Pediatric anesthesia & critical care

Does anesthesia duration or number of cases per patient predict safety events?

Paediatr AnaesthPublished Retrospective observational cohort study

Authors' conclusion

Limiting dental care under general anesthesia to multiple short cases may decrease the risk of perioperative events when compared to completing all treatment in one long operative session.

Study context

Population
Children undergoing dental rehabilitation under GA at a free-standing children's hospital or associated pediatric ambulatory surgery center, June 2015–December 2021
Participants
8,082 children · 8,468 procedures
Exposure
Single anesthetic duration vs number of anesthetics per patient
Outcome
Perioperative safety events
Methodological detailssingle-centre, multivariable logistic regression, 7765 patients had one procedure; 317 patients had 703 procedures (two to five per patient)
  • Single-centre
  • Multivariable logistic regression
  • 7765 patients had one procedure; 317 patients had 703 procedures (two to five per patient)

Main finding

As reported in the abstract

Perioperative events (multivariable logistic regression)
Odds ratio (CI)P value
ASA-PS 3
5.7(2.1–15.5)
p value .001
ASA-PS 4
17.2(4.4–67.3)
P < 0.001
Anesthesia duration
1.46(1.21–1.76)
P < 0.001
Number of anesthetics per patientno increased risk
0.81(0.4–1.61)
p value .54

Per patient, as printed

Observational data: associations, not effects.

Original publication

Does anesthesia duration or number of cases per patient predict safety events? Paediatr Anaesth. Published 21 February 2024. doi:10.1111/pan.14861

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.