Diagnostic Evaluation of Foreign Body Aspiration in Children
Aim:The aim of this study was to evaluate the place of clinical symptoms and findings, and radiological imaging in the diagnosis of foreign body aspiration (FBA) in children, and to investigate the validity of existing diagnostic algorithms.Materials and Methods:The medical records of 120 children w...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-03-01
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| Series: | Journal of Pediatric Research |
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| Online Access: |
http://jpedres.org/archives/archive-detail/article-preview/diagnostic-evaluation-of-foreign-body-aspiration-i/41614
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| _version_ | 1828023705886785536 |
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| author | Ali Onur Erdem Barlas Etensel Mesut Yazıcı Sezen Karaca Özkısacık |
| author_facet | Ali Onur Erdem Barlas Etensel Mesut Yazıcı Sezen Karaca Özkısacık |
| author_sort | Ali Onur Erdem |
| collection | DOAJ |
| description | Aim:The aim of this study was to evaluate the place of clinical symptoms and findings, and radiological imaging in the diagnosis of foreign body aspiration (FBA) in children, and to investigate the validity of existing diagnostic algorithms.Materials and Methods:The medical records of 120 children with a diagnosis of FBA who underwent rigid bronchoscopy were examined. The sensitivity and specificity of the parameters used in the diagnosis of FBA and their predictive values were calculated.Results:78.9% of the patients were younger than 3 years and 63.8% were male. The peak incidence was 18 months. The rate of negative bronchoscopy was 30.8% and 87.3% of these patients were younger than 3 years. It was observed that the value with the highest diagnostical sensitivity and diagnostic accuracy (DA) rate (sensitivity; 92.54% and DA; 85.7%) had positivity for any of the radiological findings, and among these, there was the detection of one-sided excessive ventilation on chest X-ray (sensitivity; 70.0% and DA; 70.01%). Patients with positivity of any of the radiological findings who additionally had wheezing together with cyanosis or dyspnea had 100% specificity.Conclusion:Particularly male children under the age of 3 years have an increased risk of FBA. Neither clinical symptoms nor radiological findings alone are sufficiently specific and sensitive in the diagnosis of FBA. The most important factor in the decision to perform bronchoscopy is the evaluation of radiological findings together with physical examination and history. |
| first_indexed | 2024-04-10T12:32:11Z |
| format | Article |
| id | doaj.art-91661d3f2e354ab2aad18a824ece14b4 |
| institution | Directory Open Access Journal |
| issn | 2587-2478 2587-2478 |
| language | English |
| last_indexed | 2024-04-10T12:32:11Z |
| publishDate | 2021-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Pediatric Research |
| spelling | doaj.art-91661d3f2e354ab2aad18a824ece14b42023-02-15T16:14:51ZengGalenos YayineviJournal of Pediatric Research2587-24782587-24782021-03-0181495410.4274/jpr.galenos.2020.1069213049054Diagnostic Evaluation of Foreign Body Aspiration in ChildrenAli Onur Erdem0Barlas Etensel1Mesut Yazıcı2Sezen Karaca Özkısacık3 Aydın Adnan Menderes University Faculty of Medicine, Department of Pediatric Surgery, Aydın, Turkey Aydın Adnan Menderes University Faculty of Medicine, Department of Pediatric Surgery, Aydın, Turkey Aydın Adnan Menderes University Faculty of Medicine, Department of Pediatric Surgery, Aydın, Turkey Aydın Adnan Menderes University Faculty of Medicine, Department of Pediatric Surgery, Aydın, Turkey Aim:The aim of this study was to evaluate the place of clinical symptoms and findings, and radiological imaging in the diagnosis of foreign body aspiration (FBA) in children, and to investigate the validity of existing diagnostic algorithms.Materials and Methods:The medical records of 120 children with a diagnosis of FBA who underwent rigid bronchoscopy were examined. The sensitivity and specificity of the parameters used in the diagnosis of FBA and their predictive values were calculated.Results:78.9% of the patients were younger than 3 years and 63.8% were male. The peak incidence was 18 months. The rate of negative bronchoscopy was 30.8% and 87.3% of these patients were younger than 3 years. It was observed that the value with the highest diagnostical sensitivity and diagnostic accuracy (DA) rate (sensitivity; 92.54% and DA; 85.7%) had positivity for any of the radiological findings, and among these, there was the detection of one-sided excessive ventilation on chest X-ray (sensitivity; 70.0% and DA; 70.01%). Patients with positivity of any of the radiological findings who additionally had wheezing together with cyanosis or dyspnea had 100% specificity.Conclusion:Particularly male children under the age of 3 years have an increased risk of FBA. Neither clinical symptoms nor radiological findings alone are sufficiently specific and sensitive in the diagnosis of FBA. The most important factor in the decision to perform bronchoscopy is the evaluation of radiological findings together with physical examination and history. http://jpedres.org/archives/archive-detail/article-preview/diagnostic-evaluation-of-foreign-body-aspiration-i/41614 foreign body aspirationchildrenalgorithms |
| spellingShingle | Ali Onur Erdem Barlas Etensel Mesut Yazıcı Sezen Karaca Özkısacık Diagnostic Evaluation of Foreign Body Aspiration in Children Journal of Pediatric Research foreign body aspiration children algorithms |
| title | Diagnostic Evaluation of Foreign Body Aspiration in Children |
| title_full | Diagnostic Evaluation of Foreign Body Aspiration in Children |
| title_fullStr | Diagnostic Evaluation of Foreign Body Aspiration in Children |
| title_full_unstemmed | Diagnostic Evaluation of Foreign Body Aspiration in Children |
| title_short | Diagnostic Evaluation of Foreign Body Aspiration in Children |
| title_sort | diagnostic evaluation of foreign body aspiration in children |
| topic | foreign body aspiration children algorithms |
| url |
http://jpedres.org/archives/archive-detail/article-preview/diagnostic-evaluation-of-foreign-body-aspiration-i/41614
|
| work_keys_str_mv | AT alionurerdem diagnosticevaluationofforeignbodyaspirationinchildren AT barlasetensel diagnosticevaluationofforeignbodyaspirationinchildren AT mesutyazıcı diagnosticevaluationofforeignbodyaspirationinchildren AT sezenkaracaozkısacık diagnosticevaluationofforeignbodyaspirationinchildren |