Airway foreign bodies in pediatric patients: An analysis of composition and age via HCUP KID

Tyler Wanstreet1, Jad Ramadan2, Michele M Carr3

  • 1School of Medicine, West Virginia University, Morgantown, WV, USA.

Insights

Airway foreign bodies (AFBs) pose significant risks, particularly non-food objects in older children. These cases involve longer hospital stays, higher charges, and increased tracheotomy rates, highlighting a serious pediatric health concern.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology
  • Public Health

Background:

  • Airway foreign body (AFB) ingestion is a common pediatric emergency.
  • Distinguishing between food and non-food items is crucial for understanding associated risks.
  • Age-related differences in AFB outcomes require specific clinical attention.

Purpose of the Study:

  • To compare outcomes for pediatric patients with food versus non-food AFBs.
  • To analyze age-related differences (<2 years vs. ≥2 years) in AFB patient outcomes.
  • To identify risk factors and treatment implications for pediatric AFBs.

Main Methods:

  • Utilized 2016 Healthcare Cost and Utilization Project (HCUP) Kids' Inpatient Database (KID) data.
  • Compared outcomes (length of stay, total charge, mortality, tracheotomy) for food vs. non-food AFBs.
  • Stratified analysis by age groups (<2 years vs. ≥2 years) and AFB location (larynx, trachea, bronchus).

Main Results:

  • Non-food AFBs were associated with significantly older patients, longer length of stay, higher total charges, and increased tracheotomy rates compared to food AFBs.
  • Patients aged ≥2 years with bronchial AFBs experienced higher total charges, longer LOS, and greater mortality risk than younger counterparts.
  • Overall mortality was 3.7%, with 3.8% requiring tracheotomy.

Conclusions:

  • Airway foreign bodies represent a substantial pediatric health risk.
  • Non-food AFBs in older children present elevated risks and poorer outcomes.
  • Age and object type are critical determinants in pediatric AFB management and prognosis.
Abstract

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