{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:42:40Z","timestamp":1787010160580,"version":"build-2736575974"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"28","license":[{"start":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T00:00:00Z","timestamp":1626393600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Abstract<\/jats:title>\n                    <jats:p>\n                      This study aimed to determine the predictors for intraoperative heart failure (HF) in children undergoing foreign-body removal. The clinical data of all children with tracheobronchial foreign-body aspiration admitted to the First, Second, and Fourth Affiliated Hospitals of Harbin Medical University between January 1996 and September 2018 were analyzed. The variables with significant difference in univariate analysis were involved into the multivariate Logistic model to determine the predictors for intraoperative tachycardia. In total, 300 tracheobronchial foreign-body aspiration children were eligible for the study, among whom 60 cases (20%) suffered from HF during the operation. Between the children HF and those without HF, the differences were pronounced in history of allergy, history of asthma, congenital heart disease, preoperative respiratory infection, retention time of foreign bodies, duration of operation, and poor anesthesia effect (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u200a&lt;\u200a.05). Multivariate analysis results showed that history of allergy (odds ratio [OR]: 1.395, 95% confidence interval [95% CI]: 1.202\u20131.620,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u200a&lt;\u200a.001), congenital heart disease [OR: 3.071, 95% CI: 1.141\u20138.264,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u200a&lt;\u200a.001], preoperative respiratory infection [OR: 2.345, 95% CI: 1.027\u20135.355,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u200a=\u200a.043], retention time of foreign bodies [OR: 1.013, 95% CI: 1.010\u20131.016,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u200a&lt;\u200a.001], duration of operation [OR: 1.030, 95% CI: 1.027\u20131.033,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u200a&lt;\u200a.001], and poor anesthesia effect [OR: 1.125, 95% CI: 1.117\u20131.134,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u200a&lt;\u200a.001] were identified as the influencing factors for intraoperative HF. In conclusions, for children undergoing foreign-body removal, history of allergy, congenital heart disease, preoperative respiratory infection, retention time of foreign bodies, duration of operation, and poor anesthesia effect are associated with an increased risk of intraoperative HF.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/md.0000000000026626","type":"journal-article","created":{"date-parts":[[2021,7,14]],"date-time":"2021-07-14T17:07:28Z","timestamp":1626282448000},"page":"e26626","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Predictors for intraoperative heart failure in children undergoing foreign-body removal"],"prefix":"10.1097","volume":"100","author":[{"given":"Xianyi","family":"Yao","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, The Fourth Affiliated Hospital of Harbin Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, The First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangyu","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Zhalantun People's Hospital, Zhalantun, Inner Mongolia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haifeng","family":"Pang","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, The Fourth Affiliated Hospital of Harbin Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, The Fourth Affiliated Hospital of Harbin Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, The Fourth Affiliated Hospital of Harbin Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, The Second Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang, China."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7,16]]},"reference":[{"key":"R1-20250504","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1007\/s00383-016-3988-9","article-title":"Airway foreign bodies in pediatric patients: anatomic location of foreign body affects complications and outcomes","volume":"33","author":"Johnson","year":"2017","journal-title":"Pediatr Surg 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