Paediatric anaesthesia & critical care

Multidisciplinary Risk Assessment Outcomes Are Associated With 30‐Day in Hospital Complications Following Pediatric Scoliosis Surgery: Evaluation of a Three‐Tiered Traffic‐Light Triage System at Great Ormond Street Children's Hospital

Paediatr AnaesthPublished retrospective hospital file review

Main finding · Major complicationsResult — go to the resultAdjusted odds ratio 11.4 95% CI 1.98–65.4

Authors' conclusion

Patients classified as high-risk by the MDT demonstrated an increased odds of developing major complications, longer operative time, and extended length of stay when compared to low-risk patients. Similar structured tools, with local adaptations, may be valuable in other centers to support preoperative assessment, shared decision making, and guide resource allocation.

Study context

Population
Patients presenting to Great Ormond Street Hospital (GOSH) for primary scoliosis surgery between January 2019 and December 2023of 350 eligible patients, had a documented preoperative multidisciplinary team (MDT) traffic-light assessment
Participants
337 patients
Exposure
High-risk vs low-risk patients by preoperative MDT traffic-light score
  • Low-risk (green)n = 147reference
  • Intermediate-risk (amber)n = 166
  • High-risk (red)n = 24
Outcome
Major complications
Follow-up
30-day in-hospital

Main finding

As reported in the abstract

Adjusted odds ratio

11.4

95% CI 1.98–65.4

P = 0.006

Events by group

High-risk (red) vs low-risk (green)
adjusted odds ratio 11.4 (95% CI 1.98–65.4); P = 0.006

Observational data: associations, not effects.

Further findings

OutcomeLow-risk (green)High-risk (red)P value
Operative timeHigh-risk (red) vs low-risk (green) · significantly longer in high-risk patients320 min381 minP < 0.001
Length of stayHigh-risk (red) vs low-risk (green) · significantly longer in high-risk patients5 days12 daysP < 0.001

Original publication

Multidisciplinary Risk Assessment Outcomes Are Associated With 30‐Day in Hospital Complications Following Pediatric Scoliosis Surgery: Evaluation of a Three‐Tiered Traffic‐Light Triage System at Great Ormond Street Children's Hospital. Paediatr Anaesth. Published 26 October 2026. doi:10.1002/pan.70333

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