Ari DeRowe1, Doug Massick, David J Beste. 1. Department of Otolaryngology-Head and Neck Surgery, Pediatric Otolaryngology, Tel-Aviv Medical Center, Sackler School of Medicine, Tel-Aviv University 6 Weizman St., 64239, Israel. derowe@netvision.net.il
Abstract
OBJECTIVE: To determine if children with neurological impairment are at additional risk for foreign body aspiration or impaction and if they present with a different clinical course than normal children. DESIGN: Retrospective cohort study. SETTING: Tertiary care children's hospital. PATIENTS AND OTHER PARTICIPANTS: A retrospective chart review of 328 consecutive procedures for aero-digestive foreign body removal over a 6 year period was performed. Of these patients 52 (15.9%) were identified with neurological impairment. RESULTS: Compared with the non-impaired children, those with neurological impairment were older, diagnosed later, hospitalized longer and had a higher incidence of complications. CONCLUSION: A greater index of suspicion is needed to timely treat aero-digestive foreign bodies in children with neurological impairment. These children may not be receiving the necessary attention when presenting with non-specific symptoms.
OBJECTIVE: To determine if children with neurological impairment are at additional risk for foreign body aspiration or impaction and if they present with a different clinical course than normal children. DESIGN: Retrospective cohort study. SETTING: Tertiary care children's hospital. PATIENTS AND OTHER PARTICIPANTS: A retrospective chart review of 328 consecutive procedures for aero-digestive foreign body removal over a 6 year period was performed. Of these patients 52 (15.9%) were identified with neurological impairment. RESULTS: Compared with the non-impaired children, those with neurological impairment were older, diagnosed later, hospitalized longer and had a higher incidence of complications. CONCLUSION: A greater index of suspicion is needed to timely treat aero-digestive foreign bodies in children with neurological impairment. These children may not be receiving the necessary attention when presenting with non-specific symptoms.
Authors: David A Stevenson; Janalee Heinemann; Moris Angulo; Merlin G Butler; Jim Loker; Norma Rupe; Patrick Kendell; Carol L Clericuzio; Ann O Scheimann Journal: Am J Med Genet A Date: 2007-03-01 Impact factor: 2.802