Title |
A case control study of the factors associated with occurrence of aerodigestive foreign bodies in children in a regional referral hospital in South Western Uganda
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Published in |
BMC Ear, Nose and Throat Disorders, March 2016
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DOI | 10.1186/s12901-016-0026-4 |
Pubmed ID | |
Authors |
Doreen Nakku, Richard Byaruhanga, Francis Bajunirwe, Imelda T. Kyamwanga |
Abstract |
Aerodigestive foreign bodies (ADFB) in children are a common emergency in ENT clinics globally. The aim of this study was to determine the prevalence and common types of ADFB's presenting to a referral hospital in South Western Uganda, and to review clinical presentation and factors that influence their occurrence among children under 12 years of age. We conducted a case control study comprising 40 cases and 80 unmatched controls. Consecutive and random sampling were used for the cases and controls respectively. A questionnaire was used to collect data. Clinic records were reviewed to calculate prevalence. Prevalence was 6.6 % of all paediatric cases seen in the ENT department that year. The most common symptoms included: history of choking [45 %], sudden cough [72.5 %], stridor [60 %] and failure to swallow [35 %]. The most common location for an airway foreign body was the right main bronchus [40 %] and the upper one third of the oesophagus [32.5 %] for digestive tract foreign bodies. Seeds and coins were most frequently removed. Children from upper level SES had a significantly lower risk of foreign body occurrence [OR = 0.29, p = 0.02] compared to those from a low SES. Also significantly, most cases were referrals from other government health centres [p = <0.01]. The male to female ratio among cases was 2:1. Children of older mothers were less likely to have an ADFB. Prevalence of ADFB's is relatively high. The most common symptoms are a history of choking, cough and failure to swallow. Age under 5 years, male sex, younger maternal age and low socioeconomic status increased odds of ADFBs. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 44 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 7 | 16% |
Student > Postgraduate | 5 | 11% |
Researcher | 5 | 11% |
Student > Bachelor | 4 | 9% |
Student > Doctoral Student | 2 | 5% |
Other | 5 | 11% |
Unknown | 16 | 36% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 20 | 45% |
Nursing and Health Professions | 2 | 5% |
Social Sciences | 2 | 5% |
Unspecified | 1 | 2% |
Engineering | 1 | 2% |
Other | 0 | 0% |
Unknown | 18 | 41% |