{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:46:16Z","timestamp":1792053976229,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Laryngoscope"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Button battery injuries are emergencies associated with airway and esophageal injury. Despite increased public awareness and recent federal safety legislation, the population\u2010level impact on injury trends remains unclear. This study evaluates national trends in pediatric button battery exposures in the postpandemic era.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The National Electronic Injury Surveillance System was queried for button battery\u2010related ingestions and aspirations presenting to a US emergency department (ED) between January 1, 2020 and December 31, 2024. Cases were identified using product codes and narrative review. Demographics, diagnosis, and disposition were analyzed. Trends and categorical differences were assessed using ANOVA and chi\u2010squared testing, with statistical significance set at\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 24,891 pediatric button battery exposures were identified between 2020 and 2024. Annual cases increased from 3785 in 2020 to 6424 in 2024, representing a 70% rise (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). When adjusted for the US pediatric population, the rate increased from 5.1 to 8.8 per 100,000 children. Children aged 13\u201324\u2009months represented the largest proportion of cases (50.5%), and males comprised 59.8%. Hospitalizations increased from 807 to 1148, although the proportion of cases requiring admission declined after peaking in 2021. Hospitalization rates differed by age and race, with older children and Black children more likely to be admitted (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Despite a declining pediatric population, button battery\u2010related ED visits rose sharply from 2020 to 2024. Although hospitalization rates declined proportionally after 2021, the overall injury burden and healthcare utilization increased. Persistent demographic disparities require continued surveillance, prevention strategies, and equitable access to care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>3.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/lary.70731","type":"journal-article","created":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T10:43:06Z","timestamp":1783420986000},"page":"5047-5054","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rising Pediatric Button Battery Injuries Despite Safety Efforts: An Analysis of National Injury Data"],"prefix":"10.1002","volume":"136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-0726-9372","authenticated-orcid":false,"given":"Henry","family":"Diamond\u2010Pott","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana S.","family":"Shaari","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Larissa","family":"Iraj","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-5352-066X","authenticated-orcid":false,"given":"Sara","family":"O'Sullivan\u2010Bakshi","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Renaissance School of Medicine at Stony Brook University  Stony Brook New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aldo","family":"Londino","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Department of Pediatrics Mount Sinai Kravis Children's Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie J.","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Department of Pediatrics Mount Sinai Kravis Children's Hospital  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9582-6088","authenticated-orcid":false,"given":"Benjamin M.","family":"Laitman","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,7]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022\u2010056709"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/ip\u20102024\u2010045339"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.70244"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMicm2310606"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894\u2010024\u201000957\u20101"},{"key":"e_1_2_10_7_1","unstructured":"Poison Control \u201cNational Capital Poison Center's Button Battery Ingestion Triage and Treatment Guideline \u201daccessed November 6 2025 https:\/\/www.poison.org\/battery\/guideline."},{"issue":"34","key":"e_1_2_10_8_1","first-page":"661","article-title":"Injuries From Batteries Among Children Aged <13\u2009Years\u2014United States, 1995\u20132010","volume":"61","author":"Centers for Disease Control and Prevention (CDC)","year":"2012","journal-title":"MMWR. Morbidity and Mortality Weekly Report"},{"key":"e_1_2_10_9_1","unstructured":"Button Cell and Coin Battery Business Guidance \u201cU.S. Consumer Product Safety Commission \u201daccessed October 30 2025 https:\/\/www.cpsc.gov\/Business\u2010\u2010Manufacturing\/Business\u2010Education\/Business\u2010Guidance\/Button\u2010Cell\u2010and\u2010Coin\u2010Battery."},{"key":"e_1_2_10_10_1","unstructured":"B.SprowlandAmerican Academy of Otolaryngology\u2010Head and Neck Surgery (AAO\u2010HNS) \u201cPosition Statement: Button and Coin Battery Technology \u201dOctober 6 2023 https:\/\/www.entnet.org\/resource\/position\u2010statement\u2010button\u2010and\u2010coin\u2010battery\u2010technology\/."},{"key":"e_1_2_10_11_1","unstructured":"Annie E. Casey Foundation KIDS COUNT Data Center \u201cChild Population by Age Group in the United States \u201d2025 accessed June 4 2026 https:\/\/datacenter.aecf.org\/data\/tables\/101\u2010child\u2010population\u2010by\u2010age\u2010group."},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13934"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000001413"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.31728"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018\u20101988"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40136\u2010023\u201000459\u20100"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.32160"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2022.07.006"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOO.0000000000000759"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.26995"},{"key":"e_1_2_10_21_1","unstructured":"CONGRESS.GOV \u201cH.R. 5313\u2014Reese's Law 117th Congress (2021\u20132022) \u201d2022 accessed November 6 2025 https:\/\/www.congress.gov\/bill\/117th\u2010congress\/house\u2010bill\/5313."},{"key":"e_1_2_10_22_1","unstructured":"Federal Register \u201cSafety Standard for Button Cell or Coin Batteries and Consumer Products Containing Such Batteries \u201dSeptember 21 2023 https:\/\/www.federalregister.gov\/documents\/2023\/09\/21\/2023\u201020334\/safety\u2010standard\u2010for\u2010button\u2010cell\u2010or\u2010coin\u2010batteries\u2010and\u2010consumer\u2010products\u2010containing\u2010such\u2010batteries."},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/lio2.535"},{"key":"e_1_2_10_24_1","unstructured":"Safe Kids \u201cSafe Kids USA and Energizer Join Together to Prevent Button Battery Ingestion \u201dNovember 12 2010 https:\/\/safekidssacramento.org\/news\u2010test\u20103\/."},{"key":"e_1_2_10_25_1","unstructured":"Duracell Battery Products \u201cCR 2032 Lithium Coin Battery With Bitter Coating \u201daccessed November 6 2025 https:\/\/www.duracell.com\/products\/cr\u20102032\u2010lithium\u2010coin\u2010button."},{"key":"e_1_2_10_26_1","unstructured":"Landsdowne Labs LLC \u201cCommercializing Hard TechInnovations That Have World\u2010Changing Potential \u201daccessed October 22 2021 https:\/\/www.landsdownelabs.com."}],"container-title":["The Laryngoscope"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70731","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/lary.70731","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/lary.70731","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T08:10:25Z","timestamp":1792051825000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/lary.70731"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,7]]},"references-count":25,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1002\/lary.70731"],"URL":"https:\/\/doi.org\/10.1002\/lary.70731","archive":["Portico"],"relation":{},"ISSN":["0023-852X","1531-4995"],"issn-type":[{"value":"0023-852X","type":"print"},{"value":"1531-4995","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,7]]},"assertion":[{"value":"2026-03-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}