Highlights
- •Esophageal button battery ingestion can result in significant patient morbidity and mortality; therefore, prompt recognition and treatment is critically important.
- •In this study, implementation of a clinical care algorithm decreased the time from diagnosis to esophageal button battery removal.
Summary
Background
Esophageal button battery ingestion is a significant problem that can lead to significant
complications such as tracheoesophageal fistula, esophageal perforation, and aortoesophageal
fistula. Due to this, prompt recognition and treatment is integral in the care of
these patients.
Methods
Patients who presented to a single institution from August 2015 to September 2019
with esophageal button battery ingestion were included in this study. All esophageal
button battery ingestion patients were included in a clinical algorithm for Critical
Airway Response Team (CART) activation in October 2019. Time from diagnosis to treatment
was compared for pre-CART clinical algorithm implementation to post-CART.
Results
Data on pre-CART patients (n=6) and post-CART patients (n=7) was collected. Including
esophageal button battery ingestions to CART activations shortened the time from chest
x-ray to button battery removal from 73±32 minutes to 35±11 minutes (p<0.05).
Conclusion
These data highlight the importance of implementation of a clinical care algorithm
to shorten the time from diagnosis to treatment in patients with esophageal button
battery ingestion.
Level of Evidence
III.
Keywords
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References
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Article info
Publication history
Accepted:
January 10,
2023
Received:
January 9,
2023
Publication stage
In Press Accepted ManuscriptIdentification
Copyright
© 2023 Elsevier Inc. All rights reserved.
