Foreign body aspiration in 48 children: clinical manifestations and outcomes

Sung Hee Kang; Kil Seong Bae; Kyung Won Bang; Hwan Soo Kim; Yoon Hong Chun; Jong-Seo Yoon; Hyun Hee Kim; Jin Tack Kim

doi:10.4168/aard.2016.4.2.107

Journal List > Allergy Asthma Respir Dis > v.4(2) > 1059163

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Kang, Bae, Bang, Kim, Chun, Yoon, Kim, and Kim: Foreign body aspiration in 48 children: clinical manifestations and outcomes

Original Article

Allergy, Asthma & Respiratory Disease 2016; 4(2): 107-113.

Published online: 31 March 2016

DOI: https://doi.org/10.4168/aard.2016.4.2.107

Foreign body aspiration in 48 children: clinical manifestations and outcomes

Sung Hee Kang¹, Kil Seong Bae¹, Kyung Won Bang²

, Hwan Soo Kim¹, Yoon Hong Chun¹, Jong-Seo Yoon¹, Hyun Hee Kim¹, Jin Tack Kim¹

¹Department of Pediatrics, The Catholic University of Korea College of Medicine, Seoul, Korea.

²I to B Pediatrics, Seoul, Korea.

Correspondence to: Kyung Won Bang. I to B Pediatrics, 234 Bangbae-ro, Seocho-gu, Seoul 06584, Korea. Tel: +82-2-532-6400, Fax: +82-2-532-6401, crystallar@hanmail.net

Received 3 August 2015 Revised 27 August 2015 Accepted 4 September 2015

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/).

Abstract

Purpose

This study aimed to have a deeper insight into the clinical spectrum of foreign body aspiration in children and to prospect the further clinical implications of early diagnosis.

Methods

We conducted a retrospective medical chart review of 48 children with foreign bodies at The Catholic University of Korea, Seoul St. Mary's Hospital, between January 2009 and December 2013 in terms of age, sex, symptoms and signs, radiologic findings, and clinical courses. Patients were divided into 2 groups according to the time from aspiration to a definite diagnosis. The 2 groups were compared for clinical courses, radiologic findings, and the length of hospitalization.

Results

Approximately 85% of patients were 3 years of age or younger. About one-fifth of patients had no history of foreign body aspiration. Cough and coarse breathing sounds were the most common symptoms and signs. The most frequent radiologic finding was pulmonary air trapping (33.3%). The mostly commonly aspirated foreign body was peanut and detected in left main bronchus. Cough, sputum, and absence of aspiration history were more common in the delayed diagnosed group than in the early diagnosed group.

Conclusion

Our results suggest that the number of accidents associated with foreign body aspiration can be reduced by keeping infants with nut formula under close observation and by conducting assertive bronchoscopic examination on children with delayed recovery from respiratory infections. After removal of foreign bodies, close monitoring and expectation of possible complications can prevent patients from a long hospital stay.

Keywords: Child, Foreign body aspiration, Bronchoscopy, Diagnosis, Outcome

Figures and Tables

Table 1

Clinical features and chest radiographic finding of patient with foreign body aspiration (n=48)

Table 2

Type of foreign body in tracheobronchial tree

Table 3

Location of foreign body by site

Table 4

Comparison of clinical data between early diagnosed group and delayed diagnosed group of patients with foreign body aspiration

Values are presented as mean±standard deviation or number (%).

EDG, early diagnosed group; DDG, delayed diagnosed group; WBC, white blood cell; ESR, erythrocyte sedimentation rate; CRP, C-reactive protein.

^*P<0.05, statistically significant difference.

Table 5

Misdiagnosis or delayed-diagnosis proportion of long standing foreign body in airway

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ORCID iDs: Kyung Won Bang
https://orcid.org/http://orcid.org/0000-0002-4110-9526
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