Novel criteria system in triaging pediatric Foreign body aspiration: Chest Diseases Hospital Criteria

Abstract

Objectives: Adaption of new referral criteria system for suspected pediatrics with foreign body aspiration. Methods: Bronchoscopy reports of all patients referred to Thoracic and foregut surgery unit with suspicion of foreign body aspiration from all Kuwait hospitals during the period from July 2016 to December 2017. Excluded patients who underwent bronchoscopy procedure for diagnostic purposes. Chest diseases Hospital criteria were assigned according to present initially in the emergency room, and the assigned results were blinded from the referring physician. Results: The patients were referred to our care with suspicious of foreign body aspiration from secondary hospitals in Kuwait, totaling 232 patients. Male were 149 patients and females were 83 patients, compromising 64% and 36% respectively. The mean age of the patients was 36.25 months. In general, 143 patients were negative study, and 89 patients were positive. Patients with CDH criteria was less than 3, 80.3% were negative, while CDH criteria from 3 to 6 the positive results were 76.1%, and when the CDH criteria were higher than 6, the positive results were 100%.