TY  - JOUR
PY  - 1997//
TI  - Pediatric aerodigestive foreign body injuries are complications related to timeliness of diagnosis
JO  - Laryngoscope
A1  - Reilly, Jacqueline
A1  - Thompson, J.
A1  - Macarthur, C.
A1  - Pransky, Seth M.
A1  - Beste, D.
A1  - Smith, Marjorie
A1  - Gray, S.
A1  - Manning, S.
A1  - Walter, M.
A1  - Derkay, C.
A1  - Muntz, H.
A1  - Friedman, E.
A1  - Myer, C. M.
A1  - Seibert, R.
A1  - Riding, K.
A1  - Cuyler, J.
A1  - Todd, W.
A1  - Smith, Ron
SP  - 17
EP  - 20
VL  - 107
IS  - 1
N2  - Foreign body (FB) injury from aspiration or ingestion is a common pediatric health problem. Diagnosis relies on clinical judgment plus medical history, physical examination, and radiographic evaluation. A multi-institutional review of 1269 FB events revealed that 85% were correctly diagnosed following a single physician encounter. However, 15% of the children had an elusive diagnosis (>1 week), despite previous evaluation. Delays in diagnosis were seven times more likely to occur in aspirations than in ingestions. Secondary injuries (e.g., pneumonia and atelectasis) occurred in 13% of airway FBs but in only 1.7% of esophageal FBs. Plain radiographs were used in 82% of children, and special studies (e.g., fluoroscopy) in only 7%. We conclude that diagnosis of FB injury in children is frequently achieved at the initial evaluation but that continued surveillance by follow-up visits to health care facilities from parents and other caretakers is important, to reduce pulmonary injuries.<p /> <p>Language: en</p>
LA  - en
SN  - 0023-852X
UR  - http://dx.doi.org/
ID  - ref1
ER  -