Foreign Body Aspiration in Children—Retrospective Study and Management Novelties
Foreign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this manifests as a sudden onset of cough, dyspnea, and wheezing. The differential diagnosis is based on a scoring system which takes into accou...
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| Format: | Article |
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MDPI AG
2023-06-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/6/1113 |
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| author | Dana Elena Mîndru Gabriela Păduraru Carmen Daniela Rusu Elena Țarcă Alice Nicoleta Azoicăi Solange Tamara Roșu Alexandrina-Ștefania Curpăn Irina Mihaela Ciomaga Jitaru Ioana Alexandra Pădureț Alina Costina Luca |
| author_facet | Dana Elena Mîndru Gabriela Păduraru Carmen Daniela Rusu Elena Țarcă Alice Nicoleta Azoicăi Solange Tamara Roșu Alexandrina-Ștefania Curpăn Irina Mihaela Ciomaga Jitaru Ioana Alexandra Pădureț Alina Costina Luca |
| author_sort | Dana Elena Mîndru |
| collection | DOAJ |
| description | Foreign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this manifests as a sudden onset of cough, dyspnea, and wheezing. The differential diagnosis is based on a scoring system which takes into account the clinical picture as well as the radiologic aspects. The treatment that is considered the gold-standard for FBA in children remains to be rigid fibronchoscopy, however it comes with several potentially crucial local complications such as airway edema, bleeding, and bronchospasm, along inherent issues due to general anesthesia. <i>Material and methods</i>: Our study is a retrospective study analyzing the medical files of the cases from our hospital over the span of 9 years. The study group consisted of 242 patients aged 0–16 years diagnosed with foreign body aspiration in the Emergency Clinical Hospital for Children “Sfânta Maria” Iași, between January 2010–January 2018. Clinical and imaging data were extracted from the patients’ observation sheets. <i>Results:</i> In our cohort, the distribution of children with foreign body aspiration was uneven, with the highest incidence being reported in children from rural areas (70% of cases), whereas the most affected age group was 1–3 years, amounting to 79% of all cases. The main symptoms which led to emergency admittance were coughing (33%) and dyspnea (22%). The most important factors that determined the unequal distribution were socio-economic status, which relates to a lack of adequate supervision by parents, as well as the consumption of food inappropriate for their age. <i>Conclusions:</i> Foreign body aspiration is a major medical emergency that may be associated with dramatic clinical manifestations. Several scoring algorithms designed to establish the need for bronchoscopy have been proposed, taking into account both the clinical and radiological results. The issue with asymptomatic or mild symptomatic cases, as well as difficulties managing cases with radiolucent foreign bodies, remains a challenge. |
| first_indexed | 2024-03-11T02:11:23Z |
| format | Article |
| id | doaj.art-73afcccb9ba9451e808679e38abf373a |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-11T02:11:23Z |
| publishDate | 2023-06-01 |
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| series | Medicina |
| spelling | doaj.art-73afcccb9ba9451e808679e38abf373a2023-11-18T11:31:39ZengMDPI AGMedicina1010-660X1648-91442023-06-01596111310.3390/medicina59061113Foreign Body Aspiration in Children—Retrospective Study and Management NoveltiesDana Elena Mîndru0Gabriela Păduraru1Carmen Daniela Rusu2Elena Țarcă3Alice Nicoleta Azoicăi4Solange Tamara Roșu5Alexandrina-Ștefania Curpăn6Irina Mihaela Ciomaga Jitaru7Ioana Alexandra Pădureț8Alina Costina Luca9Department of Mother and Child Medicine, University of Medicine and Pharmacy ”Gr.T.Popa”, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, University of Medicine and Pharmacy ”Gr.T.Popa”, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, University of Medicine and Pharmacy ”Gr.T.Popa”, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, University of Medicine and Pharmacy ”Gr.T.Popa”, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, University of Medicine and Pharmacy ”Gr.T.Popa”, 700115 Iasi, RomaniaDepartment of Mother and Child Medicine, University of Medicine and Pharmacy ”Gr.T.Popa”, 700115 Iasi, RomaniaDepartment of Biology, Faculty of Biology, “Alexandru Ioan Cuza” University of Iasi, 700505 Iasi, RomaniaDepartment of Mother and Child Medicine, University of Medicine and Pharmacy ”Gr.T.Popa”, 700115 Iasi, RomaniaClinical Hospital of Emergency for Children Sfanta Maria, 700309 Iasi, RomaniaDepartment of Mother and Child Medicine, University of Medicine and Pharmacy ”Gr.T.Popa”, 700115 Iasi, RomaniaForeign body aspiration (FBA) is a frequent diagnosis in children. In the absence of other lung conditions, such as asthma or chronic pulmonary infections, this manifests as a sudden onset of cough, dyspnea, and wheezing. The differential diagnosis is based on a scoring system which takes into account the clinical picture as well as the radiologic aspects. The treatment that is considered the gold-standard for FBA in children remains to be rigid fibronchoscopy, however it comes with several potentially crucial local complications such as airway edema, bleeding, and bronchospasm, along inherent issues due to general anesthesia. <i>Material and methods</i>: Our study is a retrospective study analyzing the medical files of the cases from our hospital over the span of 9 years. The study group consisted of 242 patients aged 0–16 years diagnosed with foreign body aspiration in the Emergency Clinical Hospital for Children “Sfânta Maria” Iași, between January 2010–January 2018. Clinical and imaging data were extracted from the patients’ observation sheets. <i>Results:</i> In our cohort, the distribution of children with foreign body aspiration was uneven, with the highest incidence being reported in children from rural areas (70% of cases), whereas the most affected age group was 1–3 years, amounting to 79% of all cases. The main symptoms which led to emergency admittance were coughing (33%) and dyspnea (22%). The most important factors that determined the unequal distribution were socio-economic status, which relates to a lack of adequate supervision by parents, as well as the consumption of food inappropriate for their age. <i>Conclusions:</i> Foreign body aspiration is a major medical emergency that may be associated with dramatic clinical manifestations. Several scoring algorithms designed to establish the need for bronchoscopy have been proposed, taking into account both the clinical and radiological results. The issue with asymptomatic or mild symptomatic cases, as well as difficulties managing cases with radiolucent foreign bodies, remains a challenge.https://www.mdpi.com/1648-9144/59/6/1113pediatric emergencyforeign body aspirationsbronchoscopyalgorithms |
| spellingShingle | Dana Elena Mîndru Gabriela Păduraru Carmen Daniela Rusu Elena Țarcă Alice Nicoleta Azoicăi Solange Tamara Roșu Alexandrina-Ștefania Curpăn Irina Mihaela Ciomaga Jitaru Ioana Alexandra Pădureț Alina Costina Luca Foreign Body Aspiration in Children—Retrospective Study and Management Novelties Medicina pediatric emergency foreign body aspirations bronchoscopy algorithms |
| title | Foreign Body Aspiration in Children—Retrospective Study and Management Novelties |
| title_full | Foreign Body Aspiration in Children—Retrospective Study and Management Novelties |
| title_fullStr | Foreign Body Aspiration in Children—Retrospective Study and Management Novelties |
| title_full_unstemmed | Foreign Body Aspiration in Children—Retrospective Study and Management Novelties |
| title_short | Foreign Body Aspiration in Children—Retrospective Study and Management Novelties |
| title_sort | foreign body aspiration in children retrospective study and management novelties |
| topic | pediatric emergency foreign body aspirations bronchoscopy algorithms |
| url | https://www.mdpi.com/1648-9144/59/6/1113 |
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