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Age Ageing. 2009 Jul;38(4):396-400. doi: 10.1093/ageing/afp044. Epub 2009 Apr 28.

Prevalence of flexible bronchoscopic removal of foreign bodies in the advanced elderly.

Author information

  • 1Section of Pulmonary, Critical Care, Environmental, and Sleep Medicine, Carilion Clinic, Roanoke, VA 24014, USA. mbboyd@carilion.com

Abstract

OBJECTIVES:

to define the likelihood and establish the overall safety and effectiveness of flexible bronchoscopy in the removal of foreign bodies in the advanced elderly compared to those younger.

DESIGN:

a retrospective case-control analysis.

SETTING:

tertiary care academic hospital. Population: 7,089 adults (age >18 years), including 949 (15%) advanced elderly (age >75 years), who underwent flexible bronchoscopy between January 1995 and June 2007.

MEASUREMENTS:

in those patients with foreign body aspiration (FBA) (n = 20), a comparison of multiple clinical characteristics based on defined age groups (group 1, age <75 years and group 2, age >75 years) was performed.

RESULTS:

FBA requiring bronchoscopic removal was greater than three and a half times more likely in patients aged >75 years compared to those younger (OR 3.78, CI 1.4-10: P <0.05). Flexible bronchoscopy was 87.5% effective in the removal of foreign bodies in the advanced elderly and associated with no increase in adverse events.

CONCLUSION:

bronchoscopic removal of foreign bodies is more likely in the advanced elderly when compared to those younger. This implies that this population may be most at risk. Flexible bronchoscopy is a safe and effective initial diagnostic and therapeutic approach in this age group.

PMID:
19401339
[PubMed - indexed for MEDLINE]
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