

Middelberg Leah K.¹,Leonard Julie C.¹,Shi Junxin¹,Aranda Arturo²,Brown Julie C.³,Cochran Christina L.⁴,Eastep Kasi⁵,Gonzalez Raquel⁶,Haasz Maya⁷,Herskovitz Scott⁸,Hoffmann Jennifer A.⁹,Koral Alexander¹⁰,Lamoshi Abdulraouf¹¹,Levitte Steven¹²,Lo Yu Hsiang J.¹³,Montminy Taylor¹⁴,Novak Inna¹⁵,Ng Kenneth¹⁶,Novotny Nathan M.¹⁷,Parrado Raphael H.¹⁸,Ruan Wenly¹⁹,Shapiro Joseph²⁰,Sinclair Elizabeth M.²¹,Stewart Amanda M.²²,Talathi Saurabh²³,Tavarez Melissa M.²⁴,Townsend Peter²⁵,Zaytsev Julia²⁶,Rudolph Bryan¹⁵

Affiliation:

1. Department of Pediatrics, Division of Emergency Medicine, Nationwide Children’s Hospital, The Ohio State University College of Medicine, Columbus, Ohio

2. Division of Pediatric Surgery, Dayton Children’s Hospital, Dayton, Ohio

3. Seattle Children’s Hospital, Department of Pediatrics, Division of Emergency Medicine, Seattle, Washington

4. Department of Pediatrics, Division of Emergency Medicine, Children’s of Alabama, University of Alabama at Birmingham College of Medicine, Birmingham, Alabama

5. Department of Pediatrics, Division of Pediatric Emergency Medicine, Norton Children’s Hospital affiliated with University of Louisville School of Medicine, Louisville, Kentucky

6. Division of Pediatric Surgery, Johns Hopkins All Children’s Hospital, Saint Petersburg, Florida

7. Department of APediatrics, Section of Pediatric Emergency Medicine, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado

8. Department of Pediatrics, Division of Emergency Medicine, Rady Children’s Hospital, San Diego, California

9. Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois

10. Department of Pediatrics, Section of Pediatric Gastroenterology and Hepatology, Yale New Haven Children’s Hospital, Yale School of Medicine, New Haven, Connecticut

11. Division of Pediatric Surgery, Cohen Children’s Medical Center; Northwell Health, Queens, New York

12. Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Lucile Packard Children’s Hospital, Stanford University, Palo Alto, California

13. Department of Emergency Medicine, C.S. Mott Children’s Hospital, University of Michigan, Ann Arbor, Michigan

14. Department of Pediatrics, Children’s Hospital Colorado, University of Colorado School of Medicine, Aurora, Colorado

15. Children’s Hospital at Montefiore, Albert Einstein College of Medicine; Bronx, New York

16. Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Johns Hopkins Children’s Center, Johns Hopkins University School of Medicine, Baltimore, Maryland

17. Beaumont Children’s, Oakland University William Beaumont School of Medicine, Royal Oak, Michigan

18. Division of Pediatric Surgery, Department of Surgery, Medical University of South Carolina Shawn Jenkins Children’s Hospital, Charleston, South Carolina

19. Department of Pediatrics, Section of Pediatric Gastroenterology, Hepatology, and Nutrition, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas

20. Division of Emergency Medicine, Children’s National Hospital, Washington, District of Columbia

21. Pediatric Gastroenterology, Hepatology, and Nutrition, Children’s Healthcare of Atlanta, Emory University School of Medicine, Department of Pediatrics, Atlanta, Georgia

22. Department of Pediatrics, Division of Emergency Medicine, Boston Children’s Hospital, Boston, Massachusetts

23. Department of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Oklahoma Children’s Hospital, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma

24. Department of Pediatrics, UPMC Children's Hospital of Pittsburgh, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

25. Department of Pediatrics, Division of Gastroenterology, Connecticut Children’s Hospital, University of Connecticut School of Medicine, Hartford, Connecticut

26. University of Texas Southwestern Medical School, Dallas, Texas

Abstract

BACKGROUND AND OBJECTIVES High-powered magnets were effectively removed from the US market by the Consumer Product Safety Commission (CPSC) in 2012 but returned in 2016 after federal court decisions. The United States Court of Appeals for the 10th Circuit cited imprecise data among other reasons as justification for overturning CPSC protections. Since then, incidence of high-powered magnet exposure has increased markedly, but outcome data are limited. In this study, we aim to describe the epidemiology and outcomes in children seeking medical care for high-powered magnets after reintroduction to market. METHODS This is a multicenter, retrospective cohort study of patients aged 0 to 21 years with a confirmed high-powered magnet exposure (ie, ingestion or insertion) at 25 children’s hospitals in the United States between 2017 and 2019. RESULTS Of 596 patients with high-powered magnet exposures identified, 362 (60.7%) were male and 566 (95%) were <14 years of age. Nearly all sought care for magnet ingestion (n = 574, 96.3%), whereas 17 patients (2.9%) presented for management of nasal or aural magnet foreign bodies, 4 (0.7%) for magnets in their genitourinary tract, and 1 patient (0.2%) had magnets in their respiratory tract. A total of 57 children (9.6%) had a life-threatening morbidity; 276 (46.3%) required an endoscopy, surgery, or both; and 332 (55.7%) required hospitalization. There was no reported mortality. CONCLUSIONS Despite being intended for use by those >14 years of age, high-powered magnets frequently cause morbidity and lead to high need for invasive intervention and hospitalization in children of all ages.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Link

https://publications.aap.org/pediatrics/article-pdf/doi/10.1542/peds.2021-054543/1266727/peds_2021054543.pdf

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