National estimations of airway foreign bodies in children in the United States, 2000 to 2009

Abstract

Objective Identify risk factors associated with airway foreign bodies in children in the United States and report observed trends over time. Data source KID database (2000‐2009). Methods ICD‐9‐CM codes for airway foreign bodies were used to identify patients. Risk factors were used for univariate analysis and a multivariate model to identify any increased risk of mortality. These factors were then also trended over time. Results Children with airway foreign bodies demonstrate similar risk factors as previously reported, such as male gender, age less than five years and lack of private insurance. The weighted mortality rate for paediatric inpatients with airway foreign bodies was about 2.75%. Fortunately, the rate remained relatively unchanged from 2000 to 2009. Geographically, urban hospital settings appeared to be more affected. Increased risks of mortality were noted for older age, urban hospital setting and teaching hospital status. Conclusions Our findings confirm previous findings and identified that the diagnosis of airway foreign bodies in children were associated with male gender, age <5 years, lack of private insurance and geographic location in an urban setting. Further investigation may be warranted to provide clarity on other factors found to have increased association with mortality for quality improvement.

How Can We Do Better? Learning From 617 Pediatric Patients With Airway Foreign Bodies Over a 2-Year Period in an Asian Population

“…This condition often provides a diagnostic dilemma as many of the presenting symptoms overlap with other common pediatric conditions. Airway FB carries a mortality rate of up to 2.75% and should not be treated lightly (4). Despite existing legislation to regulate toys and other inorganic items which may be a choking hazard, airway FB is still the leading cause of accidental infantile deaths and the 4th most common cause of death among preschool aged children (5).…”

Epidemiology of Pediatric Foreign Body Ingestions Amidst the Coronavirus 2019 Pandemic at a Tertiary Care Children’s Hospital

“…In addition, our sample size was too small to determine if socioeconomic factors impacted trends in FBI. Although pediatric airway FBs are associated with an urban setting and lack of private insurance ( 37 ), there is minimal literature on socioeconomic factors related to gastrointestinal FBI. As socioeconomic factors are known to play a role in presentation to medical care, they should be examined in future studies of gastrointestinal FBIs ( 38 ).…”

Lebensrettende Maßnahmen bei Kindern (Paediatric Life Support, PLS)

“…Atemwegsverlegungen durch Fremdkörper verursachen jährlich Tausende von Todesfällen, insbesondere in gefährdeten Bevölkerungsgruppen, die Schwierigkeiten haben, ihre Atemwege selbstständig zu schützen, wie z. B. Kinder [ 657 ]. Schnelle Eingriffe von ungeschulten Ersthelfern vor Ort können das Überleben erheblich verbessern.…”