The characteristics of occult foreign body aspiration and predicting factors in children

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2024-11-19 DOI:10.1016/j.ijporl.2024.112169

Yi Zhang , Yan Li , Rui Zhang , Lin Zhong , Lina Chen

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引用次数: 0

Abstract

Objective

To summarize the clinical characteristics and risk factors of occult foreign body aspiration (FBA) in children, which can help with early diagnosis and timely intervention, potentially preventing further exacerbations.

Methods

We retrospectively analyzed the clinical data of the children with a final diagnosis of FBA by flexible bronchoscopy in our hospital from 2017 to 2023. The patients were divided into occult and typical groups, and two groups were compared. Multivariate binary logistic regression analysis was employed to identify risk factors associated with the occurrence of occult FBA.

Results

Among 1031 patients, the incidence of occult FBA was 4.3 % (44 cases). Compared to the typical group, children in the occult group had higher odds of ventilator management (P = .006) and longer postoperative hospitalization time (P < .001). Risk factors for predicting occult FBA were identified as age greater than 3 years old [OR: 6. 918; 95%CI (3.150–15.191)], fever [OR: 2.323; 95%CI (1.092–4.939)], inspiratory laryngeal stridor [OR: 6.514; 95%CI (1.863–22.781)], atelectasis [OR: 3.372; 95%CI (1.418–8.020)], and infiltration [OR: 2.749; 95%CI (1.195–6.323)].

Conclusions

Unlike typical FBA, the diagnosis of occult FBA is far more challenging, and occult foreign bodies are linked to a further exacerbation. This study identifies a few risk factors that have the potential to facilitate an early diagnosis of occult FBA in children. Further multicenter studies should be conducted to validate the findings.

查看原文本刊更多论文

儿童隐性异物吸入的特点和预测因素。

摘要总结儿童隐匿性异物吸入（FBA）的临床特点和危险因素，有助于早期诊断和及时干预，可能避免病情进一步加重：我们回顾性分析了2017年至2023年我院经软式支气管镜检查最终确诊为FBA的患儿的临床资料。将患者分为隐匿组和典型组，两组进行比较。采用多变量二元逻辑回归分析来确定与隐匿性FBA发生相关的风险因素：结果：1031 名患者中，隐性 FBA 的发生率为 4.3%（44 例）。与典型组相比，隐匿组患儿使用呼吸机的几率更高（P = .006），术后住院时间更长（P 结论：隐匿组患儿术后住院时间更长（P = .006）：与典型的 FBA 不同，隐匿性 FBA 的诊断更具挑战性，而且隐匿性异物与病情进一步恶化有关。本研究发现了一些风险因素，这些因素有可能促进儿童隐匿性 FBA 的早期诊断。应进一步开展多中心研究以验证研究结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.