Pediatric anesthesia & critical care
Association Between Age- and Sex-Specific Body Mass Index Percentile and Multiple Intubation Attempts: A Retrospective Cohort Analysis
Main finding · Difficult intubation per 10-unit increase in BMI percentileResult — go to the resultOdds ratio 0.98 95% CI 0.95–1.005Authors' conclusion
Age- and sex-specific BMI percentile was not associated with difficult intubation in children between 2 and 18 years of age.
Study context
- Population
- Pediatric patients aged 2–18 years having noncardiac surgery with oral endotracheal intubationincluded in the analysis
- Participants
- 9,339 patients
- Exposure
- Age- and sex-specific body mass index (BMI) percentile
- Outcome
- Difficult intubation (>1 intubation attempt)
Methodological detailsconfounder-adjusted multivariable logistic regression
- Confounder-adjusted multivariable logistic regression
Main finding
As reported in the abstract
Difficult intubation per 10-unit increase in BMI percentile
Odds ratio
0.98
95% CI 0.95–1.005
BMI percentile, per 10-unit increase
OR 0.98 (95% CI 0.95–1.005)
Per 10-unit increase, as printed
- Difficult intubation, overall
- 492 (5.3%)
- Median [quartiles] age- and sex-specific BMI percentile
- 70 [33, 93]
Observational data: associations, not effects.
Further findings
| Outcome | OR (95% CI) | P value | |
|---|---|---|---|
| Difficult intubation in patients with preoperative substantial airway abnormalities (subgroup)Lower odds of difficult intubation | 0.83 (0.70–0.98) | P = 0.01 | |
| 0.512Odds ratio (log scale) |
Difficult intubation by age group (early childhood, middle childhood, early adolescence) (subgroup)
- Association consistent across the 3 age groups
- Interaction P = .53
Original publication
Association Between Age- and Sex-Specific Body Mass Index Percentile and Multiple Intubation Attempts: A Retrospective Cohort Analysis. Anesth Analg. Published 15 March 2023. doi:10. 1213/ ane. 0000000000006400
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