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Ethnic differences of children with foreign body aspiration: a need for preventive education

  • Ohad RonenEmail author
  • Florencia Kanelo
  • Deborah Shor
  • Maureen Ashkar
  • Ilana Kepten
Miscellaneous
  • 9 Downloads

Abstract

Introduction

Only in 2005 was a product labeling law passed in Israel that requires food companies to mark a choking hazard. We wished to investigate the influence of the hazard warning on the number of foreign body aspirations (FBA) in Israel, as well as the racial differences in the prevalence of and death rates from FBA.

Materials and Methods

All the medical records of patients under the age of 14 who arrived at our center’s emergency department between the years 2007 and 2015 with suspected FBA were retrospectively reviewed. Population data was extracted from the Central Bureau of Statistics.

Results

Overall, 90 children arrived at the hospital with suspected FBA during 2007–2015. Forty-six (51%) of the patients were males, the mean age was 3.5 years. Seventy-one bronchoscopies were performed due to high suspicious presence of a foreign body. The most common objects aspirated were different types of nuts and seeds. In all cases, the patient's parents witnessed the aspiration of the foreign body. Most children (77, 86%) were of Arab ethnicity. The yearly prevalence of FBA in children 0–4 years of Arab ethnicity was 16.6:100,000 compared to 6.0:100,000 in the non-Arab population (p < 0.001).

Conclusion

FBA is still a common injury in our region. Since most cases are preventable, efforts should be targeted among the population at higher risk, which are parents of children under the age of 4 and parents of Arab ethnicity. We believe that national effort and support for preventive education are needed.

Keywords

Foreign body aspiration Ethnic group Children 

Abbreviation

FBA

Foreign body aspirations

Notes

Acknowledgements

We wish to thank Orly Yakir for the statistical analysis and Migal-CBR for the editorial assistance.

Funding

None.

Compliance with ethical standards

Conflict of interest

Florencia Kanelo, Deborah Shor, Maureen Ashkar, Ilana Kepten and Ohad Ronen declare that they have no conflict of interest.

Ethical approval

The study was approved by the institutional review board prior to its commencement (Registration number: NHR010115).

Informed consent

Written consent was waived by the institutional review board.

References

  1. 1.
    Schroeder T, Down C, McDonald A, Sogolow E (2002) Nonfatal choking-related episodes among children—United States, 2001. MMWR Morb Mortal Wkly Rep 51:945–948Google Scholar
  2. 2.
    Forum on Child and Family Statistics. In: Child Popul. https://www.childstats.gov/americaschildren/tables/pop1.asp
  3. 3.
    US Census Bureau (2002) Total Population by Age and Sex for the United States: 2000. https://www.census.gov/population/www/cen2000/briefs/phc-t8/tables/phc-t-08.pdf. Accessed 3 Nov 2018
  4. 4.
    Tan GX, Boss EF, Rhee DS (2018) Bronchoscopy for pediatric airway foreign body: thirty-day adverse outcomes in the ACS NSQIP-P. Otolaryngol Neck Surg.  https://doi.org/10.1177/0194599818800470 Google Scholar
  5. 5.
    Shlizerman L, Ashkenazi D, Mazzawi S, Rakover Y (2006) Foreign body aspiration in children: ten-years experience at the Ha’Emek Medical Center. Harefuah 145(569–571):631Google Scholar
  6. 6.
    Shlizerman L, Mazzawi S, Rakover Y, Ashkenazi D (2010) Foreign body aspiration in children: the effects of delayed diagnosis. Am J Otolaryngol - Head Neck Med Surg 31:320–324.  https://doi.org/10.1016/j.amjoto.2009.03.007 Google Scholar
  7. 7.
    Cohen S, Goldberg S, Springer C et al (2015) Foreign body aspiration in children. Harefuah 154(175–177):211Google Scholar
  8. 8.
    Lea E, Nawaf H, Yoav T et al (2005) Diagnostic evaluation of foreign body aspiration in children: a prospective study. J Pediatr Surg 40:1122–1127.  https://doi.org/10.1016/j.jpedsurg.2005.03.049 CrossRefGoogle Scholar
  9. 9.
    Natali Nir, Yotam Ofir, Oshri Weis SL (2017) Child injury 2017. https://www.beterem.org/download/files/Beterem_ChildInjury2017.pdf. Accessed 8 Aug 2019
  10. 10.
    (2017) Population by Group, Religion, Age and Sex, District and Subdistrict. https://old.cbs.gov.il/shnaton69/st02_19x.pdf
  11. 11.
    Mansour B, Elias N (2015) Foreign body aspiration in children with focus on the role of flexible bronchoscopy: a 5 year experience. Isr Med Assoc J 17:599–603.  https://doi.org/10.1016/j.epag.2016.10.002 Google Scholar
  12. 12.
    Laks Y, Barzilay Z (1988) Foreign body aspiration in childhood. Pediatr Emerg Care 4:102–106CrossRefGoogle Scholar
  13. 13.
    Zerella JT, Dimler M, McGill LC, Pippus KJ (1998) Foreign body aspiration in children: value of radiography and complications of bronchoscopy. J Pediatr Surg 33:1651–1654CrossRefGoogle Scholar
  14. 14.
    Blair D, Kim R, Mills N et al (2014) A heuristic approach to foreign bodies in the paediatric airway. Int J Pediatr Otorhinolaryngol 78:2262–2266.  https://doi.org/10.1016/j.ijporl.2014.10.029 CrossRefGoogle Scholar
  15. 15.
    Sadan N, Raz A, Wolach B (1995) Impact of community educational programmes on foreign body aspiration in Israel. Eur J Pediatr 154:859–862.  https://doi.org/10.1007/BF01959798 CrossRefGoogle Scholar
  16. 16.
    Wolach B, Raz A, Weinberg J et al (1994) Aspirated foreign bodies in the respiratory tract of children: eleven years experience with 127 patients. Int J Pediatr Otorhinolaryngol 30:1–10CrossRefGoogle Scholar
  17. 17.
    Cohen S, Avital A, Godfrey S et al (2009) Suspected foreign body inhalation in children: what are the indications for bronchoscopy? J Pediatr 155:276–280.  https://doi.org/10.1016/j.jpeds.2009.02.040 CrossRefGoogle Scholar

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of Otolaryngology, Head and Neck SurgeryGalilee Medical Center Affiliated with Bar-Ilan University Faculty of MedicineSafedIsrael
  2. 2.O.R.T.-Braude College of EngineeringKarmielIsrael

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