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September 5, 2026Medical Science MonitorOpen Access

Pediatric Foreign Body Aspiration Over 2 Decades: Clinical Features, Diagnostic Challenges, and Complications Associated With Delayed Bronchoscopy

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Authors

MSMaciej SzczukockiAPAndrzej PogorzelskiHMHenryk Mazurek

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Overview

Retrospective cohort study reveals that delayed bronchoscopy increases complication risks in pediatric foreign body aspiration, highlighting the need for prompt intervention.

Key Points

  • To characterize clinical presentations, diagnostic challenges, and determinants of complications among pediatric patients with bronchoscopically confirmed foreign body aspiration over two decades.
  • Conducted a single-center retrospective cohort study of children (<18 years; N=254) with bronchoscopically confirmed foreign body aspiration over 20.5 years in a Polish tertiary center.
  • Evaluated clinical variables using chi-square, Fisher, or Fisher-Freeman-Halton exact tests, Spearman correlation coefficients, and multivariable logistic regression with false-discovery-rate control.
  • Organic objects accounted for 73.6% of aspirations (primarily nuts), chest radiographs were normal in 16.1%, and complications occurred in 13.0% of patients.
  • Complications were independently associated with older age (OR 1.88, 95% CI 1.18–2.98) and a prolonged or unknown interval to bronchoscopy (OR 2.75, 95% CI 1.27–5.95), but not with foreign body type (OR 1.02, 95% CI 0.42–2.50).
  • Severe long-term sequelae, including bronchiectasis and fibrotic lung changes, developed almost exclusively when the delay to bronchoscopy exceeded 30 days or was unknown.

Cite This Study

Szczukocki et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd3a66b95aff0620ead4fhttps://doi.org/10.12659/msm.954304
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Foreign Body Aspiration in Children: Impact of Delayed Presentation on Pediatric Intensive Care Unit Length of Stay, A Single-Center Study2026
  2. 2FOREIGN BODY ASPIRATION IN CHILDREN: CLINICAL, RADIOLOGICAL AND BRONCHOSCOPY FINDINGS2024
  3. 3Foreign Body Aspiration in Children Clinical, Radiological, and Bronchoscopic Findings2024
  4. 4Predictors of Positive Bronchoscopy in Children with Suspected Foreign Body Aspiration: A Retrospective Cross-Sectional Study2026
  5. 5Clinical analysis of tracheobronchial foreign body aspiration in children aged six years and older2026