{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:06:48Z","timestamp":1792800408603,"version":"4.5.0"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T00:00:00Z","timestamp":1601337600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Incidence of foreign body aspiration has been noticed predominantly in age group ranging from 12\u2009months-3\u2009years. Foreign body in the trachea is a medical emergency as presentation is in respiratory distress. Obstruction of only one main or distal bronchus, leads to severe cough, choking sensation and breathlessness. Without early intervention, it can lead to collapse, consolidation and pneumonia of the affected lung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed 37 pediatric case records who presented from January 2014\u2013December 2018 with foreign body aspiration. Our primary aim was to assess the parameters responsible for early and late diagnosis of foreign body aspiration. We concluded with a diagnostic algorithm for management of foreign body aspiration on the basis of this outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Around 32.5% came with a history of aspiration, 43% were referred from the primary centers with a suspicion for the same and the rest came to our tertiary care hospital directly. Those who presented within a week came with complaints of wet cough, wheeze and tachypnea. Furthermore, those who came in after a week had a dry cough and fever as their main complaint. Majority of ingested foreign bodies was a vegetative type (80%) as compared to the non \u2013vegetative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Unlike adults, foreign body aspiration in children is most commonly diagnosed on history, suspicion and clinical findings. Chest x ray has been the primary investigation of choice but in the majority of the cases it was normal with subtle changes. Early diagnosis is the key to avoid complication.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13019-020-01314-9","type":"journal-article","created":{"date-parts":[[2020,9,29]],"date-time":"2020-09-29T10:04:04Z","timestamp":1601373844000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Clinical variables responsible for early and late diagnosis of foreign body aspiration in pediatrics age group"],"prefix":"10.1186","volume":"15","author":[{"given":"Samarth","family":"Goyal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubhika","family":"Jain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8785-0803","authenticated-orcid":false,"given":"Guruprasad","family":"Rai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajkamal","family":"Vishnu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ganesh Sevagur","family":"Kamath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind Kumar","family":"Bishnoi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yogesh","family":"Gaude","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vijaya","family":"Kumara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harshil","family":"Joshi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Revanth","family":"Reddy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,9,29]]},"reference":[{"issue":"1","key":"1314_CR1","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1186\/s12890-017-0406-6","volume":"17","author":"IA Janahi","year":"2017","unstructured":"Janahi IA, Khan S, Chandra P, Al-Marri N, Saadoon A, Al-Naimi L, et al. A new clinical algorithm scoring for management of suspected foreign body aspiration in children. BMC Pulm Med. 2017;17(1):61.","journal-title":"BMC Pulm Med"},{"key":"1314_CR2","unstructured":"National Center for Injury Prevention and Control.Web-based Injury Statistics Query and Reporting System (WISQARS). Atlanta: CDC; 1999-2001. https:\/\/www.cdc.gov\/injury\/wisqars\/index.html."},{"issue":"4","key":"1314_CR3","doi-asserted-by":"publisher","first-page":"344","DOI":"10.1002\/ppul.22701","volume":"48","author":"F Foltran","year":"2013","unstructured":"Foltran F, Ballali S, Rodriguez H, van As AB, Passali D, Gulati A, et al. Inhaled foreign bodies in children: a global perspective on their epidemiological, clinical, and preventive aspects. Pediatr Pulmonol. 2013;48(4):344\u201351.","journal-title":"Pediatr Pulmonol"},{"issue":"2","key":"1314_CR4","doi-asserted-by":"publisher","first-page":"247","DOI":"10.1520\/JFS15422J","volume":"41","author":"BD Lifschultz","year":"1996","unstructured":"Lifschultz BD, Donoghue ER. Deaths due to foreign body aspiration in children: the continuing hazard of toy balloons. J Forensic Sci. 1996;41(2):247\u201351.","journal-title":"J Forensic Sci"},{"issue":"5","key":"1314_CR5","doi-asserted-by":"publisher","first-page":"1202","DOI":"10.1002\/lary.26216","volume":"127","author":"C Hanba","year":"2017","unstructured":"Hanba C, Cox S, Bobian M, Svider PF, Gonik NJ, Shkoukani MA, et al. Consumer product ingestion and aspiration in children: a 15-year review. Laryngoscope. 