The management of children aged 0–5 years wıth suspected foreign body aspiration: a prospective study
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In brief
In brief
Prospective study of 89 children aged 0-5 years establishes clinical algorithm for bronchoscopy in suspected foreign body aspiration. Key diagnostic indicators include witnessed aspiration event, absent unilateral breath sounds, and unilateral hyperventilation on chest X-ray, with organic foodstuffs being the most common aspirated material in the 1-2 year age group.
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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.