Can Clinical and Radiological Diagnosis Reduce the Need for Bronchoscopy in Pediatric Tracheobronchial Foreign Body Aspiration Cases?
Objectives: To assess the diagnostic accuracy and efficacy of taking history, conducting physical examination, and assessing the radiological characteristics of children suspected of having aspirated foreign bodies (FBs), vis-à-vis tracheobronchoscopy, the gold standard diagnostic tool. An additiona...
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| Format: | Article |
| Language: | English |
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Oman Medical Specialty Board
2022-07-01
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| Series: | Oman Medical Journal |
| Subjects: | |
| Online Access: | https://omjournal.org/articleDetails.aspx?coType=1&aId=3183 |
| _version_ | 1811282698116792320 |
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| author | Laila Al Masaoudi Arif Ali Kolethekkat Sachin Jose Rashid Al Abri |
| author_facet | Laila Al Masaoudi Arif Ali Kolethekkat Sachin Jose Rashid Al Abri |
| author_sort | Laila Al Masaoudi |
| collection | DOAJ |
| description | Objectives: To assess the diagnostic accuracy and efficacy of taking history, conducting physical examination, and assessing the radiological characteristics of children suspected of having aspirated foreign bodies (FBs), vis-à-vis tracheobronchoscopy, the gold standard diagnostic tool. An additional objective was to analyze the types and locations of aspirated FBs. Methods: This single-center retrospective cohort study used the archived medical data of consecutive pediatric patients who had presented with suspected tracheobronchial FB aspiration (TFBA) from January 2011 to May 2021. Data regarding clinical presentation, radiological impressions, and intraoperative findings were retrieved from electronic medical records. Results: The subjects comprised 44 children (22 male) with a mean age of 25.4 months (median = 17.5 months). The majority (27; 61.4%) had TFBA. Among the clinical symptoms, choking and coughing had a sensitivity of 93.9% and specificity of 30.0% and 50.0%, respectively in confirming the presence of a FB. Positive physical examination results had a sensitivity of 95.8% and specificity of 63.2%. Radiological results had a sensitivity of 60.0% and specificity of 78.9%. Organic substances constituted 47.7% of the aspirated FBs. Conclusions: Proper clinical assessment with history, physical examination, and imaging can highly predict the presence of TFBAs in children, and help the clinician decide whether bronchoscopy is necessary. |
| first_indexed | 2024-04-13T01:57:15Z |
| format | Article |
| id | doaj.art-7b896f84302b4b42b59d031767ca6e04 |
| institution | Directory Open Access Journal |
| issn | 1999-768X 2070-5204 |
| language | English |
| last_indexed | 2024-04-13T01:57:15Z |
| publishDate | 2022-07-01 |
| publisher | Oman Medical Specialty Board |
| record_format | Article |
| series | Oman Medical Journal |
| spelling | doaj.art-7b896f84302b4b42b59d031767ca6e042022-12-22T03:07:44ZengOman Medical Specialty BoardOman Medical Journal1999-768X2070-52042022-07-01374e409e40910.5001/omj.2022.80Can Clinical and Radiological Diagnosis Reduce the Need for Bronchoscopy in Pediatric Tracheobronchial Foreign Body Aspiration Cases?Laila Al Masaoudi0Arif Ali Kolethekkat1Sachin Jose2Rashid Al Abri3Department of Surgery, Ear, Nose, and Throat Division, Sultan Qaboos University, Muscat, OmanDepartment of Surgery, Ear, Nose, and Throat Division, Sultan Qaboos University, Muscat, OmanMedical Simulation and Skills Development Centre, Oman Medical Specialty Board, Muscat, OmanDepartment of Surgery, Ear, Nose, and Throat Division, Sultan Qaboos University, Muscat, OmanObjectives: To assess the diagnostic accuracy and efficacy of taking history, conducting physical examination, and assessing the radiological characteristics of children suspected of having aspirated foreign bodies (FBs), vis-à-vis tracheobronchoscopy, the gold standard diagnostic tool. An additional objective was to analyze the types and locations of aspirated FBs. Methods: This single-center retrospective cohort study used the archived medical data of consecutive pediatric patients who had presented with suspected tracheobronchial FB aspiration (TFBA) from January 2011 to May 2021. Data regarding clinical presentation, radiological impressions, and intraoperative findings were retrieved from electronic medical records. Results: The subjects comprised 44 children (22 male) with a mean age of 25.4 months (median = 17.5 months). The majority (27; 61.4%) had TFBA. Among the clinical symptoms, choking and coughing had a sensitivity of 93.9% and specificity of 30.0% and 50.0%, respectively in confirming the presence of a FB. Positive physical examination results had a sensitivity of 95.8% and specificity of 63.2%. Radiological results had a sensitivity of 60.0% and specificity of 78.9%. Organic substances constituted 47.7% of the aspirated FBs. Conclusions: Proper clinical assessment with history, physical examination, and imaging can highly predict the presence of TFBAs in children, and help the clinician decide whether bronchoscopy is necessary.https://omjournal.org/articleDetails.aspx?coType=1&aId=3183foreign bodiesrespiratory aspirationbronchoscopypediatric emergency medicinediagnosisoman |
| spellingShingle | Laila Al Masaoudi Arif Ali Kolethekkat Sachin Jose Rashid Al Abri Can Clinical and Radiological Diagnosis Reduce the Need for Bronchoscopy in Pediatric Tracheobronchial Foreign Body Aspiration Cases? Oman Medical Journal foreign bodies respiratory aspiration bronchoscopy pediatric emergency medicine diagnosis oman |
| title | Can Clinical and Radiological Diagnosis Reduce the Need for Bronchoscopy in Pediatric Tracheobronchial Foreign Body Aspiration Cases? |
| title_full | Can Clinical and Radiological Diagnosis Reduce the Need for Bronchoscopy in Pediatric Tracheobronchial Foreign Body Aspiration Cases? |
| title_fullStr | Can Clinical and Radiological Diagnosis Reduce the Need for Bronchoscopy in Pediatric Tracheobronchial Foreign Body Aspiration Cases? |
| title_full_unstemmed | Can Clinical and Radiological Diagnosis Reduce the Need for Bronchoscopy in Pediatric Tracheobronchial Foreign Body Aspiration Cases? |
| title_short | Can Clinical and Radiological Diagnosis Reduce the Need for Bronchoscopy in Pediatric Tracheobronchial Foreign Body Aspiration Cases? |
| title_sort | can clinical and radiological diagnosis reduce the need for bronchoscopy in pediatric tracheobronchial foreign body aspiration cases |
| topic | foreign bodies respiratory aspiration bronchoscopy pediatric emergency medicine diagnosis oman |
| url | https://omjournal.org/articleDetails.aspx?coType=1&aId=3183 |
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