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Risk factor analysis and model construction for fish bone foreign body in children's pharynx
ChenXi Luo1, Qi Li1
1Department of Otorhinolaryngology, Children's Hospital of Nanjing Medical University, Jiangsu, China.
American Journal of Otolaryngology
|May 18, 2024
Summary
This study identified key risk factors for pediatric fish bone foreign bodies, developing a predictive model with significant accuracy. Clinicians can use these findings to improve early detection and intervention for ingested fish bones.
Area of Science:
- Pediatric Otolaryngology
- Medical Diagnostics
- Foreign Body Ingestion
Background:
- Fish bone foreign body ingestion is a common pediatric emergency.
- Accurate and timely diagnosis is crucial for effective management.
- Predictive models can aid clinicians in assessing risk.
Purpose of the Study:
- To identify significant risk factors for fish bone foreign bodies in children.
- To develop and validate a clinical risk prediction model for fish bone ingestion.
Main Methods:
- Retrospective analysis of 1405 children undergoing video-guided laryngoscopy.
- Multi-factor logistic regression to identify risk factors.
- Development and validation of a clinical prediction model (nomogram) using ROC curve analysis.
Main Results:
- An ulcerated surface (55.36-fold increased risk), clear chief complaint site (7.963-fold), and tingling sensation (7-fold) were significant predictors.
- The developed prediction model demonstrated strong predictive capability with an AUC of 0.808.
Conclusions:
- A logistic regression model offers significant predictive capability for detecting fish bone foreign bodies.
- Monitoring identified risk factors and implementing targeted interventions can reduce the incidence and severity of fish bone foreign body cases.
