title: Four-year review of cigarette ingestions in children.
abstract: The objective of our study was to assess the demographics, incidence, types of symptoms, and outcomes of cigarette product ingestions in children. The study was a retrospective database review. Seven hundred children under six years of age ingesting cigarettes or cigarette butts reported to a Poison Control Center between 1988 and 1991. Among 143 patients (20.4%) with symptoms, vomiting was the only symptom in 138 (98.6%) and occurred in less than 20 minutes in 104 (74.3%). The five remaining patients (two with vomiting, three without) developed transient lethargy or irritability that completely resolved. Forty-four of 700 patients ingested potentially toxic amounts and were referred to the emergency department; three were lost to follow-up. Initially asymptomatic patients never developed symptoms. Symptomatic patients improved without sequelae. No patient developed seizures. We concluded that significant toxicity from the ingestion of cigarette products in children is rare. Vomiting within 20 minutes is the most common symptom. Its absence predicts a favorable outcome, even when large amounts are suspected to have been ingested.
authors.affiliation: Department of Emergency Medicine, Albert Einstein Medical Center, Philadelphia, PA 19141, USA.
authors.forename: D
authors.initials: D
authors.lastname: McGee
authors.forename: T
authors.initials: T
authors.lastname: Brabson
authors.forename: J
authors.initials: J
authors.lastname: McCarthy
authors.forename: M
authors.initials: M
authors.lastname: Picciotti
mesh_terms: D003663:Decision Trees; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007223:Infant; D008297:Male; D010842:Pica / Q000150:complications / Q000453:epidemiology / Q000628:therapy; D010947:Plants, Toxic; D012189:Retrospective Studies; D012720:Severity of Illness Index; D012894:Sleep Stages; D014026:Nicotiana; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology