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