Pediatric anesthesia & critical care
The prevalence of anaemia in children presenting for elective surgical and diagnostic procedures requiring sedation or general anaesthesia at two tertiary hospitals in Johannesburg
Authors' conclusion
There is a notable prevalence of preoperative anaemia in paediatric patients in this South African middle income country. Children under the age of 5 years have the highest prevalence overall. The majority of patients have mild anaemia.
Study context
- Population
- Children aged 6 months to 11 years, American Society of Anaesthesiologists (ASA) 1 and 2, presenting for elective surgical and diagnostic procedures under sedation or GA at two tertiary hospitals in Johannesburg, January–May 2024median age 4.2 (2.2–7.1) years
- Participants
- 290 children
- Outcome
- Prevalence and severity of anaemia
Methodological detailsprospective, two tertiary hospitals
- Prospective
- Two tertiary hospitals
Main finding
As reported in the abstract
Prevalence of anaemia
31.4%
95% CI 26.1–37.1
Mild anaemia, among anaemic children
57.1%
95% CI 46.3–67.5
Moderate anaemia, among anaemic children
40.7%
95% CI 30.5–51.5
Severe anaemia, among anaemic children
2.2%
95% CI 0.3–7.7
Observational data: associations, not effects.
Further findings
Association between age and likelihood of anaemia
| aOR (95% CI) | ||
|---|---|---|
| AgeReported by authors as significant | 0.61 (0.35–1.05) | |
| 0.20.5125Adjusted odds ratio (log scale) |
Severity of anaemia (among anaemic children)
- Mild
- 57.1% (95% CI 46.3-67.5)
- Moderate
- 40.7% (95% CI 30.5-51.5)
- Severe
- 2.2% (95% CI 0.3-7.7)
Associations with sex, nutritional status and deworming status
- No significant associations with sex, nutritional status, and deworming status
Original publication
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