Paediatric anaesthesia & critical care

Impact of Socioeconomic Deprivation on children's Need for Anesthesia: A Retrospective Analysis of Electronic Health Records From a Tertiary Referral children's Hospital

Paediatr AnaesthPublished Retrospective cross-sectional study

Main finding · Children from a deprived area more likely to undergo treatmentResult — go to the resultAdjusted odds ratio 1.15 95% CI 1.13–1.17

Authors' conclusion

Children living in deprived areas are more likely to present for procedures involving anesthesia at our hospital, which serves a large area: Northwest England and Wales.

Study context

Population
Children presenting for procedures involving anaesthesia at a specialist children's referral hospital in Northwest England and Wales, UK, 2016–2024
Participants
71,613 episodes
Exposure
Children from deprived vs less deprived areas
Outcome
Odds of having a procedure requiring anaesthesia according to deprivation
Methodological detailselectronic health records linked to population data, multivariate mixed-effects logistic regression, single tertiary referral centre
  • Electronic health records linked to population data
  • Multivariate mixed-effects logistic regression
  • Single tertiary referral centre

Main finding

As reported in the abstract

Children from a deprived area more likely to undergo treatment

Adjusted odds ratio

1.15

95% CI 1.13–1.17

P < 0.001

Children from deprived vs less deprived areas (IMD)
aOR 1.15 (95% CI 1.13–1.17); P < 0.001

Observational data: associations, not effects.

Further findings

Odds of a procedure by speciality

Higher for most specialities for children from a deprived area; greatest for dental procedures

Odds of a procedure by IMD decile

Strongest effect for children from the most deprived areas

Sensitivity analysis

Did not change the general conclusion

Original publication

Impact of Socioeconomic Deprivation on children's Need for Anesthesia: A Retrospective Analysis of Electronic Health Records From a Tertiary Referral children's Hospital. Paediatr Anaesth. Published 2 September 2026. doi:10.1002/pan.70302

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