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Table 4 Diagnostic value of clinical sign and symptoms, radiological and physical exam findings with statistically significant predictors derived from logistic regression for proven foreign body aspiration

From: A new clinical algorithm scoring for management of suspected foreign body aspiration in children

 

Sensitivity (%)

Specificity (%)

PPV (%)

NPV (%)

P-value*

Noisy breathing/stridor/dysphonia

23.1

89.0

47.7

72.7

0.008

Cyanosis

12.1

78.0

19.3

67.1

0.047

New onset wheezing/recurrent/persistent wheeze

22

93.3

58.8

73.3

0.0001

Abnormal Chest-X-ray

82.9

47.6

42

85.9

0.0001

Unilateral hyperinflation right/left side

40.8

79.5

47.7

74.6

0.001

Radio-opaque FB

5.3

100

100

69.8

0.009

Normal physical examination

23.3

44.0

15.8

56.1

0.0001

Unilateral reduced air entry right/left side

32.2

81.5

43.9

72.8

0.011

Wheezing

58.9

73.0

49.5

79.8

0.0001

  1. PPV positive predictive value, NPV negative predictive value
  2. *Pearson Chi-square and Fisher exact test