Paediatric anaesthesia & critical care

Association of Multimorbidity in Children Undergoing Ambulatory Surgical Procedures With Same‐Day Admissions

Paediatr AnaesthPublished Retrospective cohort study

Authors' conclusion

Children with MM have higher rates of same-day hospital admission following elective ambulatory surgery compared to their peers

Study context

Population
Children aged 2–18 years undergoing elective, non-otolaryngologic ambulatory surgery, US Pediatric Health Information System (PHIS) database 2010–20227.6% (n = 126,403) had MM
Participants
1,609,584 children
Exposure
Mild-moderate MM or severe MM vs no chronic condition
  • No MMn = 1,483,181reference
  • Mild-moderate MMn = 111,090
  • Severe MMn = 15,313
Outcome
Same-day hospital admission (hospital LOS ≥ 1 day among children scheduled for ambulatory surgery)
Methodological detailsmulticentre database (PHIS)
  • Multicentre database (PHIS)

Main finding

As reported in the abstract

Each group vs no MMOdds ratio (95% CI)
Mild-moderate MM
1.94(1.90–1.99)
Severe MM
2.30(2.18–2.43)

Observational data: associations, not effects.

Further findings

Prevalence of MM

Any MM
7.6%
Mild-moderate MM
6.9%
Severe MM
0.7%

Original publication

Association of Multimorbidity in Children Undergoing Ambulatory Surgical Procedures With Same‐Day Admissions. Paediatr Anaesth. Published 26 September 2026. doi:10.1002/pan.70319

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