2017;127(5):1202\u20137.","journal-title":"Laryngoscope"},{"issue":"22","key":"1314_CR6","doi-asserted-by":"publisher","first-page":"2691","DOI":"10.4103\/0366-6999.193450","volume":"129","author":"XJ Yang","year":"2016","unstructured":"Yang XJ, Zhang J, Chu P, Guo YL, Tai J, Zhang YM, et al. Pneumomediastinum secondary to foreign body aspiration: clinical features and treatment explorement in 39 pediatric patients. Chin Med J. 2016;129(22):2691.","journal-title":"Chin Med J"},{"issue":"11","key":"1314_CR7","doi-asserted-by":"publisher","first-page":"1651","DOI":"10.1016\/S0022-3468(98)90601-7","volume":"33","author":"JT Zerella","year":"1998","unstructured":"Zerella JT, Dimler M, McGill LC, Pippus KJ. Foreign body aspiration in children: value of radiography and complications of bronchoscopy. J Pediatr Surg. 1998;33(11):1651\u20134.","journal-title":"J Pediatr Surg"},{"issue":"8","key":"1314_CR8","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1016\/S0022-3468(99)90157-4","volume":"34","author":"S Metrangolo","year":"1999","unstructured":"Metrangolo S, Monetti C, Meneghini L, Zadra N, Giusti F. Eight years\u2019 experience with foreign-body aspiration in children: what is really important for a timely diagnosis? J Pediatr Surg. 1999;34(8):1229\u201331.","journal-title":"J Pediatr Surg"},{"issue":"2","key":"1314_CR9","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1016\/S0720-048X(02)00295-4","volume":"48","author":"M Haliloglu","year":"2003","unstructured":"Haliloglu M, Ciftci AO, Oto A, Gumus B, Tanyel FC, Senocak ME, et al. CT virtual bronchoscopy in the evaluation of children with suspected foreign body aspiration. Eur J Radiol. 2003;48(2):188\u201392.","journal-title":"Eur J Radiol"},{"issue":"5","key":"1314_CR10","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1016\/j.otohns.2007.12.039","volume":"138","author":"SJ Hong","year":"2008","unstructured":"Hong SJ, Goo HW, Roh JL. Utility of spiral and cine CT scans in pediatric patients suspected of aspirating radiolucent foreign bodies. Otolaryngol Head Neck Surg. 2008;138(5):576\u201380.","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"6","key":"1314_CR11","doi-asserted-by":"publisher","first-page":"1771","DOI":"10.2214\/ajr.183.6.01831771","volume":"183","author":"P Kosucu","year":"2004","unstructured":"Kosucu P, Ahmetoglu A, Koramaz I, Orhan F, \u00d6zdemir O, Din\u00e7 H, et al. Low-dose MDCT and virtual bronchoscopy in pediatric patients with foreign body aspiration. Am J Roentgenol. 2004;183(6):1771\u20137.","journal-title":"Am J Roentgenol"},{"issue":"1","key":"1314_CR12","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1007\/s00247-006-0331-y","volume":"37","author":"I Adaletli","year":"2007","unstructured":"Adaletli I, Kurugoglu S, Ulus S, Ozer H, Elicevik M, Kantarci F, et al. Utilization of low-dose multidetector CT and virtual bronchoscopy in children with suspected foreign body aspiration. Pediatr Radiol. 2007;37(1):33\u201340.","journal-title":"Pediatr Radiol"},{"issue":"5","key":"1314_CR13","doi-asserted-by":"publisher","first-page":"392","DOI":"10.1002\/ppul.20242","volume":"40","author":"JL Ram\u00edrez-Figueroa","year":"2005","unstructured":"Ram\u00edrez-Figueroa JL, Gochicoa-Rangel LG, Ram\u00edrez-San Juan DH, Vargas MH. Foreign body removal by flexible fiberoptic bronchoscopy in infants and children. Pediatr Pulmonol. 2005;40(5):392\u20137.","journal-title":"Pediatr Pulmonol"},{"issue":"4","key":"1314_CR14","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1016\/0735-6757(90)90094-G","volume":"8","author":"JD Losek","year":"1990","unstructured":"Losek JD. Diagnostic difficulties of foreign body aspiration in children. Am J Emerg Med. 1990;8(4):348\u201350.","journal-title":"Am J Emerg Med"},{"issue":"3","key":"1314_CR15","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1288\/00005537-197303000-00004","volume":"83","author":"IG Kim","year":"1973","unstructured":"Kim IG, Brummitt WM, Humphry A, Siomra SW, Wallace WB. Foreign body in the airway: a review of 202 cases. Laryngoscope. 1973;83(3):347\u201354.","journal-title":"Laryngoscope"},{"issue":"10","key":"1314_CR16","doi-asserted-by":"publisher","first-page":"1677","DOI":"10.1016\/j.ijporl.2013.07.024","volume":"77","author":"H Hidaka","year":"2013","unstructured":"Hidaka H, Obara T, Kuriyama S, Kurosawa S, Katori Y, Kobayashi T. Logistic regression analysis of risk factors for prolonged pulmonary recovery in children from aspirated foreign body. Int J Pediatr Otorhinolaryngol. 2013;77(10):1677\u201382.","journal-title":"Int J Pediatr Otorhinolaryngol"},{"issue":"8","key":"1314_CR17","doi-asserted-by":"publisher","first-page":"1170","DOI":"10.1016\/S0022-3468(03)00263-X","volume":"38","author":"AO Ciftci","year":"2003","unstructured":"Ciftci AO, Bing\u00f6l-Kolo\u011flu M, \u015eenocak ME, Tanyel FC, B\u00fcy\u00fckpamuk\u00e7u N. Bronchoscopy for evaluation of foreign body aspiration in children. J Pediatr Surg. 2003;38(8):1170\u20136.","journal-title":"J Pediatr Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-020-01314-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-020-01314-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-020-01314-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,28]],"date-time":"2021-09-28T19:39:33Z","timestamp":1632857973000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-020-01314-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,29]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["1314"],"URL":"https:\/\/doi.org\/10.1186\/s13019-020-01314-9","relation":{"has-preprint":[{"id-type":"doi","id":"10.21203\/rs.3.rs-41881\/v2","asserted-by":"object"},{"id-type":"doi","id":"10.21203\/rs.3.rs-41881\/v1","asserted-by":"object"}]},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,29]]},"assertion":[{"value":"16 July 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 September 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 September 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This study was approved by the Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee (IEC: 350\/2019).","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"All authors reviewed and approved the final version of the manuscript and consented for publication.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no Competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"271"}}