Predictors of radiolucent foreign body aspiration

Vincent E. Mortellaro, Corey Iqbal, Roxanna Fu, Heather Curtis, Frankie B. Fike, Shawn D. St. Peter

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background Children frequently present for suspected foreign body aspiration, many have mild symptoms and/or negative radiographs raising the question of a radiolucent foreign body aspiration. Method Retrospective review of patients having bronchoscopy for suspected radiolucent foreign body aspiration from 2000 to 2010 collecting demographics, history, hospital presentation, radiographic, and operative details. Pearson's correlation was used between event history, presentation, radiographic details and bronchoscopically identified foreign body with P value < 0.01. Results 138 patients, mean age 2.6 years, mean weight 15.6 kg, 68% male. Event symptoms: 81% witnessed events, 64% wheezing, 43% coughing, 39% choking, 6% stridor, and 0.7% lethargy. Hospital presentation: 70% persistent symptoms, wheezing 56%, coughing 15%, desaturations 11%, stridor 7%, choking 4%, and lethargy 1%. 92% of patients had a chest x-ray; air trapping found in 38%, and lung collapse in 21%. 2 patients received CT scans; 1 had lung collapse. Bronchoscopy identified foreign bodies in 93% of patients: food 68%, plastic 18%, non-descript 11%, rocks 3%. No correlations between event symptoms, hospital presentation, radiographs and foreign body presence. Conclusion Event history, hospital presentation, and radiographs are insufficient in proving the absence of a radiolucent foreign body. Patients with suspected radiolucent foreign body aspiration should undergo diagnostic bronchoscopy prior to discharge.

Original languageEnglish (US)
Pages (from-to)1867-1870
Number of pages4
JournalJournal of Pediatric Surgery
Volume48
Issue number9
DOIs
StatePublished - Sep 1 2013

Fingerprint

Foreign Bodies
Respiratory Sounds
Bronchoscopy
Lethargy
Pulmonary Atelectasis
Airway Obstruction
Aspirations (Psychology)
Plastics
Thorax
History
Air
X-Rays
Demography
Weights and Measures
Food

Keywords

  • Aspiration
  • Foreign body
  • Inhalation
  • Radiolucent

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this

Mortellaro, V. E., Iqbal, C., Fu, R., Curtis, H., Fike, F. B., & St. Peter, S. D. (2013). Predictors of radiolucent foreign body aspiration. Journal of Pediatric Surgery, 48(9), 1867-1870. https://doi.org/10.1016/j.jpedsurg.2013.03.050

Predictors of radiolucent foreign body aspiration. / Mortellaro, Vincent E.; Iqbal, Corey; Fu, Roxanna; Curtis, Heather; Fike, Frankie B.; St. Peter, Shawn D.

In: Journal of Pediatric Surgery, Vol. 48, No. 9, 01.09.2013, p. 1867-1870.

Research output: Contribution to journalArticle

Mortellaro, VE, Iqbal, C, Fu, R, Curtis, H, Fike, FB & St. Peter, SD 2013, 'Predictors of radiolucent foreign body aspiration', Journal of Pediatric Surgery, vol. 48, no. 9, pp. 1867-1870. https://doi.org/10.1016/j.jpedsurg.2013.03.050
Mortellaro VE, Iqbal C, Fu R, Curtis H, Fike FB, St. Peter SD. Predictors of radiolucent foreign body aspiration. Journal of Pediatric Surgery. 2013 Sep 1;48(9):1867-1870. https://doi.org/10.1016/j.jpedsurg.2013.03.050
Mortellaro, Vincent E. ; Iqbal, Corey ; Fu, Roxanna ; Curtis, Heather ; Fike, Frankie B. ; St. Peter, Shawn D. / Predictors of radiolucent foreign body aspiration. In: Journal of Pediatric Surgery. 2013 ; Vol. 48, No. 9. pp. 1867-1870.
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N2 - Background Children frequently present for suspected foreign body aspiration, many have mild symptoms and/or negative radiographs raising the question of a radiolucent foreign body aspiration. Method Retrospective review of patients having bronchoscopy for suspected radiolucent foreign body aspiration from 2000 to 2010 collecting demographics, history, hospital presentation, radiographic, and operative details. Pearson's correlation was used between event history, presentation, radiographic details and bronchoscopically identified foreign body with P value < 0.01. Results 138 patients, mean age 2.6 years, mean weight 15.6 kg, 68% male. Event symptoms: 81% witnessed events, 64% wheezing, 43% coughing, 39% choking, 6% stridor, and 0.7% lethargy. Hospital presentation: 70% persistent symptoms, wheezing 56%, coughing 15%, desaturations 11%, stridor 7%, choking 4%, and lethargy 1%. 92% of patients had a chest x-ray; air trapping found in 38%, and lung collapse in 21%. 2 patients received CT scans; 1 had lung collapse. Bronchoscopy identified foreign bodies in 93% of patients: food 68%, plastic 18%, non-descript 11%, rocks 3%. No correlations between event symptoms, hospital presentation, radiographs and foreign body presence. Conclusion Event history, hospital presentation, and radiographs are insufficient in proving the absence of a radiolucent foreign body. Patients with suspected radiolucent foreign body aspiration should undergo diagnostic bronchoscopy prior to discharge.

AB - Background Children frequently present for suspected foreign body aspiration, many have mild symptoms and/or negative radiographs raising the question of a radiolucent foreign body aspiration. Method Retrospective review of patients having bronchoscopy for suspected radiolucent foreign body aspiration from 2000 to 2010 collecting demographics, history, hospital presentation, radiographic, and operative details. Pearson's correlation was used between event history, presentation, radiographic details and bronchoscopically identified foreign body with P value < 0.01. Results 138 patients, mean age 2.6 years, mean weight 15.6 kg, 68% male. Event symptoms: 81% witnessed events, 64% wheezing, 43% coughing, 39% choking, 6% stridor, and 0.7% lethargy. Hospital presentation: 70% persistent symptoms, wheezing 56%, coughing 15%, desaturations 11%, stridor 7%, choking 4%, and lethargy 1%. 92% of patients had a chest x-ray; air trapping found in 38%, and lung collapse in 21%. 2 patients received CT scans; 1 had lung collapse. Bronchoscopy identified foreign bodies in 93% of patients: food 68%, plastic 18%, non-descript 11%, rocks 3%. No correlations between event symptoms, hospital presentation, radiographs and foreign body presence. Conclusion Event history, hospital presentation, and radiographs are insufficient in proving the absence of a radiolucent foreign body. Patients with suspected radiolucent foreign body aspiration should undergo diagnostic bronchoscopy prior to discharge.

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