Risk factors affecting the treatment outcome of pediatric foreign body aspiration: significance of time factors
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In brief
In brief
Retrospective study of 49 children under 3 years with foreign body aspiration demonstrates that shorter time intervals—from symptom onset to hospitalization, hospitalization to surgery, and operation duration—significantly improve outcomes including reduced hospital stay and lower pneumonia incidence. Findings emphasize the critical importance of rapid diagnosis and intervention in pediatric airway foreign bodies.
Written by the GCMD Library team from the article.
Abstract
Purpose
The aim of this study was to identify the factors affecting the prognosis of children with foreign body aspiration (FBA) after undergoing rigid bronchoscopy.
Methods
This was a case series with a chart review of 49 children under 3 years of age who underwent rigid bronchoscopy for suspected FBA at a single tertiary institution.
Results
The time from symptom onset to hospitalization positively correlated with the total hospitalization time (p < 0.001), postoperative hospitalization time (p = 0.006), and operation time (p = 0.013). The time from symptom onset to operation positively correlated with the total hospitalization time (p < 0.001) and operation time (p = 0.046). The time from hospitalization to operation and the operation time positively correlated with the total hospitalization time (p = 0.026, 0.044) and postoperative hospitalization time (p = 0.049, 0.003). The time from symptom onset to hospitalization positively correlated with the incidence of pneumonia (p = 0.028).
Conclusion
Rapid hospitalization after symptom onset, rapid surgery after symptom onset, and rapid surgery after hospitalization improve the prognosis of patients with FBA. Further, a short operation time also plays a role in improving patient prognosis.