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Published on: September 11, 2018
Characteristics And Outcomes Of Aerodigestive Foreign Bodies In Children
Murad Habib1, Khurrum Arif1, Muhammad Amjad Chaudhary1
1Department of Paediatric Surgery, The Children's Hospital Pakistan Institute of Medical Sciences Islamabad, Pakistan.
Insights
Pediatric aerodigestive foreign bodies are a significant health concern, with coins being the most common ingested object and whistles the most common aspirated. Early evaluation and endoscopic removal are crucial for preventing life-threatening complications.
Area of Science:
- Pediatric Emergency Medicine
- Otolaryngology
- Gastroenterology
Background:
- Aerodigestive foreign bodies pose a common and serious health risk in preschool-aged children.
- These incidents contribute significantly to pediatric morbidity and mortality globally.
Purpose of the Study:
- To analyze the characteristics of foreign body ingestion and aspiration in children.
- To identify common foreign body types, patient demographics, and presentation times.
Main Methods:
- A retrospective analysis of 108 pediatric patients presenting with suspected foreign body ingestion/aspiration over two years.
- Data collected included socio-demographics, foreign body type, age, and presentation mode.
- Pearson Chi-square test was used for correlation analysis.
Main Results:
- The majority of patients (62.26%) were male, with a mean age of 40.97 months.
- Pre-schoolers (under 4 years) constituted the largest group (44.44%).
- Coins were the most frequent ingested foreign body (54%), followed by button batteries (19%). Whistles were the most common aspirated object (33%).
Conclusions:
- Prompt evaluation is essential for all children with suspected foreign body ingestion or inhalation.
- Early recognition and endoscopic removal are critical to prevent severe, life-threatening complications.
Background:
Aerodigestive foreign bodies are common in children of pre-school-going age. It is one of the leading cause of morbidity and mortality in the paediatric population and a global health burden.
Methods:
We present here data of 108 patients who presented to Children hospital's Emergency with a suspicion of foreign body ingestion/aspiration over 2 years from July 1st 2021 to 30th June 2023. Their descriptive analysis including, socio-demographics, type of foreign body, age of presentation, and mode of presentation were calculated and correlation was done using the Pearson Chi square test.
Results:
We observed different types & characteristics of foreign bodies, patients were predominantly male with 62.26%. The mean age of presentation was 40.97 months. The majority of patients were of pre-school age, younger than 4 years (44.44%) followed by the infant population (19.44%) p=0.002. Foreign bodies were mainly located in the upper oesophagus for ingested FBs (60.8%). Most of the population presented within the first 5 hours (52.88%) followed by the first 12 hours (11.11%). Coin ingestion was by far the most common (54%) followed by button battery (19%) and the whistle was the most common aspirated object (33%).
Conclusion:
All patients with a suspicion of foreign body ingestion/inhalation should be evaluated. Early recognition and treatment are imperative because the complications are serious and can be life-threatening and once confirmed should undergo endoscopic removal.
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