Pediatric anesthesia & critical care

Trends in Paediatric surgical volume and associated mortality in England: a nationwide study over an eight year period

BJA OpenPublished Retrospective observational cohort study

Authors' conclusion

One in 14 surgical procedures were performed on children, with substantially lower mortality risk than adults.

Study context

Population
Children aged <18 yr undergoing surgery in National Health Service (NHS) hospitals in England, 1 April 2015 to 31 December 2020 (supplementary data until March 2023)
Participants
1,846,965 surgical procedures
Outcome
In-hospital mortality within 90 days after surgery
Follow-up
90 days
Methodological detailsnationwide
  • Nationwide

Main finding

As reported in the abstract

In-hospital deaths within 90 days after surgery
6 573/1 846 965 (0.36%)
Trend for increasing mortality risk between 2015 and 2020
P<0.05

Observational data: associations, not effects.

Secondary outcomes

Hospital stay

Median hospital stay (0-1), days
1

Annual surgical procedure volume

Average annual procedures before the pandemic (2015-19)
340 596
Annual procedures in 2023
266 049
Reduction in volume
22%

Paediatric share of all surgical procedures

Procedures for children among 36 605 870 surgical procedures
1 846 965 (5.0%)

Original publication

Trends in Paediatric surgical volume and associated mortality in England: a nationwide study over an eight year period. BJA Open. Published 25 November 2025. doi:10.1016/j.bjao.2025.100505

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