Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study
Background: Paediatric foreign body aspiration constitutes significant lethal sequela worldwide. This is the first descriptive Syrian study that aims to describe the epidemiology of foreign body aspiration in a tertiary centre in Syria. Methods: This is a retrospective cohort study conducted at the...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-03-01
|
| Series: | Heliyon |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S240584402100640X |
| _version_ | 1818411298813116416 |
|---|---|
| author | Fatema Mohsen Batoul Bakkar Sara Melhem Roula Altom Bisher Sawaf Imad Alkhija Louei Darjazini Nahas |
| author_facet | Fatema Mohsen Batoul Bakkar Sara Melhem Roula Altom Bisher Sawaf Imad Alkhija Louei Darjazini Nahas |
| author_sort | Fatema Mohsen |
| collection | DOAJ |
| description | Background: Paediatric foreign body aspiration constitutes significant lethal sequela worldwide. This is the first descriptive Syrian study that aims to describe the epidemiology of foreign body aspiration in a tertiary centre in Syria. Methods: This is a retrospective cohort study conducted at the Children's University Hospital, Damascus, from 2011 to 2018 during the Syrian crisis. The children underwent rigid bronchoscopy at Al Mouwasat University hospital, the only properly equipped hospital to perform paediatric rigid bronchoscopy in Damascus. We included all cases with complete medical records of children under the age of 13 years with positive bronchoscopy findings of foreign body aspiration. The records of patients were examined, and data extracted included physical examination, CXR reports, bronchoscopy reports, and complications. Statistical package for social sciences 25.0 program for Windows was used to report frequencies, percentages, means, medians, and standard deviations. Results: Of 560 children diagnosed with foreign body aspiration, the peak incidence was at the age of 1–3 years 376 (67.2%). Most patients presented with an explicit history of inhalation 453 (80.9%). The most frequent clinical findings were dyspnoea 320 (57.1%), wheezing 308 (55%), and chest retraction 209 (37.35%). Hyperinflation 260 (46.4%) followed by pulmonary infiltration 197 (35.2%) were the most common abnormal radiological findings. Seeds 273 (48.8%) were the most frequent foreign body extracted by rigid bronchoscopy. The right main bronchus 255 (40.2%) was the most frequent site of foreign body lodgement. Lobar pneumonia 16 (2.8%) was the commonest complication of foreign body aspiration. Conclusion: Foreign body aspiration is a major public health problem in Syria. The child's welfare must be our paramount concern. To prevent this accident, we should address a change in raising public health awareness with regards to appropriate food and eating habits. This would limit hazardous complications. |
| first_indexed | 2024-12-14T10:29:12Z |
| format | Article |
| id | doaj.art-91a209edfa14473f86932d0992f36bd7 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-12-14T10:29:12Z |
| publishDate | 2021-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-91a209edfa14473f86932d0992f36bd72022-12-21T23:06:13ZengElsevierHeliyon2405-84402021-03-0173e06537Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective studyFatema Mohsen0Batoul Bakkar1Sara Melhem2Roula Altom3Bisher Sawaf4Imad Alkhija5Louei Darjazini Nahas6Faculty of Medicine, Syrian Private University, Damascus, Syria; Corresponding author.Faculty of Medicine, Syrian Private University, Damascus, SyriaFaculty of Medicine, Syrian Private University, Damascus, SyriaFaculty of Medicine, Syrian Private University, Damascus, SyriaDepartment of Internal Medicine, Faculty of Medicine, Syrian Private University, Damascus, Syria; Faculty of Medicine, American University of Beirut Medical Centre Beirut, Lebanon; Internal Medicine Department, Hamad General Hospital, Hamad Medical Corporation, Doha, QatarDepartment of Otorhinolaryngology, Faculty of Medicine, Al Mouwasat University Hospital, SyriaDepartment of Surgery Division of Otorhinolaryngology, Faculty of Medicine, Syrian Private University, Damascus, SyriaBackground: Paediatric foreign body aspiration constitutes significant lethal sequela worldwide. This is the first descriptive Syrian study that aims to describe the epidemiology of foreign body aspiration in a tertiary centre in Syria. Methods: This is a retrospective cohort study conducted at the Children's University Hospital, Damascus, from 2011 to 2018 during the Syrian crisis. The children underwent rigid bronchoscopy at Al Mouwasat University hospital, the only properly equipped hospital to perform paediatric rigid bronchoscopy in Damascus. We included all cases with complete medical records of children under the age of 13 years with positive bronchoscopy findings of foreign body aspiration. The records of patients were examined, and data extracted included physical examination, CXR reports, bronchoscopy reports, and complications. Statistical package for social sciences 25.0 program for Windows was used to report frequencies, percentages, means, medians, and standard deviations. Results: Of 560 children diagnosed with foreign body aspiration, the peak incidence was at the age of 1–3 years 376 (67.2%). Most patients presented with an explicit history of inhalation 453 (80.9%). The most frequent clinical findings were dyspnoea 320 (57.1%), wheezing 308 (55%), and chest retraction 209 (37.35%). Hyperinflation 260 (46.4%) followed by pulmonary infiltration 197 (35.2%) were the most common abnormal radiological findings. Seeds 273 (48.8%) were the most frequent foreign body extracted by rigid bronchoscopy. The right main bronchus 255 (40.2%) was the most frequent site of foreign body lodgement. Lobar pneumonia 16 (2.8%) was the commonest complication of foreign body aspiration. Conclusion: Foreign body aspiration is a major public health problem in Syria. The child's welfare must be our paramount concern. To prevent this accident, we should address a change in raising public health awareness with regards to appropriate food and eating habits. This would limit hazardous complications.http://www.sciencedirect.com/science/article/pii/S240584402100640XPaediatricForeign body aspirationBronchoscopySyriaWarChildren |
| spellingShingle | Fatema Mohsen Batoul Bakkar Sara Melhem Roula Altom Bisher Sawaf Imad Alkhija Louei Darjazini Nahas Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study Heliyon Paediatric Foreign body aspiration Bronchoscopy Syria War Children |
| title | Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study |
| title_full | Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study |
| title_fullStr | Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study |
| title_full_unstemmed | Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study |
| title_short | Foreign body aspiration in a tertiary Syrian centre: A 7-year retrospective study |
| title_sort | foreign body aspiration in a tertiary syrian centre a 7 year retrospective study |
| topic | Paediatric Foreign body aspiration Bronchoscopy Syria War Children |
| url | http://www.sciencedirect.com/science/article/pii/S240584402100640X |
| work_keys_str_mv | AT fatemamohsen foreignbodyaspirationinatertiarysyriancentrea7yearretrospectivestudy AT batoulbakkar foreignbodyaspirationinatertiarysyriancentrea7yearretrospectivestudy AT saramelhem foreignbodyaspirationinatertiarysyriancentrea7yearretrospectivestudy AT roulaaltom foreignbodyaspirationinatertiarysyriancentrea7yearretrospectivestudy AT bishersawaf foreignbodyaspirationinatertiarysyriancentrea7yearretrospectivestudy AT imadalkhija foreignbodyaspirationinatertiarysyriancentrea7yearretrospectivestudy AT loueidarjazininahas foreignbodyaspirationinatertiarysyriancentrea7yearretrospectivestudy |