The management of children aged 0–5 years wıth suspected foreign body aspiration: a prospective study

Abstract

INTRODUCTIONA simple algorithm for bronchoscopy was prepared in very young children METHODSThe patients aged 0-5 years who were applied with bronchoscopy because of suspected foreign body aspiration (FBA) analyzed. RESULTSEvaluations were made of 89 patients, as 55 (61.7%) in the FBA (+) group and 34 (38.3%) in the FBA (-) group. FBA was determined most in the 1-2 years age group (28 patients, 50.9%, p=0.04) due to organic hard foodstuffs (94.5%, p<0.001). The parameters found to be signi cant were witnessing the event (OR:12.133, 95% CI: 3.147-46.774, p<0.001) and not obtaining unilateral respiratory sounds (OR:7.556, 95% CI: 2.681-21.292, p<0.001). The most signi cant diagnostic nding was the determination of unilateral hyperventilation on x-ray (OR:16.730, 95% CI: 4.541-61.632, p<0.001). The operating time and length of stay in hospital was signi cantly shorter in the FBA (-) patients (p<0.001). CONCLUSIONThe presence of a witness, not obtaining unilateral respiratory sounds, and unilateral hyperventilation seen on x-ray are indications for bronchoscopy. In FBA (-) patients applied with bronchoscopy, the complication rate associated with the procedure is low, and the operating time and length of stay in hospital are short.