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
Main finding · Major complicationsResult — go to the resultAdjusted odds ratio 11.4 95% CI 1.98–65.4Authors' 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
| Outcome | Low-risk (green) | High-risk (red) | P value |
|---|---|---|---|
| Operative timeHigh-risk (red) vs low-risk (green) · significantly longer in high-risk patients | 320 min | 381 min | P < 0.001 |
| Length of stayHigh-risk (red) vs low-risk (green) · significantly longer in high-risk patients | 5 days | 12 days | P < 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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