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Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature

Background. Foreign Body Aspiration (FBA) represents a leading cause of death among unintentional injuries in children less than one year of age. This study reviewed case reports and case series reporting non-food FBA in children to characterize aspirated foreign bodies, describing the clinical pres...

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Autores principales: Lorenzoni, Giulia, Vertuani, Marco, Basso, Valeria, Rescigno, Paola, Ocagli, Honoria, Gregori, Dario
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10605452/
https://www.ncbi.nlm.nih.gov/pubmed/37892372
http://dx.doi.org/10.3390/children10101709
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author Lorenzoni, Giulia
Vertuani, Marco
Basso, Valeria
Rescigno, Paola
Ocagli, Honoria
Gregori, Dario
author_facet Lorenzoni, Giulia
Vertuani, Marco
Basso, Valeria
Rescigno, Paola
Ocagli, Honoria
Gregori, Dario
author_sort Lorenzoni, Giulia
collection PubMed
description Background. Foreign Body Aspiration (FBA) represents a leading cause of death among unintentional injuries in children less than one year of age. This study reviewed case reports and case series reporting non-food FBA in children to characterize aspirated foreign bodies, describing the clinical presentations and the outcomes. Methods: A systematic review was conducted according to the PRISMA checklist. Case reports and case series presenting non-food FBA in children (up to 18 years) were eligible to be included. Information regarding study characteristics, child demographics, foreign body characteristics, clinical presentation, and outcome were extracted. Results: The review included 248 articles published between 1965 and 2023, corresponding to 294 cases. The male gender was the most prevalent (194 cases, 66%), and the median age was 3.5 years (Interquartile Range: 1–8 years). Button batteries were the objects most frequently reported (21 cases, 7.1%). Objects were located most often in the bronchus (102 cases, 35%). The most common symptom was cough (181 cases, 62%), followed by respiratory distress (160 cases, 54%) and wheezing/stridor (127 cases, 43%). Conclusions: The present systematic review may have relevant public health implications, since characterizing objects that cause foreign body injuries is essential to reduce the burden of this phenomenon.
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spelling pubmed-106054522023-10-28 Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature Lorenzoni, Giulia Vertuani, Marco Basso, Valeria Rescigno, Paola Ocagli, Honoria Gregori, Dario Children (Basel) Systematic Review Background. Foreign Body Aspiration (FBA) represents a leading cause of death among unintentional injuries in children less than one year of age. This study reviewed case reports and case series reporting non-food FBA in children to characterize aspirated foreign bodies, describing the clinical presentations and the outcomes. Methods: A systematic review was conducted according to the PRISMA checklist. Case reports and case series presenting non-food FBA in children (up to 18 years) were eligible to be included. Information regarding study characteristics, child demographics, foreign body characteristics, clinical presentation, and outcome were extracted. Results: The review included 248 articles published between 1965 and 2023, corresponding to 294 cases. The male gender was the most prevalent (194 cases, 66%), and the median age was 3.5 years (Interquartile Range: 1–8 years). Button batteries were the objects most frequently reported (21 cases, 7.1%). Objects were located most often in the bronchus (102 cases, 35%). The most common symptom was cough (181 cases, 62%), followed by respiratory distress (160 cases, 54%) and wheezing/stridor (127 cases, 43%). Conclusions: The present systematic review may have relevant public health implications, since characterizing objects that cause foreign body injuries is essential to reduce the burden of this phenomenon. MDPI 2023-10-20 /pmc/articles/PMC10605452/ /pubmed/37892372 http://dx.doi.org/10.3390/children10101709 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Systematic Review
Lorenzoni, Giulia
Vertuani, Marco
Basso, Valeria
Rescigno, Paola
Ocagli, Honoria
Gregori, Dario
Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_full Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_fullStr Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_full_unstemmed Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_short Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_sort characterization of non-food foreign bodies aspirated by children: a systematic review of the literature
topic Systematic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10605452/
https://www.ncbi.nlm.nih.gov/pubmed/37892372
http://dx.doi.org/10.3390/children10101709
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