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Evid Based Nurs 9:42 doi:10.1136/ebn.9.2.42
  • Treatment

Need for endoscopic removal of oesophageal coins in children was similar for strategies of immediate removal and watchful waiting


 
 Q In children presenting to the emergency department with a coin lodged in the oesophagus, what are the effects of relatively immediate endoscopic removal of the coin and watchful waiting?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

{concealed}.*

GraphicBlinding:

blinded {data analysts}.*

GraphicFollow up period:

duration of hospital stay.

GraphicSetting:

an emergency department in Boston, Massachusetts, USA.

GraphicPatients:

60 children ⩽21 years of age (mean age 51 mo, 52% boys) who had ingested coins that were lodged in the oesophagus. Exclusion criteria were previous tracheal or oesophageal surgery, more than minimal symptoms (respiratory distress, drooling, or choking), or ingestion >24 hours earlier or inability to determine time since ingestion.

GraphicIntervention:

relatively immediate removal of coin under general anaesthesia by a surgeon using rigid endoscopy as soon …

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