Pediatric anesthesia & critical care

PaedIatric caNcelation ratEs And PerioPerative clinicaL Evaluation ( PINEAPPLE ): A UK Prospective Multi‐Center Observational Cohort Study

Paediatr AnaesthPublished Prospective observational cohort study

Authors' conclusion

These data suggest that improved outcomes could be achieved through a reduction in anxiety.

Study context

Population
Children 1–16 years old having elective procedures under GA, 96 UK hospitals
Participants
6,818 children · 96 hospitals
Exposure
Preassessment vs no preassessment before GA
  • Preassessmentn = 4,082
Outcome
Proportion of children who underwent preassessment before GA
Methodological detailsmulticentre, Recruitment via Pediatric Anesthetic Trainee Research Network
  • Multicentre
  • Recruitment via Pediatric Anesthetic Trainee Research Network

Main finding

As reported in the abstract

Children who received preassessment

Preassessment

60.1%

4082

Observational data: associations, not effects.

Further findings

Perioperative anxiety

P < 0.001

Overall cancelation rates

No statistically significant difference with preassessment

Perioperative journey proceeded as planned (all patients)

Proceeded as planned
6454 patients, 94.6%

Procedures delayed or canceled, anxiety identified vs not identified as perioperative challenge

Anxiety identified
20.8% (n = 191)
Anxiety not identified
3.6% (n = 210)
P
P < 0.001
  • Most common reasons for cancelation: intercurrent illness and anxiety

Original publication

PaedIatric caNcelation ratEs And PerioPerative clinicaL Evaluation ( PINEAPPLE ): A UK Prospective Multi‐Center Observational Cohort Study. Paediatr Anaesth. Published 6 January 2026. doi:10.1111/pan.70082

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