Risk factors affecting the treatment outcome of pediatric foreign body aspiration: significance of time factors

Pediatr Surg Int. 2020 Sep;36(9):1061-1066. doi: 10.1007/s00383-020-04714-z. Epub 2020 Jul 16.

Abstract

Purpose: The aim of this study was to identify the factors affecting the prognosis of children with foreign body aspiration (FBA) after undergoing rigid bronchoscopy.

Methods: This was a case series with a chart review of 49 children under 3 years of age who underwent rigid bronchoscopy for suspected FBA at a single tertiary institution.

Results: The time from symptom onset to hospitalization positively correlated with the total hospitalization time (p < 0.001), postoperative hospitalization time (p = 0.006), and operation time (p = 0.013). The time from symptom onset to operation positively correlated with the total hospitalization time (p < 0.001) and operation time (p = 0.046). The time from hospitalization to operation and the operation time positively correlated with the total hospitalization time (p = 0.026, 0.044) and postoperative hospitalization time (p = 0.049, 0.003). The time from symptom onset to hospitalization positively correlated with the incidence of pneumonia (p = 0.028).

Conclusion: Rapid hospitalization after symptom onset, rapid surgery after symptom onset, and rapid surgery after hospitalization improve the prognosis of patients with FBA. Further, a short operation time also plays a role in improving patient prognosis.

Keywords: Airway; Bronchoscopy; Foreign body aspiration; Pediatric.

MeSH terms

  • Bronchoscopy / methods*
  • Female
  • Foreign Bodies / diagnosis
  • Foreign Bodies / surgery*
  • Hospitalization / trends
  • Humans
  • Infant
  • Infant, Newborn
  • Inhalation
  • Male
  • Operative Time
  • Prognosis
  • Retrospective Studies
  • Risk Factors
  • Time Factors
  • Treatment Outcome