Predictors of complicated airway foreign body extraction

Sjogren, Phayvanh P.; Mills, Tyler J.; Pollak, Adrianna D.; Muntz, Harlan R.; Grimmer, J. Fredrik

doi:10.1002/lary.26814

Cited by 21 publications

(21 citation statements)

References 11 publications

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“…This means that it is not RULE: “higher repetition rate- less mortality”. It is agreed with statement that surgeon and hospital volume did not significantly correlate with higher complication rates ( 53 ).…”

Section: Discussionsupporting

confidence: 78%

Death as a Consequence of Foreign Body Aspiration in Children

et al. 2018

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Aim:To analyze the rate of mortality in children with foreign body aspiration (FBA).Methods:We outlined a retrospective review of hospital data of patients between 1971 and 2013. FBA occurring in children 0 year to 14 years was considered for inclusion (patient ages ranged from 0.6 to 15 years, with a median age of 2.2 years). The gender structure within the investigated cases was 75.8% males and 24.2% females. During the study period, 772 patients undergoing rigid bronchoscopy with the diagnosis of FBA were included. Deaths on arrival were excluded.Results:Total rate of mortality (for whole investigated period) was 0.785. For last fifteen years of the investigated period the rate of mortality was zero.Conclusion:For prevention of foreign body aspiration in children and its mortality should be taken two strategies: non-medical (alterations in product design and public education campaigns) and medical (education of medical staff and improvement of equipment).

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Section: Discussionsupporting

confidence: 78%

Death as a Consequence of Foreign Body Aspiration in Children

et al. 2018

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“…This finding was also not comparable with the results of previous studies. 15,16 The retrospective design is the most important limitation of our study. Similar to previous BLW studies, since the exact definition and criteria of the BLW method are lacking, it is difficult to reach a firm conclusion that the BLW method is a risk factor for FBA.…”

Section: Discussionmentioning

confidence: 99%

Foreign Body Aspiration in Infants: Role of Self-Feeding

Özyüksel

Soyer

Üzümcügil

et al. 2019

Pediatric Allergy, Immunology, and Pulmonology

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Background: Foreign body aspiration (FBA) is a serious life-threatening condition in childhood. ''Baby-led weaning (BLW)'' is a popular method in which the babies are encouraged to self-feed to gain oral motor abilities. The role of BLW in FBA is controversial. A retrospective study was performed to evaluate the results of FBA in infants (<1 year of age) and its relation to the feeding method. Materials and Methods: Children who underwent bronchoscopy for FBA for the past 10 years were included. Infants (<1 year of age) were evaluated for age, gender, clinical findings, and the results of bronchoscopy. The type of feeding, including self-feeding or caregiver-assisted feeding, was noted. Results: The medical records of 826 patients who underwent bronchoscopy were evaluated. FBA was noted in 50.2% (n = 417) of cases. Only 9.07% (n = 75) of patients were <1 year of age and 67% (n = 50) of them had a foreign body according to the bronchoscopy. The mean age was 9 months (5-12 months) and 36% of them were male. When the feeding characteristics of patients were surveyed, 80% of cases aspirated when self-feeding and 14% aspirated during caregiver-assisted feeding. Conclusions: Self-feeding to promote oral motor function may cause FBA in infants. Emergent bronchoscopy is more common in infants and reveals the aspiration of foods that cannot be consumed safely in this age group.

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“…A slight male predominance was observed in our study 322 (57.5%) with a ratio of 1.4:1. Other studies showed that FBA was more common amongst boys than girls with a range of 54.8%-81.8% [8,9,16,17,22,23,24,25,26]. It's no secret that most boys are active, loud, rambunctious, have mischievous behaviour, and are adventurous in nature.…”

Section: Discussionmentioning

confidence: 99%

Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study

Mohsen

Bakkar

Melhem

et al. 2021

Heliyon

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Background: Paediatric foreign body aspiration constitutes significant lethal sequela worldwide. This is the first descriptive Syrian study that aims to describe the epidemiology of foreign body aspiration in a tertiary centre in Syria. Methods: This is a retrospective cohort study conducted at the Children's University Hospital, Damascus, from 2011 to 2018 during the Syrian crisis. The children underwent rigid bronchoscopy at Al Mouwasat University hospital, the only properly equipped hospital to perform paediatric rigid bronchoscopy in Damascus. We included all cases with complete medical records of children under the age of 13 years with positive bronchoscopy findings of foreign body aspiration. The records of patients were examined, and data extracted included physical examination, CXR reports, bronchoscopy reports, and complications. Statistical package for social sciences 25.0 program for Windows was used to report frequencies, percentages, means, medians, and standard deviations. Results: Of 560 children diagnosed with foreign body aspiration, the peak incidence was at the age of 1-3 years 376 (67.2%). Most patients presented with an explicit history of inhalation 453 (80.9%). The most frequent clinical findings were dyspnoea 320 (57.1%), wheezing 308 (55%), and chest retraction 209 (37.35%). Hyperinflation 260 (46.4%) followed by pulmonary infiltration 197 (35.2%) were the most common abnormal radiological findings. Seeds 273 (48.8%) were the most frequent foreign body extracted by rigid bronchoscopy. The right main bronchus 255 (40.2%) was the most frequent site of foreign body lodgement. Lobar pneumonia 16 (2.8%) was the commonest complication of foreign body aspiration. Conclusion: Foreign body aspiration is a major public health problem in Syria. The child's welfare must be our paramount concern. To prevent this accident, we should address a change in raising public health awareness with regards to appropriate food and eating habits. This would limit hazardous complications.

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Predictors of complicated airway foreign body extraction

Abstract: 4. Laryngoscope, 128:490-495, 2018.

Cited by 21 publications

References 11 publications

Death as a Consequence of Foreign Body Aspiration in Children

Death as a Consequence of Foreign Body Aspiration in Children

Foreign Body Aspiration in Infants: Role of Self-Feeding

Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study

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