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Diagnostic value of specific findings in children with suspected foreign body aspiration

Diagnostic value of specific findings in children with suspected foreign body aspiration
  Positive predictive value Sensitivity Specificity Negative predictive value
History of choking 50/63/78 85/79/81 21/46/33 60/64/38
Unilateral decrease in breath sounds 84/84/- 65/67/- 88/85/- 73/68/-
Wheezing 65/47/74 33/10/60 84/87/40 57/45/26
Radiopaque foreign body 100/100/- 20/7/- 100/100/- 57/47/-
Unilateral obstructive emphysema 81/86/- 53/55/- 88/89/- 67/63/-
Abnormal inspiratory radiograph 72/-/83 70/-/82 74/-/44 73/-/41
Diagnostic value of specific findings in children with foreign body aspiration, as estimated in 3 different case series in which the diagnosis was confirmed or excluded by bronchoscopy. Each value is given as Ref 1/Ref 2/Ref 3. A hyphen (-) is used where no data were provided by the reference.
Data from:
  1. Martinot A, Closset M, Marquette CH, et al. Indications for flexible versus rigid bronchoscopy in children with suspected foreign-body aspiration. Am J Respir Crit Care Med 1997; 155:1676.
  2. Francois M, Thach-Toan, Maisani D, et al. [Endoscopy for exploration for foreign bodies of the lower respiratory tract of the child. Apropos of 668 cases.] Ann Otolaryngol Chir Cervicofac 1985; 102:433.
  3. Hoeve LJ, Rombout J, Pot DJ. Foreign body aspiration in children. The diagnostic value of signs, symptoms, and pre-operative examination. Clin Otolaryngol 1993; 18:55.
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