Airway foreign bodies in pediatric patients: anatomic location of foreign body affects complications and outcomes.
BACKGROUND
Airway foreign bodies (FB) are a common medical emergency within the pediatric population. While deaths are not uncommon, the in-hospital mortality rates and correlation with anatomic location of the airway foreign body have not been previously reported.


METHODS
The KID database was reviewed for 2003, 2006, 2009, and 2012 for pediatric patients with a discharge diagnosis of airway foreign body using ICD-9 codes (933.1, 934.x).


RESULTS
11,793 patients, ages 0-17, were found to have an airway FB. Of patients admitted for airway FB 21.2 % required mechanical ventilation during their hospitalization, and the overall mortality rate was 2.5 %. Location of the airway FB was dependent on age (p < 0.01). Use of mechanical ventilation was dependent on the location of the airway FB (p < 0.01) and being transferred from another hospital (OR 2.59, p < 0.01). Univariate analysis demonstrated differences in in-hospital mortality based on location (p < 0.01), use of a ventilator during hospitalization (OR 24.4, p < 0.01), and transfer from another hospital (OR 2.11, p < 0.01).


CONCLUSIONS
The in-hospital mortality rate for airway foreign bodies is 2.5 %. The anatomic location of airway FB in pediatric patients varies by age, and affects the need for mechanical ventilation and in-hospital mortality.
['Johnson|Kevin|K|', 'Linnaus|Maria|M|', 'Notrica|David|D|']
D000293:Adolescent D000402:Airway Obstruction D001999:Bronchoscopy D002648:Child D002675:Child, Preschool D005260:Female D005547:Foreign Bodies D017052:Hospital Mortality D006801:Humans D015994:Incidence D007223:Infant D007231:Infant, Newborn D008297:Male D012137:Respiratory System D012189:Retrospective Studies D014481:United States
Foreign body Complications Aspiration Pediatric airway