Respiratory medicine · 2025
Analysis of risk factors for complications of foreign body aspiration in children.
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Wang Wen-Yuan, Wang Shu-Ying, Zhao Qi-Jun, Li Wan-Yi, Zhang Tao, Wang Yong-Jun
Аннотация
OBJECTIVE: This study aims to investigate risk factors associated with complications of Foreign Body Aspiration in children, providing reference for clinical prevention and treatment.
METHODS: Clinical data from 951 pediatric patients with Foreign Body Aspiration admitted to Gansu Provincial Maternal and Child-care Hospital between January 2017 and December 2021 were retrospectively analyzed. Patients were categorized into complication-free and complication groups based on occurrence of complications. Univariate and multivariate binary logistic regression analyses were performed to identify risk factors associated with complications.
RESULT: Multivariate analysis revealed that right-sided foreign bodies (OR = 4.452, 95 % CI: 1.084-18.283, P = 0.038) and confirmed history of inhalation (OR = 1.767, 95 % CI: 1.121-2.787, P = 0.014) were independent risk factors for complications. while glottic foreign bodies (OR = 0.657, 95 % CI: 0.472-0.915, P = 0.013), foreign body duration ≤1 day (OR = 0.256, 95 % CI: 0.114-0.573, P = 0.001), urban residence (OR = 0.564, 95 % CI: 0.387-0.823, P = 0.003), and foreign body occurrence in autumn (OR = 0.596, 95 % CI: 0.366-0.972, P = 0.038) were protective factors. Foreign body type, quantity, and CT confirmation status showed no significant impact on complication occurrence (P > 0.05).
CONCLUSION: Right-sided foreign bodies and a clear history of aspiration increase the risk of complications, whereas glottic foreign bodies, early diagnosis and treatment, urban residence, and foreign body ingestion in autumn exert protective effects. Clinicians should prioritize high-risk pediatric patients, enhance early diagnosis and intervention to reduce the risk of complications.
METHODS: Clinical data from 951 pediatric patients with Foreign Body Aspiration admitted to Gansu Provincial Maternal and Child-care Hospital between January 2017 and December 2021 were retrospectively analyzed. Patients were categorized into complication-free and complication groups based on occurrence of complications. Univariate and multivariate binary logistic regression analyses were performed to identify risk factors associated with complications.
RESULT: Multivariate analysis revealed that right-sided foreign bodies (OR = 4.452, 95 % CI: 1.084-18.283, P = 0.038) and confirmed history of inhalation (OR = 1.767, 95 % CI: 1.121-2.787, P = 0.014) were independent risk factors for complications. while glottic foreign bodies (OR = 0.657, 95 % CI: 0.472-0.915, P = 0.013), foreign body duration ≤1 day (OR = 0.256, 95 % CI: 0.114-0.573, P = 0.001), urban residence (OR = 0.564, 95 % CI: 0.387-0.823, P = 0.003), and foreign body occurrence in autumn (OR = 0.596, 95 % CI: 0.366-0.972, P = 0.038) were protective factors. Foreign body type, quantity, and CT confirmation status showed no significant impact on complication occurrence (P > 0.05).
CONCLUSION: Right-sided foreign bodies and a clear history of aspiration increase the risk of complications, whereas glottic foreign bodies, early diagnosis and treatment, urban residence, and foreign body ingestion in autumn exert protective effects. Clinicians should prioritize high-risk pediatric patients, enhance early diagnosis and intervention to reduce the risk of complications.