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Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China
OBJECTIVE: To analyze the clinical characteristics of tracheobronchial foreign body (FB) cases in a pediatric Chinese population. METHODS: The clinical data of pediatric patients aged 0–18 years old diagnosed with a tracheobronchial FB in the Children's Hospital of Chongqing Medical University...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9199421/ https://www.ncbi.nlm.nih.gov/pubmed/35722476 http://dx.doi.org/10.3389/fped.2022.873182 |
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author | Ding, Ling Su, Shuping Chen, Cheng Yao, Hongbing Xiao, Ling |
author_facet | Ding, Ling Su, Shuping Chen, Cheng Yao, Hongbing Xiao, Ling |
author_sort | Ding, Ling |
collection | PubMed |
description | OBJECTIVE: To analyze the clinical characteristics of tracheobronchial foreign body (FB) cases in a pediatric Chinese population. METHODS: The clinical data of pediatric patients aged 0–18 years old diagnosed with a tracheobronchial FB in the Children's Hospital of Chongqing Medical University between September 2018 and August 2021 were analyzed retrospectively. RESULTS: Among 1,328 included cases, 92.09% of patients were <3 years old, the male to female ratio was 1.86:1. The prevalence of tracheobronchial FB was similar between patients living in rural and urban areas and tracheobronchial FBs were more common in winter. The most common presenting symptoms were cough and wheezing. The most common CT findings was local obstruction or tracheobronchial narrowing, followed by obstructive emphysema of lung and pneumonia. The 11.3% of cases that did not report FB aspiration on admission had a longer time to hospital admission and longer hospitalization time than cases reporting FB aspiration (P < 0.05). The most common FB type was nuts (81.17%). FBs were more frequently located in the right bronchus, and 64 (4.82%) cases involved multiple FBs. FBs were expelled by coughing in only 4.07% of cases. For the other cases, FB removal by first bronchoscopy in our hospital was successful and complete in 96.86% of cases. 1.51% of patients had hypoxic ischemic encephalopathy (HIE) and the location of FBs was a possible risk factor for HIE (P < 0.05). CONCLUSIONS: Tracheobronchial FBs occurred most commonly in children <3 years old. If asphyxia occurs in children which FBs aspirated, emergency treatment is needed to reduce the occurrence of HIE. Rigid bronchoscopy remains the first-line method for FB removal in children. |
format | Online Article Text |
id | pubmed-9199421 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-91994212022-06-16 Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China Ding, Ling Su, Shuping Chen, Cheng Yao, Hongbing Xiao, Ling Front Pediatr Pediatrics OBJECTIVE: To analyze the clinical characteristics of tracheobronchial foreign body (FB) cases in a pediatric Chinese population. METHODS: The clinical data of pediatric patients aged 0–18 years old diagnosed with a tracheobronchial FB in the Children's Hospital of Chongqing Medical University between September 2018 and August 2021 were analyzed retrospectively. RESULTS: Among 1,328 included cases, 92.09% of patients were <3 years old, the male to female ratio was 1.86:1. The prevalence of tracheobronchial FB was similar between patients living in rural and urban areas and tracheobronchial FBs were more common in winter. The most common presenting symptoms were cough and wheezing. The most common CT findings was local obstruction or tracheobronchial narrowing, followed by obstructive emphysema of lung and pneumonia. The 11.3% of cases that did not report FB aspiration on admission had a longer time to hospital admission and longer hospitalization time than cases reporting FB aspiration (P < 0.05). The most common FB type was nuts (81.17%). FBs were more frequently located in the right bronchus, and 64 (4.82%) cases involved multiple FBs. FBs were expelled by coughing in only 4.07% of cases. For the other cases, FB removal by first bronchoscopy in our hospital was successful and complete in 96.86% of cases. 1.51% of patients had hypoxic ischemic encephalopathy (HIE) and the location of FBs was a possible risk factor for HIE (P < 0.05). CONCLUSIONS: Tracheobronchial FBs occurred most commonly in children <3 years old. If asphyxia occurs in children which FBs aspirated, emergency treatment is needed to reduce the occurrence of HIE. Rigid bronchoscopy remains the first-line method for FB removal in children. Frontiers Media S.A. 2022-05-26 /pmc/articles/PMC9199421/ /pubmed/35722476 http://dx.doi.org/10.3389/fped.2022.873182 Text en Copyright © 2022 Ding, Su, Chen, Yao and Xiao. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Pediatrics Ding, Ling Su, Shuping Chen, Cheng Yao, Hongbing Xiao, Ling Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China |
title | Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China |
title_full | Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China |
title_fullStr | Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China |
title_full_unstemmed | Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China |
title_short | Tracheobronchial Foreign Bodies in Children: Experience From 1,328 Patients in China |
title_sort | tracheobronchial foreign bodies in children: experience from 1,328 patients in china |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9199421/ https://www.ncbi.nlm.nih.gov/pubmed/35722476 http://dx.doi.org/10.3389/fped.2022.873182 |
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