Prospective Evaluation of a Novel Scoring System for Managing Foreign Body Ingestion in Children

Purpose: This study aimed to evaluate a novel scoring system for the management of foreign body ingestion in children. A simple scoring system can greatly aid in clinical decision-making. Methods: We developed a novel scoring system that considers several critical factors, including patient age, mood, and symptoms, as well as the characteristics of the ingested foreign body, such as its type, location, and size. This system was designed to help emergency department residents determine the most appropriate course of action. Based on their scores, the children were categorized into two classes: Class A (observation) and Class B (pediatrician consultation), and further subcategorized as Class B1 and B2. Results: A total of 158 children were evaluated using this scoring system, with 79 confirmed cases of foreign body ingestion. Class A patients had a higher rate of successful observation and minimal intervention, whereas Class B patients had a higher rate of invasive treatment. Importantly, there were very few unnecessary invasive procedures, and the recommendations made by the scoring system were closely aligned with those made by a reference management algorithm. Conclusion: Our novel scoring system demonstrates substantial potential for guiding residents in the appropriate management of pediatric foreign body ingestion, ensuring that children receive the most suitable level of care.