Airway foreign bodies in pediatric patients: An analysis of composition and age via HCUP KID

被引:5
作者
Wanstreet, Tyler [1 ]
Ramadan, Jad [2 ]
Carr, Michele M. [3 ]
机构
[1] West Virginia Univ, Sch Med, Morgantown, WV 26506 USA
[2] West Virginia Univ, Rockefeller Neurosci Inst, Morgantown, WV 26506 USA
[3] Univ Buffalo, Dept Otolaryngol, Jacobs Sch Med & Biomed Sci, 237 Delaware Ave, Buffalo, NY 14229 USA
关键词
Airway foreign body; Aspiration; Pediatric; Bronchoscopy; Larynx; Trachea; Bronchus;
D O I
10.1016/j.ijporl.2020.110559
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Objective: To compare outcomes for children food and non-food airway foreign body (AFB) diagnoses and to compare outcomes for patients age <2 versus >= 2 years with an AFB diagnosis. Methods: Data from 2016 HCUP KID was used to compare outcomes for food and non-food AFB diagnoses based on location in the larynx, trachea, bronchus, and whole group (including these three specified locations and location unspecified). Outcomes were also compared for children aged <2 versus >= 2 years. Demographic data included age, race, gender, primary payer, location and teaching status of the hospital. Available co-morbidity data included APR-DRG mortality and APR-DRG severity. Outcomes were length of stay (LOS), total charge, mortality, and performance of a tracheotomy. Results: 2973 patients were included. 49.1% were less than 2 years old, the remainder (50.9%) were between 2 and 20 years old. Food AFBs made up 26.0% and 74.0% were other specified non-food AFBs. Overall mortality was 3.7%, and 3.8% underwent tracheotomy. Children with non-food AFBs were significantly older, had significantly longer median LOS, and higher median total charges, when compared to food AFBs. Non-food AFBs had a significantly higher likelihood of tracheotomy. Patients aged 2 or more years with bronchial AFBs had significantly higher total charges, LOS, and APR-DRG risk mortality and severity than <2 year old patients with bronchial AFBs. Conclusion: AFBs remain a serious health concern, especially non-food objects in older children which have elevated risks.
引用
收藏
页数:6
相关论文
共 12 条
  • [1] [Anonymous], 2002, JAMA, V288, P2400
  • [2] [Anonymous], 2016, HCUP KIDS INPATIENT
  • [3] Tracheobronchial foreign bodies - Presentation and management in children and adults
    Baharloo, F
    Veyckemans, F
    Francis, C
    Biettlot, MP
    Rodenstein, DO
    [J]. CHEST, 1999, 115 (05) : 1357 - 1362
  • [4] Foreign body aspiration in children: Experience from 2624 patients
    Boufersaoui, A.
    Smati, L.
    Benhalla, K. N.
    Boukari, R.
    Smail, S.
    Anik, K.
    Aouameur, R.
    Chaouche, H.
    Baghriche, M.
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2013, 77 (10) : 1683 - 1688
  • [5] Nonfatal Choking on Food Among Children 14 Years or Younger in the United States, 2001-2009
    Chapin, Meyli M.
    Rochette, Lynne M.
    Annest, Joseph L.
    Haileyesus, Tadesse
    Conner, Kristen A.
    Smith, Gary A.
    [J]. PEDIATRICS, 2013, 132 (02) : 275 - 281
  • [6] National estimations of airway foreign bodies in children in the United States, 2000 to 2009
    Cheng, Jeffrey
    Liu, Beiyu
    Farjat, Alfredo E.
    Routh, Jonathan
    [J]. CLINICAL OTOLARYNGOLOGY, 2019, 44 (03) : 235 - 239
  • [7] Foreign bodies in the airways: A meta-analysis of published papers
    Foltran, Francesca
    Ballali, Simonetta
    Passali, Francesco Maria
    Kern, Eugene
    Morra, Bruno
    Passali, Giulio Cesare
    Berchialla, Paola
    Lauriello, Maria
    Gregori, Dario
    [J]. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, 2012, 76 : S12 - S19
  • [8] Airway foreign bodies in pediatric patients: anatomic location of foreign body affects complications and outcomes
    Johnson, Kevin
    Linnaus, Maria
    Notrica, David
    [J]. PEDIATRIC SURGERY INTERNATIONAL, 2017, 33 (01) : 59 - 64
  • [9] The National Cost Burden of Bronchial Foreign Body Aspiration in Children
    Kim, Irene A.
    Shapiro, Nina
    Bhattacharyya, Neil
    [J]. LARYNGOSCOPE, 2015, 125 (05) : 1221 - 1224
  • [10] Management of Foreign Bodies Obstructing the Airway in Children
    Shah, Rahul K.
    Patel, Anju
    Lander, Lina
    Choi, Sukgi S.
    [J]. ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2010, 136 (04) : 373 - 379