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).
Abstract

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