Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature

Background. Foreign Body Aspiration (FBA) represents a leading cause of death among unintentional injuries in children less than one year of age. This study reviewed case reports and case series reporting non-food FBA in children to characterize aspirated foreign bodies, describing the clinical pres...

Full description

Bibliographic Details
Main Authors: Giulia Lorenzoni, Marco Vertuani, Valeria Basso, Paola Rescigno, Honoria Ocagli, Dario Gregori
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/10/10/1709
_version_ 1797574244273487872
author Giulia Lorenzoni
Marco Vertuani
Valeria Basso
Paola Rescigno
Honoria Ocagli
Dario Gregori
author_facet Giulia Lorenzoni
Marco Vertuani
Valeria Basso
Paola Rescigno
Honoria Ocagli
Dario Gregori
author_sort Giulia Lorenzoni
collection DOAJ
description Background. Foreign Body Aspiration (FBA) represents a leading cause of death among unintentional injuries in children less than one year of age. This study reviewed case reports and case series reporting non-food FBA in children to characterize aspirated foreign bodies, describing the clinical presentations and the outcomes. Methods: A systematic review was conducted according to the PRISMA checklist. Case reports and case series presenting non-food FBA in children (up to 18 years) were eligible to be included. Information regarding study characteristics, child demographics, foreign body characteristics, clinical presentation, and outcome were extracted. Results: The review included 248 articles published between 1965 and 2023, corresponding to 294 cases. The male gender was the most prevalent (194 cases, 66%), and the median age was 3.5 years (Interquartile Range: 1–8 years). Button batteries were the objects most frequently reported (21 cases, 7.1%). Objects were located most often in the bronchus (102 cases, 35%). The most common symptom was cough (181 cases, 62%), followed by respiratory distress (160 cases, 54%) and wheezing/stridor (127 cases, 43%). Conclusions: The present systematic review may have relevant public health implications, since characterizing objects that cause foreign body injuries is essential to reduce the burden of this phenomenon.
first_indexed 2024-03-10T21:20:15Z
format Article
id doaj.art-04ed7000442c43b6a530813e5a7bd9ae
institution Directory Open Access Journal
issn 2227-9067
language English
last_indexed 2024-03-10T21:20:15Z
publishDate 2023-10-01
publisher MDPI AG
record_format Article
series Children
spelling doaj.art-04ed7000442c43b6a530813e5a7bd9ae2023-11-19T16:05:58ZengMDPI AGChildren2227-90672023-10-011010170910.3390/children10101709Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the LiteratureGiulia Lorenzoni0Marco Vertuani1Valeria Basso2Paola Rescigno3Honoria Ocagli4Dario Gregori5Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35131 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35131 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35131 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35131 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35131 Padova, ItalyUnit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova, 35131 Padova, ItalyBackground. Foreign Body Aspiration (FBA) represents a leading cause of death among unintentional injuries in children less than one year of age. This study reviewed case reports and case series reporting non-food FBA in children to characterize aspirated foreign bodies, describing the clinical presentations and the outcomes. Methods: A systematic review was conducted according to the PRISMA checklist. Case reports and case series presenting non-food FBA in children (up to 18 years) were eligible to be included. Information regarding study characteristics, child demographics, foreign body characteristics, clinical presentation, and outcome were extracted. Results: The review included 248 articles published between 1965 and 2023, corresponding to 294 cases. The male gender was the most prevalent (194 cases, 66%), and the median age was 3.5 years (Interquartile Range: 1–8 years). Button batteries were the objects most frequently reported (21 cases, 7.1%). Objects were located most often in the bronchus (102 cases, 35%). The most common symptom was cough (181 cases, 62%), followed by respiratory distress (160 cases, 54%) and wheezing/stridor (127 cases, 43%). Conclusions: The present systematic review may have relevant public health implications, since characterizing objects that cause foreign body injuries is essential to reduce the burden of this phenomenon.https://www.mdpi.com/2227-9067/10/10/1709foreign bodyaspirationchildrenbutton batteries
spellingShingle Giulia Lorenzoni
Marco Vertuani
Valeria Basso
Paola Rescigno
Honoria Ocagli
Dario Gregori
Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
Children
foreign body
aspiration
children
button batteries
title Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_full Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_fullStr Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_full_unstemmed Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_short Characterization of Non-Food Foreign Bodies Aspirated by Children: A Systematic Review of the Literature
title_sort characterization of non food foreign bodies aspirated by children a systematic review of the literature
topic foreign body
aspiration
children
button batteries
url https://www.mdpi.com/2227-9067/10/10/1709
work_keys_str_mv AT giulialorenzoni characterizationofnonfoodforeignbodiesaspiratedbychildrenasystematicreviewoftheliterature
AT marcovertuani characterizationofnonfoodforeignbodiesaspiratedbychildrenasystematicreviewoftheliterature
AT valeriabasso characterizationofnonfoodforeignbodiesaspiratedbychildrenasystematicreviewoftheliterature
AT paolarescigno characterizationofnonfoodforeignbodiesaspiratedbychildrenasystematicreviewoftheliterature
AT honoriaocagli characterizationofnonfoodforeignbodiesaspiratedbychildrenasystematicreviewoftheliterature
AT dariogregori characterizationofnonfoodforeignbodiesaspiratedbychildrenasystematicreviewoftheliterature