Preoperative optimization in the pediatric patient

Gloff, Marjorie; Robinson, R. H.; Correll, Lynnie; Lander, Heather; Pyne, Sonia; Webber, Audra

doi:10.1097/aia.0000000000000342

Cited by 1 publication

(2 citation statements)

References 81 publications

(169 reference statements)

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“…Nonetheless, regardless of the care setting, the observations from these earlier studies are commonly used in making recommendations for the perioperative care of children with obesity. 17 Very few studies have examined the prevalence of obesity in a pediatric ambulatory surgical population, 18 and no pediatric study to date has described obesity trends or the association of obesity with hospital admission following ambulatory surgery. Recent data from adults have yielded conflicting results on the outcome of morbidly obese patients who underwent ambulatory surgery.…”

Section: Discussionmentioning

confidence: 99%

“…Very few studies have examined the prevalence of obesity in a pediatric ambulatory surgical population, 18 and no pediatric study to date has described obesity trends or the association of obesity with hospital admission following ambulatory surgery. Recent data from adults have yielded conflicting results on the outcome of morbidly obese patients who underwent ambulatory surgery.…”

Section: Discussionmentioning

confidence: 99%

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Childhood obesity trends: Association with same‐day hospital admission in a National Outpatient Surgical Population

Tram

Mpody

Owusu-Bediako

et al. 2022

Pediatric Anesthesia

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Background Although the prevalence of obesity in the general population and its perioperative implications among children undergoing inpatient surgeries are well known, little is known about obesity prevalence among children scheduled for ambulatory surgery. Aims Here, we report the trends of obesity and severe obesity among children who underwent ambulatory surgery across multiple centers in the United States and explore the association of obesity status with admission following elective ambulatory surgery. Materials and Methods Using data from the American College of Surgeons National Surgical Quality Improvement Program‐Pediatric (2012–2019), we selected children 2–18 years old who underwent outpatient surgical procedures under general anesthesia and had documented height, weight, and body mass index (BMI) data. We estimated the prevalence of overweight, obesity (class 1), and severe obesity (class 2 and class 3) patients and explored their association with same‐day hospital admission, defined as hospital length of stay ≥1 day. Results Data from 152 918 children (mean age: 9.7 ± 4.7 years) were analyzed. Of these, 16.4% (n = 25 007) were overweight, 13.8% (n = 21 085) were class 1 obese, 5.2% (n = 7879) were class 2 obese, and 3.0% (n = 4623) were class 3 obese. From 2012 to 2019, class 2 or 3 obesity prevalence increased by 26.7% and 32.5%, respectively. Overweight and obese children had relatively higher odds of same‐day hospital admission compared to healthy weight children (overweight odds ratio [95% confidence interval]: 1.05 [1.02, 1.08]; class 1 obesity: 1.04 [1.00, 1.07]; class 2 obesity: 1.09 [1.02, 1.16]; class 3 obesity: 1.20 [1.11, 1.30]). Discusion and Conclusion The burden of obesity continues to increase in children scheduled for ambulatory surgery. Children with class 2 and class 3 obesity have higher rates of same‐day hospital admission following elective ambulatory surgery compared to healthy weight children, a factor that should be considered in scheduling these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%