Pediatric anesthesia & critical care

Atmospheric particulate matter and hypoxaemia in Korean children receiving general anaesthesia: A retrospective analysis

Eur J AnaesthesiolPublished Retrospective cohort study

Main finding · Intra-operative hypoxaemiaResult — go to the resultAdjusted odds ratio 1.71 95% CI 1.04–2.83

Authors' conclusion

The level of particulate matter on the day of surgery pose a risk of intra-operative hypoxaemia in children receiving general anaesthesia.

Study context

Population
Children aged 18 years or younger receiving GA, January 2019 to October 2020finally analysed
Participants
13,175 children
Exposure
PM10 ≥81 vs <81 μg m −3 on the day of surgery
  • ≥81 μg m −3n = 275
  • <81 μg m −3n = 12,900reference
Outcome
Intra-operative hypoxaemia (SpO2 <90% for >1 min, manually verified using vital sign registry data at 2 s intervals)
Methodological detailssingle-centre
  • Single-centre

Main finding

Intra-operative hypoxaemia

Adjusted odds ratio

1.71

95% CI 1.04–2.83

P = 0.035

Events by group

≥81 μg m −3 vs <81 μg m −3
aOR 1.71 (95% CI 1.04–2.83); P = 0.035

As reported in the abstract

Observational data: associations, not effects.

Further findings

Overall incidence of intra-operative hypoxaemia

Patients with intra-operative hypoxaemia, all analysed
3.85% (489/13 175)

Original publication

Atmospheric particulate matter and hypoxaemia in Korean children receiving general anaesthesia: A retrospective analysis. Eur J Anaesthesiol. Published 11 June 2024. doi:10.1097/eja.0000000000002027

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