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National estimations of airway foreign bodies in children in the United States, 2000 to 2009
Author(s) -
Cheng Jeffrey,
Liu Beiyu,
Farjat Alfredo E.,
Routh Jonathan
Publication year - 2019
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/coa.13261
Subject(s) - medicine , airway , foreign bodies , demography , multivariate analysis , univariate analysis , pediatrics , clarity , environmental health , emergency medicine , surgery , biochemistry , chemistry , sociology
Objective Identify risk factors associated with airway foreign bodies in children in the United States and report observed trends over time. Data source KID database (2000‐2009). Methods ICD‐9‐CM codes for airway foreign bodies were used to identify patients. Risk factors were used for univariate analysis and a multivariate model to identify any increased risk of mortality. These factors were then also trended over time. Results Children with airway foreign bodies demonstrate similar risk factors as previously reported, such as male gender, age less than five years and lack of private insurance. The weighted mortality rate for paediatric inpatients with airway foreign bodies was about 2.75%. Fortunately, the rate remained relatively unchanged from 2000 to 2009. Geographically, urban hospital settings appeared to be more affected. Increased risks of mortality were noted for older age, urban hospital setting and teaching hospital status. Conclusions Our findings confirm previous findings and identified that the diagnosis of airway foreign bodies in children were associated with male gender, age <5 years, lack of private insurance and geographic location in an urban setting. Further investigation may be warranted to provide clarity on other factors found to have increased association with mortality for quality improvement.