Diagnostic Performance of CXR and CT in Pediatric Foreign Body Aspiration: A PICU-Based Bronchoscopy Study
Abstract
1. Introduction
2. Materials and Methods
Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | N | % |
---|---|---|
Unit (Pre-op period) | ||
PICU | 57 | 80.2 |
Pediatric ward | 10 | 14.0 |
Emergency | 4 | 5.6 |
Unit (Post-op period) | ||
PICU | 71 | 100.0 |
Gender | ||
Male | 47 | 66.1 |
Female | 24 | 33.8 |
Reason for Presentation | ||
Bruising and sudden coughing | 39 | 54.9 |
Shortness of breath and wheezing | 22 | 30.9 |
FBA without symptoms | 4 | 5.6 |
Vomiting | 3 | 4.2 |
Chronic cough | 1 | 1.4 |
Arrest | 1 | 1.4 |
Syncope | 1 | 1.4 |
Hospitalization Diagnosis | ||
FBA suspicion | 65 | 94.2 |
Acute bronchiolitis | 3 | 4.3 |
Lobar pneumonia | 1 | 1.4 |
Patient History of FBA | ||
Reported | 67 | 94.3 |
Not reported | 4 | 5.6 |
FBA History Upon Questioning | ||
Suspected by family | 68 | 95.7 |
Not suspected by family | 2 | 2.8 |
Indeterminate | 1 | 1.4 |
Pre-op Respiratory Support | ||
Room air | 62 | 87.3 |
Mechanical ventilator | 6 | 8.4 |
HFNC | 3 | 4.2 |
Post-op Respiratory Support | ||
Room air | 60 | 84.5 |
Mechanical ventilator | 9 | 12.6 |
HFNC | 2 | 2.8 |
Discharge Information | ||
Discharged | 67 | 94.3 |
Deceased | 2 | 2.8 |
Lobectomy | 1 | 1.4 |
Hypoxic sequelae | 1 | 1.4 |
Variable | N | Average | SD | Median | %25 | %50 | %75 | Min | Max |
---|---|---|---|---|---|---|---|---|---|
Age | 71 | 2.6 | 3.5 | 1 | 1 | 1 | 3 | 0 | 15 |
Number of hospitalization days | 71 | 3.0 | 2.9 | 2 | 2 | 2 | 3 | 1 | 18 |
What is the day of the complaint? | 71 | 1.8 | 3.1 | 1 | 1 | 1 | 1 | 1 | 23 |
Day of procedure (after hospitalization) | 71 | 1.1 | 1.1 | 1 | 1 | 1 | 1 | 1 | 10 |
Pre-op HFNC days | 3 | 4.0 | 5.1 | 1 | 1 | 1 | 10 | 1 | 10 |
Post-op HFNC days | 2 | 1.0 | 0.0 | 1 | 1 | 1 | 1 | 1 | 1 |
Pre-op MV days | 6 | 1.1 | 0.3 | 1 | 1 | 1 | 1 | 1 | 2 |
Post-op MV days | 9 | 5.0 | 5.4 | 2 | 1 | 2 | 9.5 | 1 | 15 |
Number of days pre-op | 71 | 0.2 | 1.3 | 0 | 0 | 0 | 0 | 0 | 10 |
Number of days post-op | 71 | 2.1 | 3.0 | 1 | 1 | 1 | 2 | 0 | 15 |
Bronchoscopy result | N | % |
No material seen | 32 | 45.0 |
Ground organic matter | 18 | 25.3 |
Sweetcorn | 5 | 7.0 |
Core | 4 | 5.6 |
Peanut | 1 | 1.4 |
Walnut | 1 | 1.4 |
Formula | 2 | 2.8 |
Green almond | 1 | 1.4 |
Wooden toy part | 1 | 1.4 |
Food | 2 | 2.8 |
Lead | 1 | 1.4 |
Nail | 1 | 1.4 |
Pin | 1 | 1.4 |
Package wire | 1 | 1.4 |
Place of origin of the material | N | % |
Right main bronchus | 31 | 43.0 |
Lower right lobe | 14 | 19.7 |
Lower left lobe | 12 | 16.9 |
Trachea | 4 | 5.6 |
Left main bronchus | 3 | 4.2 |
Right upper lobe | 3 | 4.2 |
Left upper lobe | 1 | 1.4 |
Hypopharynx | 1 | 1.4 |
Right and left main bronchi | 1 | 1.4 |
Bronchoscopy result in 0–3 age group | N | % |
Organic material | 30 | 96.7 |
İnorganic material | 1 | 3.2 |
Right main bronchus | 13 | 41.9 |
Left main bronchus | 10 | 32.2 |
Pre-op O2 Support | Post-op O2 Support | N | % |
---|---|---|---|
Room air (n:62) | Room air | 58 | 93.5 |
HFNC | 1 | 1.6 | |
Mechanical ventilator | 3 | 4.8 | |
HFNC (n:3) | Room air | 2 | 66.6 |
HFNC | 1 | 33.3 | |
Mechanical ventilator (n:6) | Mechanical ventilator | 6 | 100.0 |
Sensitivity (%, CI) | Specificity (%, CI) | PPV (%, CI) | NPV (%, CI) | |
---|---|---|---|---|
All patients examined | ||||
CXR (n = 70) | 94.9 (83.1–98.6) | 71.0 (53.4–83.9) | 80.4 (66.8–89.3) | 91.7 (74.2–97.7) |
CT (n = 46) | 63.2 (41.0–80.9) | 100.0 (87.5–100.0) | 100.0 (75.8–100.0) | 79.4 (63.2–89.7) |
Bronchoscopy revealed ground organic matter | ||||
CXR (n = 18) | 100.0 (82.4–100.0) | - | ||
CT (n = 10) | 50.0 (23.7–76.3) | - |
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Duyar, M.O.; Dündar, M.A.; Karadeli, S.N.; Doğan, M. Diagnostic Performance of CXR and CT in Pediatric Foreign Body Aspiration: A PICU-Based Bronchoscopy Study. Children 2025, 12, 1035. https://doi.org/10.3390/children12081035
Duyar MO, Dündar MA, Karadeli SN, Doğan M. Diagnostic Performance of CXR and CT in Pediatric Foreign Body Aspiration: A PICU-Based Bronchoscopy Study. Children. 2025; 12(8):1035. https://doi.org/10.3390/children12081035
Chicago/Turabian StyleDuyar, Mustafa Orhan, Mehmet Akif Dündar, Sinem Nisa Karadeli, and Murat Doğan. 2025. "Diagnostic Performance of CXR and CT in Pediatric Foreign Body Aspiration: A PICU-Based Bronchoscopy Study" Children 12, no. 8: 1035. https://doi.org/10.3390/children12081035
APA StyleDuyar, M. O., Dündar, M. A., Karadeli, S. N., & Doğan, M. (2025). Diagnostic Performance of CXR and CT in Pediatric Foreign Body Aspiration: A PICU-Based Bronchoscopy Study. Children, 12(8), 1035. https://doi.org/10.3390/children12081035