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Multicenter Study
. 2019 May;44(3):235-239.
doi: 10.1111/coa.13261. Epub 2018 Dec 11.

National estimations of airway foreign bodies in children in the United States, 2000 to 2009

Jeffrey Cheng  1 , Beiyu Liu  2 , Alfredo E Farjat  2 , Jonathan Routh  3
Affiliations
Multicenter Study

National estimations of airway foreign bodies in children in the United States, 2000 to 2009

Jeffrey Cheng et al. Clin Otolaryngol. 2019 May.

Abstract

Objective: Identify risk factors associated with airway foreign bodies in children in the United States and report observed trends over time.

Data source: KID database (2000-2009).

Methods: ICD-9-CM codes for airway foreign bodies were used to identify patients. Risk factors were used for univariate analysis and a multivariate model to identify any increased risk of mortality. These factors were then also trended over time.

Results: Children with airway foreign bodies demonstrate similar risk factors as previously reported, such as male gender, age less than five years and lack of private insurance. The weighted mortality rate for paediatric inpatients with airway foreign bodies was about 2.75%. Fortunately, the rate remained relatively unchanged from 2000 to 2009. Geographically, urban hospital settings appeared to be more affected. Increased risks of mortality were noted for older age, urban hospital setting and teaching hospital status.

Conclusions: Our findings confirm previous findings and identified that the diagnosis of airway foreign bodies in children were associated with male gender, age <5 years, lack of private insurance and geographic location in an urban setting. Further investigation may be warranted to provide clarity on other factors found to have increased association with mortality for quality improvement.

Keywords: HCUP; KID; airway foreign bodies; inpatient; paediatric; risk factors.

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Conflict of interest statement

Conflicts of interest: none

Figures

Figure 1.
Figure 1.
Plot bar histogram with 95% confidence limits of overall frequency by age from 2000 – 2009.
See this image and copyright information in PMC

References

    1. Shah RK, Patel A, Lander L, Choi SS. Management of foreign bodies obstructing the airway in children. Arch Otolaryngol Head Neck Surg 2010;136:373–9. - PubMed
    1. Sidell DR, Kim IA, Coker TR, Moreno C, Shapiro NL. Food choking hazards in children. Int J Pediatr Otorhinolaryngol 2013;77:1940–6. - PubMed
    1. Arjmand EM, Muntz HR, Stratmann SL. Insurance status as a risk factor for foreign body ingestion or aspiration. Int J Pediatr Otorhinolaryngol 1997;42:25–9. - PubMed
    1. Sink JR, Kitsko DJ, Georg MW, Winger DG, Simons JP. Predictors of Foreign Body Aspiration in Children. Otolaryngol Head Neck Surg 2016;155:501–7. - PubMed
    1. Iversen RH, Klug TE. Need for more clear parental recommendations regarding foreign body aspiration in children. Dan Med J 2012;59:A4498. - PubMed

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