TY - JOUR
T1 - Food choking incidents in the hospital
T2 - Incidents, characteristics, effectiveness of interventions, and mortality and morbidity outcomes
AU - Norii, Tatsuya
AU - Igarashi, Yutaka
AU - Akaiwa, Mari
AU - Yoshino, Yudai
AU - Kamimura, Hiroki
AU - Albright, Danielle
AU - Sklar, David P.
AU - Crandall, Cameron
N1 - Funding Information:
The authors would like to thank Ms. Hatsumi Nakanishi, Mr. Ichito Shimokawa, and Mr. Yoshiki Sato for their assistance with data entry. We also wish to thank Drs. Hiroya Kida, Masao Tabata, and Kiyomi Suda for their suggestions and support. The authors also thank the JCQHC and all institutions that contributed the data.
Publisher Copyright:
© 2023 Elsevier B.V.
PY - 2023/7
Y1 - 2023/7
N2 - Aim: Foreign body airway obstruction (FBAO) due to food can occur wherever people eat, including in hospitals. We characterized in-hospital FBAO incidents and their outcomes. Methods: We searched the Japan Council for Quality Health Care nationwide in-hospital adverse events database for relevant events from 1,549 institutions. We included all patients with FBAO incidents due to food in the hospital from January 2010 to June 2021 and collected data on the characteristics, interventions, and outcomes. FBAO from non-food materials were excluded. Our primary outcomes were mortality and morbidity from FBAO incidents. Results: We identified 300 patients who had a FBAO incident from food. The most common age group was 80–89 years old (32.3%, n = 97/300). One-half (50.0%, n = 150/300) were witnessed events. Suction was the most common first intervention (31.3%, n = 94/300) and resulted in successful removal of foreign body in 17.0% of cases (n = 16/94). Back blows (16.0%, n = 48/300) and abdominal thrusts (8.1%, n = 24/300) were less frequently performed as the first intervention and the success rates were 10.4% (n = 5/48) and 20.8% (n = 5/24), respectively. About one‐third of the patients (31%, n = 93/300) died and 26.7% (n = 80/300) had a high potential of residual disability from these incidents. 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.
AB - Aim: Foreign body airway obstruction (FBAO) due to food can occur wherever people eat, including in hospitals. We characterized in-hospital FBAO incidents and their outcomes. Methods: We searched the Japan Council for Quality Health Care nationwide in-hospital adverse events database for relevant events from 1,549 institutions. We included all patients with FBAO incidents due to food in the hospital from January 2010 to June 2021 and collected data on the characteristics, interventions, and outcomes. FBAO from non-food materials were excluded. Our primary outcomes were mortality and morbidity from FBAO incidents. Results: We identified 300 patients who had a FBAO incident from food. The most common age group was 80–89 years old (32.3%, n = 97/300). One-half (50.0%, n = 150/300) were witnessed events. Suction was the most common first intervention (31.3%, n = 94/300) and resulted in successful removal of foreign body in 17.0% of cases (n = 16/94). Back blows (16.0%, n = 48/300) and abdominal thrusts (8.1%, n = 24/300) were less frequently performed as the first intervention and the success rates were 10.4% (n = 5/48) and 20.8% (n = 5/24), respectively. About one‐third of the patients (31%, n = 93/300) died and 26.7% (n = 80/300) had a high potential of residual disability from these incidents. 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.
KW - Cardiac arrest
KW - Foreign body airway obstruction
KW - Patient safety
KW - Quality of Health Care
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U2 - 10.1016/j.resuscitation.2023.109806
DO - 10.1016/j.resuscitation.2023.109806
M3 - Article
C2 - 37088269
AN - SCOPUS:85156206532
SN - 0300-9572
VL - 188
JO - Resuscitation
JF - Resuscitation
M1 - 109806
ER -