New scoring system to predict foreign body aspiration in children

Space: StayCurrentMD Author: Gül Özyüksel, Umut Ece Arslan, Özlem Boybeyi-Türer, Feridun Cahit Tanyel, Tutku Soyer Published:

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Gül Özyüksel, Umut Ece Arslan, Özlem Boybeyi-Türer, Feridun Cahit Tanyel, Tutku Soyer

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Abstract

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

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