The multivariate analysis of indications of rigid bronchoscopy in suspected foreign body aspiration

Foreign body aspiration (FBA) could be a serious life-threatening condition in children. Patients usually underwent bronchoscopy with suspicious of FBA alone. In this study, we aimed to determine which patients need to go to bronchoscopy based on pre-operative findings. Retrospective analysis of pat...

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Bibliographic Details
Published in:International journal of pediatric otorhinolaryngology 2017-09, Vol.100, p.232-237
Main Authors: Divarci, E., Toker, B., Dokumcu, Z., Musayev, A., Ozcan, C., Erdener, A.
Format: Article
Language:English
Subjects:
Adolescent
Bronchoscopy
Bronchoscopy - methods
Child
Child, Preschool
Children
Female
Foreign Bodies - diagnosis
Foreign body aspiration
Humans
Infant
Male
Multivariate Analysis
Respiratory System - injuries
Retrospective Studies
Rigid bronchoscopy
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Summary:Foreign body aspiration (FBA) could be a serious life-threatening condition in children. Patients usually underwent bronchoscopy with suspicious of FBA alone. In this study, we aimed to determine which patients need to go to bronchoscopy based on pre-operative findings. Retrospective analysis of patients underwent bronchoscopy between 1999 and 2015 was performed. Clinical symptoms, witnessed aspiration event (WAE), physical examination findings (PEFs) and radiological findings (RFs) were analyzed by multivariate analysis to evaluate the indications of bronchoscopy. 431 patients (266M, 165F) underwent bronchoscopy with a median age of 2 years (7 months-16 years). A foreign body was detected in 68% of the patients. Univariate analysis demonstrated that wheeze was the sole distinctive clinical symptom for detection of FBA (p
ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2017.07.012