Safety, quality & education

Food choking incidents in the hospital: Incidents, characteristics, effectiveness of interventions, and mortality and morbidity outcomes

ResuscitationPublished Retrospective cohort study

Authors' conclusion

FBAO from food in the hospital is an uncommon but life-threatening event. The majority of patients who suffered from in-hospital FBAO incidents did not receive effective interventions initially and many of them died or suffered residual disability.

Study context

Population
Hospital patients with foreign body airway obstruction (FBAO) incidents due to food, Japan, January 2010 to June 2021
Participants
300 patients
Outcome
Mortality and morbidity from FBAO incidents
Methodological detailsnationwide adverse events database, 1,549 institutions
  • Nationwide adverse events database
  • 1,549 institutions

Main finding

As reported in the abstract

Mortality and morbidity from food FBAO

Died

31%

n = 93/300

High potential of residual disability

26.7%

n = 80/300

Observational data: associations, not effects.

Further findings

First intervention and success in removing foreign body

Suction as first intervention
31.3% (n = 94/300)
Suction success
17.0% (n = 16/94)
Back blows as first intervention
16.0% (n = 48/300)
Back blows success
10.4% (n = 5/48)
Abdominal thrusts as first intervention
8.1% (n = 24/300)
Abdominal thrusts success
20.8% (n = 5/24)

Characteristics

Age 80-89 years (most common age group)
32.3% (n = 97/300)
Witnessed events
50.0% (n = 150/300)

Original publication

Food choking incidents in the hospital: Incidents, characteristics, effectiveness of interventions, and mortality and morbidity outcomes. Resuscitation. Published 23 April 2023. doi:10.1016/j.resuscitation.2023.109806

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