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Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors
BACKGROUND: Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affectin...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927229/ https://www.ncbi.nlm.nih.gov/pubmed/33658017 http://dx.doi.org/10.1186/s12893-021-01089-3 |
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author | Gan, Weigang Xiao, Ning Feng, Yiyuan Zhou, Danmei Hu, Juanjuan Liu, Shixi Zou, Jian |
author_facet | Gan, Weigang Xiao, Ning Feng, Yiyuan Zhou, Danmei Hu, Juanjuan Liu, Shixi Zou, Jian |
author_sort | Gan, Weigang |
collection | PubMed |
description | BACKGROUND: Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affecting clinical features of TFBA in West China and propose potential effective intervention measures. METHODS: We retrospectively analyzed the clinical data of pediatric patients diagnosed with TFBA with foreign bodies (FBs) removed by rigid bronchoscopy under general anesthesia at the otolaryngology department from December 2017 to November 2018. The data included age, sex, clinical symptoms, type and location of FB, guardians, prehospital duration and residence of these pediatric patients. RESULTS: The ratio of males (72) to females (53) was 1.4:1. Children aged from 1 to 3 years accounted for 76% (95/125) of patients. Cough, continuous fever and dyspnea were the primary symptoms. The right primary bronchus was the most common location of FB detection by rigid bronchoscopy (67 cases, 53.6%). Organic FBs were most common in our study. Guardians of patients significantly differed in the rural (parents 16, grandparents 31) and urban (parents 52, grandparents 26) groups (χ(2) = 12.583, p = 0.000). More children in the rural group than in the urban group had a treatment delay longer than 72 h. More children in the group with no history of FB aspiration (12, 25%) than in the group with prior FB aspiration had a treatment delay longer than 72 h. CONCLUSION: Pediatric TFBA is a common emergency in otolaryngology. Age, sex, tracheobronchial anatomy and other physiological elements were defined as intrinsic factors, while guardians, residence, FB species and prehospital time were defined as external factors of TFBA. External and intrinsic factors both influence the occurrence and progression of TFBA. It is extremely important to take effective measures to control external factors, which can decrease morbidity and mortality. |
format | Online Article Text |
id | pubmed-7927229 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-79272292021-03-03 Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors Gan, Weigang Xiao, Ning Feng, Yiyuan Zhou, Danmei Hu, Juanjuan Liu, Shixi Zou, Jian BMC Surg Research Article BACKGROUND: Tracheobronchial foreign body aspiration (TFBA) is a critical disease in children and is extremely dangerous, even life-threatening. The factors affecting the occurrence and prognosis of TFBA are complex. The purpose of this study is to examine the external and intrinsic factors affecting clinical features of TFBA in West China and propose potential effective intervention measures. METHODS: We retrospectively analyzed the clinical data of pediatric patients diagnosed with TFBA with foreign bodies (FBs) removed by rigid bronchoscopy under general anesthesia at the otolaryngology department from December 2017 to November 2018. The data included age, sex, clinical symptoms, type and location of FB, guardians, prehospital duration and residence of these pediatric patients. RESULTS: The ratio of males (72) to females (53) was 1.4:1. Children aged from 1 to 3 years accounted for 76% (95/125) of patients. Cough, continuous fever and dyspnea were the primary symptoms. The right primary bronchus was the most common location of FB detection by rigid bronchoscopy (67 cases, 53.6%). Organic FBs were most common in our study. Guardians of patients significantly differed in the rural (parents 16, grandparents 31) and urban (parents 52, grandparents 26) groups (χ(2) = 12.583, p = 0.000). More children in the rural group than in the urban group had a treatment delay longer than 72 h. More children in the group with no history of FB aspiration (12, 25%) than in the group with prior FB aspiration had a treatment delay longer than 72 h. CONCLUSION: Pediatric TFBA is a common emergency in otolaryngology. Age, sex, tracheobronchial anatomy and other physiological elements were defined as intrinsic factors, while guardians, residence, FB species and prehospital time were defined as external factors of TFBA. External and intrinsic factors both influence the occurrence and progression of TFBA. It is extremely important to take effective measures to control external factors, which can decrease morbidity and mortality. BioMed Central 2021-03-03 /pmc/articles/PMC7927229/ /pubmed/33658017 http://dx.doi.org/10.1186/s12893-021-01089-3 Text en © The Author(s) 2021 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 Gan, Weigang Xiao, Ning Feng, Yiyuan Zhou, Danmei Hu, Juanjuan Liu, Shixi Zou, Jian Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors |
title | Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors |
title_full | Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors |
title_fullStr | Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors |
title_full_unstemmed | Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors |
title_short | Clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors |
title_sort | clinical analysis of tracheobronchial foreign body aspiration in children: a focus on external and intrinsic factors |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927229/ https://www.ncbi.nlm.nih.gov/pubmed/33658017 http://dx.doi.org/10.1186/s12893-021-01089-3 |
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