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Injuries due to foreign body aspirations in Georgia: A prevention perspective

Paata Gvetadze1, Ivane Chkhaidze2, Solidea Baldas3

  • 1Department of the Respiratory Medicine, M.Iashvili Central Children Hospital, Aeyty Medical School, Tbilisi, Georgia.

International Journal of Pediatric Otorhinolaryngology
|March 13, 2016
PubMed

Insights

Foreign body (FB) suffocation is a major risk for young children. This study analyzed FB airway injuries in Georgian children, finding similar patterns to international data, suggesting effective prevention strategies can be adopted.

Area of Science:

  • Pediatric emergency medicine
  • Public health
  • Epidemiology

Background:

  • Foreign body (FB) aspiration is a significant cause of mortality in children aged 0-3 years.
  • Limited international data exists on FB injuries in former USSR countries.
  • This study addresses this gap by analyzing data from Georgia.

Purpose of the Study:

  • To investigate the epidemiology and characteristics of upper airway foreign body injuries in children in Georgia.
  • To compare findings with international registries and meta-analyses.
  • To assess the feasibility of implementing international public health initiatives.

Main Methods:

  • An epidemiological case series analysis of 2896 children admitted to Iashvili Central Children Hospital in Tbilisi, Georgia (1989-2011).
  • Data on upper airway FB injuries were collected and compared with the Susy Safe Registry and meta-analysis data.
  • Study design: Level V, Epidemiological case series.

Main Results:

  • A total of 2896 cases were analyzed.
  • Children under 3 years old showed a significantly higher incidence of injuries compared to the Susy Safe Registry and high-income countries.
  • Organic objects accounted for a significantly higher percentage (86%) of FBs compared to published data.

Conclusions:

  • The epidemiology and treatment of FB injuries in Georgia do not substantially differ from other international case series.
  • Public health initiatives for FB prevention from more advanced countries can likely be effectively translated and implemented in Georgia.
  • This suggests a potential for reducing childhood suffocation deaths through targeted prevention strategies.
Abstract

Keywords:
ChokingForeign bodies injuriesGeorgiaPediatric injuries

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