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

Paediat Anaesthesia Trainee Res Ne

doi:10.1016/j.bja.2021.07.034

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 journal › Article › peer-review

10 Citations (Scopus)

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 language	English
Pages (from-to)	953-961
Number of pages	9
Journal	British Journal of Anaesthesia
Volume	127
Issue number	6
Early online date	6 Oct 2021
DOIs	https://doi.org/10.1016/j.bja.2021.07.034
Publication status	Published - 1 Dec 2021

Bibliographical note

Acknowledgements The authors thank Sarah Heikal, Hannah Lewis, Andrew Selman, and Deborshi Sinha for their dedication to supporting Perioperative Childhood Obesity in their roles on the Paediatric Anaesthesia Trainee Research Network (PATRN) Commit-tee. The authors are very grateful to all the PATRN site collaborators who contributed to data collection (see Supplementary materials for the list of collaborators), their local Research & Development departments, and the Clinical Research Networks that helped coordinate the study. The authors also thank the study sponsor, University Hospital Southampton, particularly Sharon Davies-Dear for her guidance. Finally, the authors acknowledge the Association of Paediatric Anaesthetists of Great Britain and Ireland for funding and supporting this work
Funding
Funding granted by the Paediatric Anaesthesia Research Fund of the APAGBI. The grant recipient was PATRN.

Data Availability Statement

Supplementary data to this article can be found online at https://doi.org/10.1016/j.bja.2021.07.034.

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

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.bja.2021.07.034Licence: Unspecified

Cite this

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

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%; PConclusions: 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.",

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",

author = "Burton, {Zoe A.} and Rosie Lewis and Tom Bennett and McLernon, {David J.} and Thomas Engelhardt and Brooks, {Peter B.} and Edwards, {Mark R.} and {Paediat Anaesthesia Trainee Res Ne}",

note = "Acknowledgements The authors thank Sarah Heikal, Hannah Lewis, Andrew Selman, and Deborshi Sinha for their dedication to supporting Perioperative Childhood Obesity in their roles on the Paediatric Anaesthesia Trainee Research Network (PATRN) Commit-tee. The authors are very grateful to all the PATRN site collaborators who contributed to data collection (see Supplementary materials for the list of collaborators), their local Research & Development departments, and the Clinical Research Networks that helped coordinate the study. The authors also thank the study sponsor, University Hospital Southampton, particularly Sharon Davies-Dear for her guidance. Finally, the authors acknowledge the Association of Paediatric Anaesthetists of Great Britain and Ireland for funding and supporting this work Funding Funding granted by the Paediatric Anaesthesia Research Fund of the APAGBI. The grant recipient was PATRN.",

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doi = "10.1016/j.bja.2021.07.034",

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TY - JOUR

T1 - Prevalence of PErioperAtive CHildhood obesitY in children undergoing general anaesthesia in the UK

T2 - a prospective, multicentre, observational cohort study

AU - Burton, Zoe A.

AU - Lewis, Rosie

AU - Bennett, Tom

AU - McLernon, David J.

AU - Engelhardt, Thomas

AU - Brooks, Peter B.

AU - Edwards, Mark R.

AU - Paediat Anaesthesia Trainee Res Ne

N1 - Acknowledgements The authors thank Sarah Heikal, Hannah Lewis, Andrew Selman, and Deborshi Sinha for their dedication to supporting Perioperative Childhood Obesity in their roles on the Paediatric Anaesthesia Trainee Research Network (PATRN) Commit-tee. The authors are very grateful to all the PATRN site collaborators who contributed to data collection (see Supplementary materials for the list of collaborators), their local Research & Development departments, and the Clinical Research Networks that helped coordinate the study. The authors also thank the study sponsor, University Hospital Southampton, particularly Sharon Davies-Dear for her guidance. Finally, the authors acknowledge the Association of Paediatric Anaesthetists of Great Britain and Ireland for funding and supporting this work Funding Funding granted by the Paediatric Anaesthesia Research Fund of the APAGBI. The grant recipient was PATRN.

PY - 2021/12/1

Y1 - 2021/12/1

N2 - 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%; PConclusions: 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.

AB - 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%; PConclusions: 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.

KW - adverse events

KW - childhood obesity

KW - overweight

KW - paediatric anaesthesia

KW - perioperative

KW - preoperative assess-ment

KW - quality improvement

KW - risk factors

KW - OBSTRUCTIVE SLEEP-APNEA

KW - SEVERE CRITICAL EVENTS

KW - BODY-MASS INDEX

KW - PEDIATRIC ANESTHESIA

KW - AIRWAY MANAGEMENT

KW - RISK-FACTORS

KW - ADOLESCENTS

KW - COMPLICATIONS

KW - OVERWEIGHT

KW - ADENOTONSILLECTOMY

U2 - 10.1016/j.bja.2021.07.034

DO - 10.1016/j.bja.2021.07.034

M3 - Article

SN - 0007-0912

VL - 127

SP - 953

EP - 961

JO - British Journal of Anaesthesia

JF - British Journal of Anaesthesia

IS - 6

ER -

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

Abstract

Bibliographical note

Data Availability Statement

Keywords

UN SDGs

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