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ORIGINAL RESEARCH article

Front. Pediatr.
Sec. General Pediatrics and Pediatric Emergency Care
Volume 12 - 2024 | doi: 10.3389/fped.2024.1508702

Risk factors for prolonged surgical duration of tracheobronchial foreign body removal in children: a singlecenter retrospective study

Provisionally accepted
Zhe Su Zhe Su Jianmin Zhang Jianmin Zhang *Zhengzheng Gao Zhengzheng Gao Fang Wang Fang Wang Lijing Li Lijing Li Zenghua Xu Zenghua Xu Heqi Liu Heqi Liu Fuzhou Zhang Fuzhou Zhang
  • Beijing Children’s Hospital, Capital Medical University, Beijing, China

The final, formatted version of the article will be published soon.

    Object: This study aims to analyze the clinical characteristics of children with tracheobronchial foreign body and to investigate the factors influencing the surgical duration of rigid bronchoscopic foreign body removal under general anesthesia. Methods: We retrospectively identified 421 children diagnosed with tracheobronchial foreign body undergoing rigid bronchoscopy between January 2020 and December 2021. A comprehensive analysis was conducted on patient demographics, including age, weight, gender, American Society of Anesthesiologists (ASA) physical status classification, foreign body type and location, duration of foreign body retention, preoperative symptoms, signs, imaging findings, tracheobronchial manifestations observed during bronchoscopy, and surgical durations. Statistical analysis utilized both univariate and multivariate linear regression models to assess factors influencing the surgical duration of tracheobronchial foreign body removal in children. Results:The mean age of children with tracheobronchial foreign body was 1.59 years (1.32, 2.04). The male-to-female ratio was 1.8:1, and the ASA physical status classification was predominantly ASA II (96.7%). Organic foreign body accounted for 94.8% of cases, with 91.7% located unilaterally. Univariate and multivariate linear regression analyses revealed that ASA III, pulmonary rales, and the presence of one, two, or three specific tracheobronchial manifestations observed during bronchoscopyincluding mucosal hyperemia and edema, purulent exudate, and granulation tissuewere independent risk factors associated with prolonged surgical duration for foreign body removal (P<0.05). Conclusion: ASA III, pulmonary rales, and various tracheobronchial manifestations observed during bronchoscopy are significant risk

    Keywords: Children, Tracheobronchial foreign body, surgical duration, risk factor, Retrospective study

    Received: 09 Oct 2024; Accepted: 18 Dec 2024.

    Copyright: © 2024 Su, Zhang, Gao, Wang, Li, Xu, Liu and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Jianmin Zhang, Beijing Children’s Hospital, Capital Medical University, Beijing, China

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