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. 2021 Jan;10(1):83-91.
doi: 10.21037/tp-20-244.

A multicenter survey of pediatric flexible bronchoscopy in western China

Jilei Lin  1 , Xingping Tao  2 , Wanmin Xia  3 , Jing Liu  4 , Lin Zhong  5 , Xin Sun  6 , Lu Liu  7 , Lei Li  8 , Rong Jin  9 , Li Cheng  10 , Zhongtao Wang  11 , Zhengxiu Luo  1 , Qubei Li  1 , Enmei Liu  1 , Zhou Fu  1 , Jihong Dai  1
Affiliations

A multicenter survey of pediatric flexible bronchoscopy in western China

Jilei Lin et al. Transl Pediatr. 2021 Jan.

Abstract

Background: This study aims to investigate the current use of pediatric flexible bronchoscopy (PFB) in western China.

Methods: A cross-sectional survey was conducted in western China between January 1, 2018 to December 30, 2018. Fifty-four centers were invited to answer a questionnaire for seeking information about performance of PFB. The data collected were analyzed to investigate the current status of western China, and hierarchical cluster analysis was conducted to identify developmental level of PFB of cities.

Results: Forty-seven centers were included in analysis. A total of 22,585 flexible bronchoscopies were carried out in the participating centers from January 1, 2018 to December 30, 2018. Eight centers (17.0%) performed more than 1,000 pediatric flexible bronchoscopies for children, but 20 centers (42.6%) performed less than 100. The median proportion of systematic and professional trained physicians in a single team was 50%, and the pooled rate was 59% (95% CI, 47-70%). Only 10, 8 and 11 centers performed balloon dilatation, thermal ablation and cryoablation, respectively. Obvious cough was the most frequent complication after the PFB procedure, the pooled rate is 24% (95% CI, 18-29%). No one died during and after the PFB procedure. Hierarchical cluster analysis showed that the development of PBF in western China varies, and Chongqing might be the most developed area in PFB use in western China.

Conclusions: Flexible bronchoscopy in children is now a mature and safe procedure, while the development of PFB varies in western China, especially for the advanced bronchoscopic intervention.

Keywords: Flexible bronchoscopy; survey; western China.

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Conflict of interest statement

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/tp-20-244). All authors report grants from Zhou Fu: Chongqing elite-innovation leader (Grant No. 020160), outside the submitted work.

Figures

Figure 1
Figure 1
The included provinces of this study.
Figure 2
Figure 2
Hierarchical cluster analysis of these included cities.
See this image and copyright information in PMC

References

    1. Faro A, Wood RE, Schechter MS, et al. Official American Thoracic Society technical standards: flexible airway endoscopy in children. Am J Respir Crit Care Med 2015;191:1066-80. 10.1164/rccm.201503-0474ST - DOI - PubMed
    1. Jayaraj AK, Jayaraj PK, Murugesh M, et al. Tracheal Foreign Body Removal Using Flexible Bronchoscope in a Pediatric Patient. A Novel Approach. 2017;196:1071-2. - PubMed
    1. Sachdev A, Chhawchharia R, Gupta D, et al. Flexible Fiberoptic Bronchoscopy Directed Interventions in Neonatal Intensive Care Unit. Indian Pediatr 2019;56:563-5. 10.1007/s13312-019-1555-x - DOI - PubMed
    1. Pediatric bronchoscopy collaboration group, respiratory group, pediatric Pediatric Society of Pediatrics. pediatric bronchoscopy guidelines (2009 Edition) [translation into English]. Chinese Journal of Pediatrics 2009;47:740. - PubMed
    1. Expert group of pediatric respiratory endoscopy diagnosis and treatment technology of talent exchange service center of National Health Commission. Guidelines for Chinese pediatric flexible bronchoscopy (2018 Edition) [translation into English]. Chinese Journal of Practical Pediatrics 2018;33:983-9.

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