Ear, nose, and throat foreign bodies in adults: A population-based study in Taiwan
Journal
Journal of the Formosan Medical Association
Journal Volume
118
Journal Issue
9
Pages
1290-1298
Date Issued
2019
Author(s)
Abstract
Background/Purpose: This study performed a population-based analysis in the managements of adult ear, nose, and throat FBs in Taiwan. Methods: The Taiwan Longitudinal Health Insurance Database 2000 were used, which comprises 1,000,000 beneficiaries randomly sampled in 2000 with a follow-up period from 2000 to 2013. Patients aged >18 years with ear, nose, or throat FB were identified according to the International Codes of Diseases. Results: In total, 94,312 adults with ear (n = 21,786), nose (n = 1007), throat (n = 62,986), airway (n = 419), or esophageal (n = 8114) FB were identified. Emergency department visits were most common among patients with esophageal or airway FB (33.3% and 25.1%, respectively). X-rays were most commonly performed for patients with esophageal FB (44.8%), and computed tomography (CT) was most commonly used for those with airway FB (4.3%). Hospitalization rate was the highest among patients with airway FB (7.4%), followed by those with esophageal (3.0%) and nose (0.7%) FB. Patients with airway FBs corresponded with the highest rate of intensive care unit stay (58.1%), longest hospital stay (10.5 days), and highest in-hospital mortality rate (25.8%). A multiple logistic regression model indicated that old age, medical comorbidities, undergoing CT, and airway or esophageal FB were associated with hospitalization among adults with FB. Conclusion: Disparities were identified in the treatment of ear, nose, and throat FB in adults. This study provides population-based data that may serve as a reference for otolaryngologists in clinical FB management. ? 2019 Formosan Medical Association
SDGs
Other Subjects
adult; aged; Article; chronic kidney failure; comorbidity; computer assisted tomography; controlled study; diabetes mellitus; ear disease; emergency ward; esophagus foreign body; female; follow up; foreign body; gender; groups by age; hospitalization; human; hypertension; intensive care unit; length of stay; liver disease; major clinical study; male; mental disease; middle aged; mortality rate; nose disease; population research; public hospital; respiratory tract disease; senescence; Taiwan; teaching hospital; throat disease; X ray; young adult; adolescent; diagnostic imaging; ear; foreign body; hospital emergency service; multivariate analysis; nose; pharynx; statistical model; x-ray computed tomography; Adolescent; Adult; Aged; Ear; Emergency Service, Hospital; Female; Foreign Bodies; Hospitalization; Humans; Logistic Models; Male; Middle Aged; Multivariate Analysis; Nose; Pharynx; Taiwan; Tomography, X-Ray Computed; Young Adult
Publisher
Elsevier B.V.
Type
journal article