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Foreign body aspiration in Israeli children during the COVID-19 pandemic

Inbal Golan-Tripto1,2,3, Reuven Tsabari4,5, Elie Picard6

  • 1Pediatric Pulmonary Unit, Soroka University Medical Center, Beer-Sheva, Israel.

Pediatric Pulmonology
|October 12, 2022
PubMed

Insights

Pediatric foreign body aspiration (FBA) cases did not increase during the COVID-19 pandemic year. However, fewer FBA cases occurred during lockdown periods, with a rise in flexible bronchoscopy use for removal.

Area of Science:

  • Pediatric Emergency Medicine
  • Otolaryngology
  • Pulmonology

Background:

  • The COVID-19 pandemic led to decreased pediatric emergency department visits.
  • The pattern of pediatric foreign body aspiration (FBA) during the pandemic requires assessment.

Purpose of the Study:

  • To evaluate pediatric foreign body aspiration (FBA) patterns during the first year of the COVID-19 pandemic.
  • To compare FBA incidence during pandemic lockdowns versus post-lockdown periods.

Main Methods:

  • A retrospective multicenter study compared FBA cases from March 2020 to February 2021 with 2016-2019 averages.
  • Analysis included lockdown vs. post-lockdown periods, missed FBA rates, and flexible bronchoscopy usage.

Main Results:

  • 345 pediatric FBA cases were analyzed; no difference in prevalence was found between the COVID-19 year and prior years.
  • Monthly FBA incidence decreased during lockdown periods (5.1 cases) compared to post-lockdown (6.3 cases).
  • Flexible bronchoscopy use for FBA removal significantly increased from 15.4% to 30.4%.

Conclusions:

  • Pediatric FBA prevalence remained stable during the COVID-19 pandemic year.
  • Reduced FBA cases during lockdowns may be linked to increased parental supervision.
  • Increased use of flexible bronchoscopy for FBA removal was observed.
Abstract

Keywords:
COVID-19childrenemergency departmentforeign body aspirationlockdown

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