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Clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group
BACKGROUND: Incidence of foreign body aspiration has been noticed predominantly in age group ranging from 12 months-3 years. Foreign body in the trachea is a medical emergency as presentation is in respiratory distress. Obstruction of only one main or distal bronchus, leads to severe cough, choking...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526158/ https://www.ncbi.nlm.nih.gov/pubmed/32993750 http://dx.doi.org/10.1186/s13019-020-01314-9 |
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author | Goyal, Samarth Jain, Shubhika Rai, Guruprasad Vishnu, Rajkamal Kamath, Ganesh Sevagur Bishnoi, Arvind Kumar Gaude, Yogesh Kumara, Vijaya Joshi, Harshil Reddy, Revanth |
author_facet | Goyal, Samarth Jain, Shubhika Rai, Guruprasad Vishnu, Rajkamal Kamath, Ganesh Sevagur Bishnoi, Arvind Kumar Gaude, Yogesh Kumara, Vijaya Joshi, Harshil Reddy, Revanth |
author_sort | Goyal, Samarth |
collection | PubMed |
description | BACKGROUND: Incidence of foreign body aspiration has been noticed predominantly in age group ranging from 12 months-3 years. Foreign body in the trachea is a medical emergency as presentation is in respiratory distress. Obstruction of only one main or distal bronchus, leads to severe cough, choking sensation and breathlessness. Without early intervention, it can lead to collapse, consolidation and pneumonia of the affected lung. METHODS: We retrospectively analyzed 37 pediatric case records who presented from January 2014–December 2018 with foreign body aspiration. Our primary aim was to assess the parameters responsible for early and late diagnosis of foreign body aspiration. We concluded with a diagnostic algorithm for management of foreign body aspiration on the basis of this outcome. RESULTS: Around 32.5% came with a history of aspiration, 43% were referred from the primary centers with a suspicion for the same and the rest came to our tertiary care hospital directly. Those who presented within a week came with complaints of wet cough, wheeze and tachypnea. Furthermore, those who came in after a week had a dry cough and fever as their main complaint. Majority of ingested foreign bodies was a vegetative type (80%) as compared to the non –vegetative. CONCLUSION: Unlike adults, foreign body aspiration in children is most commonly diagnosed on history, suspicion and clinical findings. Chest x ray has been the primary investigation of choice but in the majority of the cases it was normal with subtle changes. Early diagnosis is the key to avoid complication. |
format | Online Article Text |
id | pubmed-7526158 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75261582020-09-30 Clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group Goyal, Samarth Jain, Shubhika Rai, Guruprasad Vishnu, Rajkamal Kamath, Ganesh Sevagur Bishnoi, Arvind Kumar Gaude, Yogesh Kumara, Vijaya Joshi, Harshil Reddy, Revanth J Cardiothorac Surg Research Article BACKGROUND: Incidence of foreign body aspiration has been noticed predominantly in age group ranging from 12 months-3 years. Foreign body in the trachea is a medical emergency as presentation is in respiratory distress. Obstruction of only one main or distal bronchus, leads to severe cough, choking sensation and breathlessness. Without early intervention, it can lead to collapse, consolidation and pneumonia of the affected lung. METHODS: We retrospectively analyzed 37 pediatric case records who presented from January 2014–December 2018 with foreign body aspiration. Our primary aim was to assess the parameters responsible for early and late diagnosis of foreign body aspiration. We concluded with a diagnostic algorithm for management of foreign body aspiration on the basis of this outcome. RESULTS: Around 32.5% came with a history of aspiration, 43% were referred from the primary centers with a suspicion for the same and the rest came to our tertiary care hospital directly. Those who presented within a week came with complaints of wet cough, wheeze and tachypnea. Furthermore, those who came in after a week had a dry cough and fever as their main complaint. Majority of ingested foreign bodies was a vegetative type (80%) as compared to the non –vegetative. CONCLUSION: Unlike adults, foreign body aspiration in children is most commonly diagnosed on history, suspicion and clinical findings. Chest x ray has been the primary investigation of choice but in the majority of the cases it was normal with subtle changes. Early diagnosis is the key to avoid complication. BioMed Central 2020-09-29 /pmc/articles/PMC7526158/ /pubmed/32993750 http://dx.doi.org/10.1186/s13019-020-01314-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Goyal, Samarth Jain, Shubhika Rai, Guruprasad Vishnu, Rajkamal Kamath, Ganesh Sevagur Bishnoi, Arvind Kumar Gaude, Yogesh Kumara, Vijaya Joshi, Harshil Reddy, Revanth Clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group |
title | Clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group |
title_full | Clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group |
title_fullStr | Clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group |
title_full_unstemmed | Clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group |
title_short | Clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group |
title_sort | clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526158/ https://www.ncbi.nlm.nih.gov/pubmed/32993750 http://dx.doi.org/10.1186/s13019-020-01314-9 |
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