AI Article Synopsis
- The study focuses on bronchial foreign body aspiration in children, highlighting its potential seriousness and the often delayed diagnosis.
- Researchers analyzed data from 100 pediatric patients who underwent bronchoscopy after suspected FB aspiration, aiming to find reliable clinical indicators for the procedure.
- The key finding was that a history of choking had the highest sensitivity for requiring bronchoscopy (97%), suggesting it should be performed in such cases even if radiologic results are normal or symptoms are mild.
Article Abstract
The aspiration of a bronchial foreign body (FB) remains a common pediatric problem with serious and sometimes fatal sequelae. The diagnosis is often delayed or overlooked. With the aim of determining a reliable clinical and/or radiologic finding to indicate the requirement for bronchoscopy, 100 patients admitted to our hospital because of FB aspiration who underwent rigid bronchoscopy were retrospectively studied. The clinical and radiologic data were compared with the bronchoscopy findings, which revealed that the history of a choking crisis was the clinical parameter that showed the highest sensitivity (97%) with high specificity (63%), and that other symptoms and radiology, even those with high sensitivity (88% and 85%, respectively), had low specificity (9%). We conclude that bronchoscopy should be performed in all patients with a history of a choking crisis even if they have normal radiologic findings and few symptoms.
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| http://dx.doi.org/10.1007/s003830050080 | DOI Listing |
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