{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T01:26:29Z","timestamp":1777425989587,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T00:00:00Z","timestamp":1671753600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82071038"],"award-info":[{"award-number":["82071038"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Ann Otol Rhinol Laryngol"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Tracheobronchial foreign body aspiration (TFBA) is a major cause of accidental death in children. Lower respiratory tract infection (LRTI) may be caused by TFBA, but there are few reports about LRTI associated with TFBA. This study collected TFBA cases in our hospital to analyze LRTI and determine its risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A total of 194 children who underwent tracheobronchial foreign body (TFB) extraction in The Children\u2019s Hospital of Zhejiang University School of Medicine from June 2019 to April 2020 were enrolled. CT chest is routinely used in the workup of suspected airway FB at our institution to evaluate for patients, a FB was already highly suspected. The retention time was defined as from the time of TFB inhalation or presentation (if there was no history of TFBA) to the time of TFB removal. General characteristics including weight, clinical symptoms, operative records, cervicothoracic CT, retention time, type of TFB and postoperative hospitalization time were collected. Chi-square tests, rank sum tests and multivariate logistic regression analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The incidence of LRTI was 46.6%, 68.6%, and 68.6% when the retention time was within 24\u2009hours, between 24\u2009hours and up to 1\u2009week and more than 1\u2009week, respectively. Postoperative hospitalization time of LRTI group was significantly longer than that of non-LRTI group. Findings for cervicothoracic CT as pneumonia, emphysema, atelectasis meant more serious clinical manifestations and the retention time was longer in the LRTI group than in the non-LRTI group. There was a positive correlation between the retention time of a TFB and LRTI in multivariate logistic regression analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The incidence of LRTI caused by TFBA is high. LRTI is association with longer postoperative hospitalization time. The TFB retention time is an independent risk factor for LRTI. If a patient presents with significant LRTI symptoms, a course of steroids and antibiotics maybe a safer approach rather than proceeding immediately with bronchoscopic removal.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00034894221143583","type":"journal-article","created":{"date-parts":[[2022,12,24]],"date-time":"2022-12-24T00:33:15Z","timestamp":1671841995000},"page":"1228-1232","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Risk Factors for Lower Respiratory Tract Infection Associated With Tracheobronchial Foreign Body Aspiration in Children"],"prefix":"10.1177","volume":"132","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2905-1712","authenticated-orcid":false,"given":"Fu-Zhi","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Children\u2019s Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"},{"name":"Zhejiang Provincial Key Lab of Genetic and Developmental Disorder, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Children\u2019s Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bin","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Children\u2019s Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Children\u2019s Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Bi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Children\u2019s Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong","family":"Fu","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Children\u2019s Hospital of Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China"},{"name":"Zhejiang Provincial Key Lab of Genetic and Developmental Disorder, Hangzhou, Zhejiang Province, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2022,12,23]]},"reference":[{"key":"bibr1-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1378\/chest.85.3.452c"},{"key":"bibr2-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-2862"},{"key":"bibr3-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-016-3988-9"},{"key":"bibr4-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-197511000-00027"},{"key":"bibr5-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1991.01870200070010"},{"issue":"10","key":"bibr6-00034894221143583","first-page":"43","volume":"22","author":"Xin LH","year":"2016","journal-title":"China J Endoscopy"},{"issue":"5","key":"bibr7-00034894221143583","first-page":"53","volume":"49","author":"Adegboye VO","year":"2003","journal-title":"Cent Afr J Med"},{"key":"bibr8-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1016\/j.anl.2017.07.014"},{"issue":"3","key":"bibr9-00034894221143583","first-page":"250","volume":"35","author":"Liu XM","year":"2020","journal-title":"J Precis Med"},{"key":"bibr10-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000014655"},{"key":"bibr11-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1002\/lary.29006"},{"key":"bibr12-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.10094"},{"key":"bibr13-00034894221143583","doi-asserted-by":"publisher","DOI":"10.5847\/wjem.j.1920-8642.2016.01.001"},{"issue":"5","key":"bibr14-00034894221143583","first-page":"372","volume":"14","author":"Xue G","year":"2008","journal-title":"Chin J Otorhinolaryngol Skull Base Surg"},{"key":"bibr15-00034894221143583","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2015.10.057"}],"container-title":["Annals of Otology, Rhinology &amp; 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