Pediatric anesthesia & critical care

Childhood obesity trends: Association with same‐day hospital admission in a National Outpatient Surgical Population

Paediatr AnaesthPublished Retrospective cohort study

Authors' conclusion

The burden of obesity continues to increase in children scheduled for ambulatory surgery. Children with class 2 and class 3 obesity have higher rates of same-day hospital admission following elective ambulatory surgery compared to healthy weight children

Study context

Population
Children 2–18 years undergoing outpatient surgery under GA with documented height, weight and body mass index (BMI), ACS NSQIP-Pediatric (2012–2019)analysed
Participants
152,918 children
Exposure
Overweight and obesity classes vs healthy weight
  • Overweightn = 25,007
  • Class 1 obesityn = 21,085
  • Class 2 obesityn = 7,879
  • Class 3 obesityn = 4,623
Outcome
Same-day hospital admission (hospital LOS ≥1 day)
Methodological detailsmulticentre registry
  • Multicentre registry

Main finding

As reported in the abstract

Same-day hospital admission
Each group vs healthy weightOdds ratio (95% CI)
Overweight
1.05(1.02–1.08)
Class 1 obesity
1.04(1.00–1.07)
Class 2 obesity
1.09(1.02–1.16)
Class 3 obesity
1.20(1.11–1.30)

Observational data: associations, not effects.

Further findings

Prevalence of weight categories

Change in obesity prevalence 2012 to 2019

Class 2 obesity prevalence increase
26.7%
Class 3 obesity prevalence increase
32.5%

Original publication

Childhood obesity trends: Association with same‐day hospital admission in a National Outpatient Surgical Population. Paediatr Anaesth. Published 26 December 2022. doi:10.1111/pan.14617

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