Airway foreign bodies in pediatric patients: anatomic location of foreign body affects complications and outcomes.

Autor: Johnson K; Department of Pediatric Surgery, Mott Children's Hospital, University of Michigan, 1540 E Hospital Dr., Ann Arbor, MI, 48109, USA., Linnaus M; Department of Surgery, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA.; Department of Surgery, Level I Pediatric Trauma Center, Phoenix Children's Hospital, 1919 E Thomas Ave, Phoenix, AZ, 85016, USA., Notrica D; Department of Surgery, Mayo Clinic Arizona, 5777 E Mayo Blvd, Phoenix, AZ, 85054, USA. dnotrica@phoenixchildrens.com.; Department of Surgery, Level I Pediatric Trauma Center, Phoenix Children's Hospital, 1919 E Thomas Ave, Phoenix, AZ, 85016, USA. dnotrica@phoenixchildrens.com.
Jazyk: angličtina
Zdroj: Pediatric surgery international [Pediatr Surg Int] 2017 Jan; Vol. 33 (1), pp. 59-64. Date of Electronic Publication: 2016 Oct 13.
DOI: 10.1007/s00383-016-3988-9
Abstrakt: Background: Airway foreign bodies (FB) are a common medical emergency within the pediatric population. While deaths are not uncommon, the in-hospital mortality rates and correlation with anatomic location of the airway foreign body have not been previously reported.
Methods: The KID database was reviewed for 2003, 2006, 2009, and 2012 for pediatric patients with a discharge diagnosis of airway foreign body using ICD-9 codes (933.1, 934.x).
Results: 11,793 patients, ages 0-17, were found to have an airway FB. Of patients admitted for airway FB 21.2 % required mechanical ventilation during their hospitalization, and the overall mortality rate was 2.5 %. Location of the airway FB was dependent on age (p < 0.01). Use of mechanical ventilation was dependent on the location of the airway FB (p < 0.01) and being transferred from another hospital (OR 2.59, p < 0.01). Univariate analysis demonstrated differences in in-hospital mortality based on location (p < 0.01), use of a ventilator during hospitalization (OR 24.4, p < 0.01), and transfer from another hospital (OR 2.11, p < 0.01).
Conclusions: The in-hospital mortality rate for airway foreign bodies is 2.5 %. The anatomic location of airway FB in pediatric patients varies by age, and affects the need for mechanical ventilation and in-hospital mortality.
Databáze: MEDLINE
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