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Food choking incidents in the hospital: Incidents, characteristics, effectiveness of interventions, and mortality and morbidity outcomes

Norii, Tatsuya ; Igarashi, Yutaka ; Akaiwa, Mari ; Yoshino, Yudai ; Kamimura, Hiroki ; Albright, Danielle ; Sklar, David P ; Crandall, Cameron

Resuscitation, 2023-07, Vol.188, p.109806-109806, Article 109806 [Periódico revisado por pares]

Ireland: Elsevier B.V

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  • Título:
    Food choking incidents in the hospital: Incidents, characteristics, effectiveness of interventions, and mortality and morbidity outcomes
  • Autor: Norii, Tatsuya ; Igarashi, Yutaka ; Akaiwa, Mari ; Yoshino, Yudai ; Kamimura, Hiroki ; Albright, Danielle ; Sklar, David P ; Crandall, Cameron
  • Assuntos: Aged, 80 and over ; Airway Obstruction - epidemiology ; Airway Obstruction - etiology ; Airway Obstruction - therapy ; Cardiac arrest ; Death ; Foreign Bodies - complications ; Foreign Bodies - epidemiology ; Foreign body airway obstruction ; Hospitals ; Humans ; Morbidity ; Patient safety ; Quality of Health Care
  • É parte de: Resuscitation, 2023-07, Vol.188, p.109806-109806, Article 109806
  • Notas: ObjectType-Article-1
    SourceType-Scholarly Journals-1
    ObjectType-Feature-2
    content type line 23
  • Descrição: Foreign body airway obstruction (FBAO) due to food can occur wherever people eat, including in hospitals. We characterized in-hospital FBAO incidents and their outcomes. We searched the Japan Council for Quality Health Care nationwide in-hospital adverse events database for relevant events from 1,549 institutions. We included all patients with FBAO incidents due to food in the hospital from January 2010 to June 2021 and collected data on the characteristics, interventions, and outcomes. FBAO from non-food materials were excluded. Our primary outcomes were mortality and morbidity from FBAO incidents. We identified 300 patients who had a FBAO incident from food. The most common age group was 80–89 years old (32.3%, n = 97/300). One-half (50.0%, n = 150/300) were witnessed events. Suction was the most common first intervention (31.3%, n = 94/300) and resulted in successful removal of foreign body in 17.0% of cases (n = 16/94). Back blows (16.0%, n = 48/300) and abdominal thrusts (8.1%, n = 24/300) were less frequently performed as the first intervention and the success rates were 10.4% (n = 5/48) and 20.8% (n = 5/24), respectively. About one‐third of the patients (31%, n = 93/300) died and 26.7% (n = 80/300) had a high potential of residual disability from these incidents. FBAO from food in the hospital is an uncommon but life-threatening event. The majority of patients who suffered from in-hospital FBAO incidents did not receive effective interventions initially and many of them died or suffered residual disability.
  • Editor: Ireland: Elsevier B.V
  • Idioma: Inglês
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  • Realização: ABCD-USP USP   Logos de Redes Sociais: Freepik

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