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Inhaled foreign bodies in children: A global perspective on their epidemiological, clinical, and preventive aspects

Foltran, Francesca ; Ballali, Simonetta ; Rodriguez, Hugo ; (Sebastian) van As, Arjan B. ; Passali, Desiderio ; Gulati, Achal ; Gregori, Dario

Pediatric pulmonology, 2013-04, Vol.48 (4), p.344-351 [Periódico revisado por pares]

Hoboken: Wiley Subscription Services, Inc., A Wiley Company

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  • Título:
    Inhaled foreign bodies in children: A global perspective on their epidemiological, clinical, and preventive aspects
  • Autor: Foltran, Francesca ; Ballali, Simonetta ; Rodriguez, Hugo ; (Sebastian) van As, Arjan B. ; Passali, Desiderio ; Gulati, Achal ; Gregori, Dario
  • Assuntos: Airway Obstruction - diagnosis ; Airway Obstruction - epidemiology ; Airway Obstruction - etiology ; Airway Obstruction - prevention & control ; Child ; children ; Developed Countries ; Developing Countries ; Foreign Bodies - complications ; Foreign Bodies - diagnosis ; Foreign Bodies - epidemiology ; Foreign Bodies - prevention & control ; foreign body ; Global Health ; Humans ; injury ; Larynx ; Lung ; meta-analysis ; Nose ; Respiratory Aspiration - complications ; Respiratory Aspiration - diagnosis ; Respiratory Aspiration - epidemiology ; Respiratory Aspiration - prevention & control ; Risk Factors ; Trachea
  • É parte de: Pediatric pulmonology, 2013-04, Vol.48 (4), p.344-351
  • Notas: none reported
    istex:CBF85BC663F9AE70BEA5CC716F5FA26D40DBD7C5
    ArticleID:PPUL22701
    ark:/67375/WNG-MVXKK9VV-D
    Authors declared they have no conflict of interest. What is already known on the Subject  * Airway FB injuries represent an important and preventable cause of childhood mortality and morbidity, especially in toddlers and young children  * Size, shape, type and position of the FB determine an important variability on clinical picture  * Evidence has been produced by clinical researchers on the best treatments and procedures for dealing with inhaled foreign bodies  * Preventive actions have been recommended to minimize the risk to children exposed to objects of certain sizes and/or a shape, involving proper regulatory frameworks and industry involvement and proper adult supervision has been recommended to avoid injuries and to minimize burden for children, mostly in North/American and European regions. What this paper adds  * Data gathered from scientific literature on FB injuries show a high prevalence of injuries without any distinction among high- and low-income countries  * Serious complications occur both in high-income and low-middle income countries in a considerable proportion of cases (10% and 20% respectively)  * This article first make a comprehensive and homogeneous evaluation of the evidence, which has been published, over the world on foreign body characteristics, main removal techniques used and parent behavior and patient referral to the hospital.
    Serious complications occur both in high‐income and low‐middle income countries in a considerable proportion of cases (10% and 20% respectively)
    This article first make a comprehensive and homogeneous evaluation of the evidence, which has been published, over the world on foreign body characteristics, main removal techniques used and parent behavior and patient referral to the hospital.
    Airway FB injuries represent an important and preventable cause of childhood mortality and morbidity, especially in toddlers and young children
    Size, shape, type and position of the FB determine an important variability on clinical picture
    Data gathered from scientific literature on FB injuries show a high prevalence of injuries without any distinction among high‐ and low‐income countries
    What this paper adds
    What is already known on the Subject
    Authors declared they have no conflict of interest.
    Evidence has been produced by clinical researchers on the best treatments and procedures for dealing with inhaled foreign bodies
    Preventive actions have been recommended to minimize the risk to children exposed to objects of certain sizes and/or a shape, involving proper regulatory frameworks and industry involvement and proper adult supervision has been recommended to avoid injuries and to minimize burden for children, mostly in North/American and European regions.
    ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-1
    ObjectType-Review-3
    content type line 23
  • Descrição: Context While several articles describe clinical management of Foreign Bodies injuries in the upper air tract, little epidemiological evidence is available from injury databases. Objective This article aims to understand the burden of airway FB injuries in high‐, low‐, and middle‐income countries as emerging from scientific literature. Data Sources One thousand six hundred ninety‐nine published articles 1978–2008. Study Selection A free text search on PubMed database ((foreign bodies) or (foreign body)) and ((aspiration) or (airways) or (tracheobronchial) or (nasal) or (inhalation) or (obstruction) or (choking) or (inhaled) or (aspirations) or (nose) or (throat) or (asphyxiation)) and ((children) or (child)). Data Extraction Information on reported injuries according to country, time period, children sex and age, FB type, site of obstruction, symptoms, signs, diagnostic and therapeutic procedures, delay at the diagnosis, complications, number of deaths. Results Serious complications occur both in high‐income and low‐middle income countries in a considerable proportion of cases (10% and 20%, respectively). Similarly, death is not infrequent (5–7% of cases). Conclusions Few countries have good systematic data collection and there's a lack of sensibility in parents and clinicians in terms of acknowledge of the choking risk. On the contrary, international surveillance systems able to collect information in a standardized way need to be implemented. Pediatr Pulmonol. 2013; 48:344–351. © 2012 Wiley Periodicals, Inc.
  • Editor: Hoboken: Wiley Subscription Services, Inc., A Wiley Company
  • Idioma: Inglês
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