Publication Name	World Journal of Clinical Pediatrics
Manuscript ID	120948
Country	India

Category	Pediatrics
Manuscript Type	Retrospective Cohort Study
Article Title	Derivation of a clinical-radiological scoring system to predict foreign body aspiration in children
Manuscript Source	Invited Manuscript
All Author List	Lianne Dmello, Tarun John K Jacob and Arun Kumar Loganathan
Funding Agency and Grant Number
Corresponding Author	Arun Kumar Loganathan, Associate Professor, Department of Paediatric Surgery, Christian Medical College and Hospital, 6th Floor, ISSCC Building, Vellore 632004, Tamil Nādu, India. nishadocarun@gmail.com
Key Words	Foreign body aspiration; Bronchoscopy; Scoring system; Airway obstruction; Pediatric emergency; Risk stratification; Respiratory tract disease; Diagnostic prediction
Core Tip	Diagnosing pediatric foreign body aspiration remains challenging and is associated with high negative rigid bronchoscopy rates. We derived a novel 17-point clinical-radiological scoring system that achieved an area under the curve of 0.791 and a sensitivity of 83.4%. This score heavily emphasizes the absence of respiratory mimics (concurrent upper respiratory tract infections or asthma) alongside classic predictors. Accordingly, we propose a practical emergency algorithm in which children scoring ≥ 10 undergo immediate rigid bronchoscopy, while those scoring ≤ 6 may be initially evaluated with flexible bronchoscopy. This approach optimizes patient selection and reduces unnecessary invasive procedures and associated complications.
Citation	Dmello L, Jacob TJK, Loganathan AK. Derivation of a clinical-radiological scoring system to predict foreign body aspiration in children. World J Clin Pediatr 2026; In press

Received	2026-03-12 05:51
Peer-Review Started	2026-03-12 05:51
First Decision by Editorial Office Director	2026-04-15 09:04
Return for Revision	2026-04-15 09:04
Revised	2026-05-15 04:28
Publication Fee Transferred
Second Decision by Editor	2026-06-02 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-06-02 06:29
Articles in Press	2026-06-02 06:29
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2219-2808 (online)
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