New scoring system to predict foreign body aspiration in children
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Read the article on jpedsurg.org ↗Article · Jan 2020 · 1 min read
In brief
In brief
Retrospective study of 720 children who underwent bronchoscopy developed a new scoring system to predict foreign body aspiration. Physical examination and radiological findings showed significant predictive value, while patient history alone was not statistically significant in identifying positive cases.
Written by the GCMD Library team from the article.
Purpose
To propose a new scoring system to predict foreign body aspiration (FBA) in children.
Methods
Children who underwent bronchoscopy for FBA were evaluated for age, sex, history of aspiration, physical examination, radiological findings and results of bronchoscopy retrospectively. A new proposed FBA scoring including statements about history, physical and radiological findings were applied to all patients to define a total score. The results of each statement and total FBA score were compared according to bronchoscopy findings. The sensitivity and specificity of FBA score and cut-off values of total FBA score to predict positive cases were evaluated.
Results
Totally 720 patients with a male to female ratio of 227:133 were included. FBA was noted in 52.1% (n=375) of cases. When the scoring system compared with the existence of foreign body (FB), the patient history had no statistical significance to predict positive cases (p>0.05). The existence of FB was significantly associated with physical examination, radiological findings and total FBA score (p