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Risk Factors for Procedural Complications of Pediatric Flexible Bronchoscopy: Experience From a Tertiary Care Centre

Aravindhan Manoharan1, Kana Ram Jat2, Nitin Dhochak1

  • 1Division of Pediatric Pulmonology and Intensive Care, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

Indian Pediatrics
|June 24, 2024
PubMed

Insights

Flexible bronchoscopy in children can lead to complications, occurring in 6.7% of cases. Infants under one year, recurrent respiratory papillomatosis, and lower airway malacia are key risk factors for these adverse events.

Area of Science:

  • Pediatric Pulmonology
  • Medical Procedures
  • Patient Safety

Background:

  • Flexible bronchoscopy is a common diagnostic tool in pediatric respiratory care.
  • Understanding complication risks is crucial for optimizing patient outcomes.
  • Previous studies have identified various risk factors, but specific pediatric data requires further analysis.

Purpose of the Study:

  • To identify the incidence of procedural complications in pediatric flexible bronchoscopy.
  • To determine independent risk factors associated with these complications in children.
  • To provide data for improving the safety of flexible bronchoscopy in pediatric patients.

Main Methods:

  • Retrospective analysis of 869 children undergoing flexible bronchoscopy.
  • Statistical analysis to identify independent risk factors for complications.
  • Calculation of adjusted odds ratios and confidence intervals for significant risk factors.

Main Results:

  • Overall complication rate was 6.7% (59/869), with severe events in 3.2% (28/869).
  • Independent risk factors identified: age < 1 year (aOR 2.6), recurrent respiratory papillomatosis (aOR 5.4), and lower airway malacia (aOR 2.1).
  • All identified risk factors were statistically significant (P < 0.05).

Conclusions:

  • Flexible bronchoscopy in children has a notable complication rate, particularly in younger infants.
  • Early identification of infants with recurrent respiratory papillomatosis or lower airway malacia is essential for risk stratification.
  • These findings aid in enhancing patient safety protocols for pediatric bronchoscopy.

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