Prevalence of PErioperAtive CHildhood obesitY in children undergoing general anaesthesia in the UK: a prospective, multicentre, observational cohort study

Paediat Anaesthesia Trainee Res Ne

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Childhood obesity has become a serious global healthcare challenge. No UK data currently define its anaesthetic and perioperative implications. We aimed to determine obesity prevalence amongst UK children undergoing general anaesthesia and the incidence of predefined adverse perioperative events, and to compare perioperative obesity rates with National Child Measurement Programme (NCMP) data.

Methods: During a site-selected consecutive 7-day study period, all children (2-16 yr) undergoing general anaesthesia were included. Anonymised hospital, surgical, and procedural details; demographic data; and adverse perioperative events were collected prospectively by Paediatric Anaesthesia Trainee Research Network (PATRN) collaborators.

Results: For this study, 102 UK hospitals participated and 4232 cases were included in the final analysis; 76% of hospitals did not routinely calculate BMI. In addition, 3030 (71.6%; 95% confidence interval [CI]: 70.2-73.0%) children of healthy weight were compared with 537 (12.7%; 11.7-13.7%) children who were overweight and 478 (11.3%; 10.3-12.2%) children with obesity. Children with obesity (n=71; 14.9%) more commonly underwent (adeno)tonsillectomy than children of healthy weight (n=282; 9.3%; P

Conclusions: This large multicentre cohort study suggests a concerning prevalence of children with obesity presenting for anaesthesia. These results should be used to inform optimal provision of care for this population and support perioperative healthcare initiatives to address the burden of childhood obesity.

Original languageEnglish
Pages (from-to)953-961
Number of pages9
JournalBritish Journal of Anaesthesia
Volume127
Issue number6
Early online date6 Oct 2021
DOIs
Publication statusPublished - 1 Dec 2021

Keywords

  • adverse events
  • childhood obesity
  • overweight
  • paediatric anaesthesia
  • perioperative
  • preoperative assess-ment
  • quality improvement
  • risk factors
  • OBSTRUCTIVE SLEEP-APNEA
  • SEVERE CRITICAL EVENTS
  • BODY-MASS INDEX
  • PEDIATRIC ANESTHESIA
  • AIRWAY MANAGEMENT
  • RISK-FACTORS
  • ADOLESCENTS
  • COMPLICATIONS
  • OVERWEIGHT
  • ADENOTONSILLECTOMY

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