Analysis of risk factors for complications of foreign body aspiration in children

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Wen-Yuan Wang1, Shu-Ying Wang1, Qi-Jun Zhao1

  • 1Department of Pediatric Respiratory Medicine, Gansu Provincial Maternal and Child-care Hospital, Lanzhou, Gansu, China.

Respiratory Medicine
|September 20, 2025
PubMed

Insights

Right-sided foreign bodies and confirmed inhalation history increase pediatric Foreign Body Aspiration complications. Early diagnosis, glottic location, and autumn occurrence are protective factors, aiding clinical prevention and treatment strategies.

Area of Science:

  • Pediatric Pulmonology
  • Emergency Medicine
  • Clinical Risk Factor Analysis

Background:

  • Foreign Body Aspiration (FBA) in children can lead to severe complications.
  • Identifying risk factors is crucial for effective clinical management and prevention strategies.

Purpose of the Study:

  • To investigate the risk factors associated with complications in pediatric patients who have undergone Foreign Body Aspiration.
  • To provide a clinical reference for the prevention and treatment of FBA complications in children.

Main Methods:

  • Retrospective analysis of clinical data from 951 pediatric patients with FBA.
  • Categorization into complication-free and complication groups.
  • Univariate and multivariate binary logistic regression analyses to identify risk factors.

Main Results:

  • Right-sided foreign bodies and confirmed inhalation history were independent risk factors for complications (P < 0.05).
  • Glottic foreign bodies, duration ≤1 day, urban residence, and autumn occurrence were protective factors (P < 0.05).
  • Foreign body type, quantity, and CT status did not significantly impact complication occurrence (P > 0.05).

Conclusions:

  • Right-sided FBA and confirmed inhalation history elevate complication risk.
  • Glottic FBA, early intervention, urban residence, and autumn season are protective.
  • Prioritizing high-risk pediatric patients and enhancing early diagnosis are essential for reducing FBA complications.
Abstract

Keywords:
ChildrenComplicationsForeign Body AspirationRisk factors

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