Güler AG, Karakaya AE, Kaya MS, Öksüz G, Bozan AA, Ural DA. The management of children aged 0-5 years wıth suspected foreign body aspiration: a prospective study.
Pediatr Surg Int 2022;
39:37. [PMID:
36474128 DOI:
10.1007/s00383-022-05335-4]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/02/2022] [Indexed: 12/12/2022]
Abstract
INTRODUCTION
A simple algorithm for bronchoscopy was prepared in very young children.
METHODS
The patients aged 0-5 years who were applied with bronchoscopy because of suspected foreign body aspiration (FBA) analysed.
RESULTS
Evaluations 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 significant 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 significant diagnostic finding 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 significantly shorter in the FBA (-) patients (p < 0.001).
CONCLUSION
The 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.
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