The incidence and number of emergency room visits for esophageal foreign body and food impaction (EFB) are on the rise. However, its impact on the rate of inpatient admissions, utilization of endoscopic and surgical interventions, and healthcare outcomes is poorly understood. We conducted a study to analyze these outcomes using the national inpatient sample (NIS) database. Data on all adult patients (≥18 years) admitted with EFB was extracted from the NIS database from 1998 to 2013. The temporal trends in discharge rates as well as in length of stay (LOS), hospital charges, and in-hospital mortality rates were assessed by linear and polynomial regression. Average age, gender, and race of inpatients with EFB were not significantly different between 1998 and 2013. The rate of EFB admissions increased significantly from 1998 to 2005 followed by a decline thereafter (p = 0.01). LOS and hospital charges significantly increased by 0.02 days/year (p = 0.015) and $1,547/year (p < 0.001), respectively. There was a trend towards less utilization of overall esophagogastroduodenoscopy (EGD) over the last decade with significant lower use of EGD within 24 hours in 2013 as compared to 1998 (p = 0.026). The rates of surgical intervention and inpatient mortality did not change significantly over the study period. The rate of inpatient admissions for EFB is on the decline in recent years, suggesting the modern-day practice of cost-effective medicine. Hospitalization costs for EFB have increased, whereas rates of surgical intervention and inpatient mortality have not changed significantly over the study period.

中文翻译：

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食管异物和食物影响住院患者的医疗保健结局及内窥镜和外科手术利用的国家趋势。

食管异物和食物撞击（EFB）的急诊室的发病率和数量正在上升。但是，其对住院率，内窥镜和外科手术的利用以及医疗结果的影响知之甚少。我们进行了一项研究，以使用国家住院样本（NIS）数据库分析这些结果。从1998年至2013年，从NIS数据库中提取了所有接受EFB的成年患者（≥18岁）的数据。出院率，住院时间（LOS），住院费用和医院内死亡率的时间趋势通过线性和多项式回归进行评估。1998年至2013年之间，EFB住院患者的平均年龄，性别和种族没有明显差异。p  = 0.01）。LOS和医院收费分别显着增加了0.02天/年（p  = 0.015）和$ 1,547 /每年（p  <0.001）。在过去十年中，总体食管胃十二指肠镜检查（EGD）的使用率呈下降趋势，2013年24小时内EGD的使用率明显低于1998年（p  = 0.026）。在研究期间，手术干预率和住院死亡率没有显着变化。近年来，EFB的住院率正在下降，这表明现代的低成本医疗实践。在研究期间，EFB的住院费用增加了，而手术干预和住院死亡率没有显着变化。