Clinical characteristics of aero-digestive foreign bodies in neurologically impaired children. Int J Pediatr Otorhinolaryngol 2002 Feb 25;62(3):243-8
Date
02/20/2002Pubmed ID
11852128DOI
10.1016/s0165-5876(01)00632-2Scopus ID
2-s2.0-0037186440 (requires institutional sign-in at Scopus site) 15 CitationsAbstract
OBJECTIVE: To determine if children with neurological impairment are at additional risk for foreign body aspiration or impaction and if they present with a different clinical course than normal children.
DESIGN: Retrospective cohort study.
SETTING: Tertiary care children's hospital.
PATIENTS AND OTHER PARTICIPANTS: A retrospective chart review of 328 consecutive procedures for aero-digestive foreign body removal over a 6 year period was performed. Of these patients 52 (15.9%) were identified with neurological impairment.
RESULTS: Compared with the non-impaired children, those with neurological impairment were older, diagnosed later, hospitalized longer and had a higher incidence of complications.
CONCLUSION: A greater index of suspicion is needed to timely treat aero-digestive foreign bodies in children with neurological impairment. These children may not be receiving the necessary attention when presenting with non-specific symptoms.
Author List
DeRowe A, Massick D, Beste DJAuthor
David J. Beste MD Professor in the Otolaryngology department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAge Factors
Airway Obstruction
Child
Child, Preschool
Deglutition
Digestive System
Female
Foreign Bodies
Humans
Infant
Inhalation
Male
Nervous System Diseases
Respiratory System
Time Factors
