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Death as a Consequence of Foreign Body Aspiration in Children
Fuad Brkic1, Sekib Umihanic1, Hasan Altumbabic1
1ENT Clinic, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
Insights
Foreign body aspiration (FBA) in children has a low mortality rate, which reached zero in the last 15 years of the study. Prevention strategies include product design changes, public education, and improved medical training and equipment.
Area of Science:
- Pediatric Medicine
- Emergency Medicine
- Public Health
Background:
- Foreign body aspiration (FBA) is a significant cause of pediatric respiratory emergencies.
- Mortality rates associated with FBA require ongoing analysis to inform prevention and treatment strategies.
Purpose of the Study:
- To analyze the mortality rate of foreign body aspiration (FBA) in children.
- To identify trends in FBA-related mortality over a long-term study period.
Main Methods:
- Retrospective review of hospital data from 1971 to 2013.
- Inclusion criteria: children aged 0–14 years diagnosed with FBA and undergoing rigid bronchoscopy.
- Exclusion criteria: deaths on arrival.
Main Results:
- The overall mortality rate for FBA in children was 0.785% during the study period.
- Notably, the mortality rate for FBA in children was zero for the last 15 years of the study.
- The study included 772 pediatric patients with FBA, with males comprising 75.8%.
Conclusions:
- The declining mortality rate suggests the effectiveness of current prevention and management strategies.
- Recommended strategies for further reducing FBA mortality include non-medical interventions (product design, public education) and medical interventions (healthcare provider education, equipment enhancement).
Aim:
To analyze the rate of mortality in children with foreign body aspiration (FBA).
Methods:
We outlined a retrospective review of hospital data of patients between 1971 and 2013. FBA occurring in children 0 year to 14 years was considered for inclusion (patient ages ranged from 0.6 to 15 years, with a median age of 2.2 years). The gender structure within the investigated cases was 75.8% males and 24.2% females. During the study period, 772 patients undergoing rigid bronchoscopy with the diagnosis of FBA were included. Deaths on arrival were excluded.
Results:
Total rate of mortality (for whole investigated period) was 0.785. For last fifteen years of the investigated period the rate of mortality was zero.
Conclusion:
For prevention of foreign body aspiration in children and its mortality should be taken two strategies: non-medical (alterations in product design and public education campaigns) and medical (education of medical staff and improvement of equipment).
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