Pediatric anesthesia & critical care

Unplanned Post‐Operative Pediatric Intensive Care Unit Admissions After Elective Upper Airway Procedures: A Retrospective Case–Control Study

Paediatr AnaesthPublished Retrospective case-control study

Authors' conclusion

Several clinical factors were seen to be associated with increased risk of unplanned pediatric intensive care unit admission after upper airway surgery including American Society of Anesthesiologists physical status > 2, chronic lung disease, prior neonatal intensive care unit admission, and longer operative duration. Controlling for these clinical factors, prior neonatal intensive care unit admission best predicted the need for unplanned pediatric intensive care unit admission.

Study context

Population
Children undergoing elective upper airway surgery at a single tertiary care center, January 2017 to June 202222 of 29 cases matched
Participants
22 vs 44
Comparison
Unplanned PICU admission vs controls without unplanned PICU admission
  • Unplanned PICU admissionn = 22
  • Controln = 44reference
Outcome
Perioperative risk factors associated with unplanned PICU admission
Methodological detailssingle-centre, 1:2 matched on procedure type, age, and date of surgery
  • Single-centre
  • 1:2 matched on procedure type, age, and date of surgery

Main finding

As reported in the abstract

Risk factors for unplanned PICU admission (unadjusted conditional logistic regression)
Estimate (95% CI)P value
ASA physical status > 2unadjusted
OR 7.92(2.25–27.92)
P = 0.001
Prior neonatal ICU admissionunadjusted
OR 23.19(3.03–177.38)
P = 0.003
Chronic lung diseaseunadjusted
OR 14.00(1.72–113.79)
P = 0.014
Longer operative durationunadjusted
OR 1.03 per minute(1.003–1.058)
P = 0.032
Apnea-hypopnea indexmultiple imputed values; not significant
OR 1.03 per unit increase(0.996–1.069)
P = 0.082
Prior neonatal ICU admissionmultivariable conditional logistic regression; only independent factor
aOR 14.65(1.23–175.05)
P = 0.034

Each row per its own increment, as printed

Observational data: associations, not effects.

Further findings

Apnea-hypopnea index

P = 0.033

Apnea-hypopnea index

Groups comparable with respect to age and weight

Original publication

Unplanned Post‐Operative Pediatric Intensive Care Unit Admissions After Elective Upper Airway Procedures: A Retrospective Case–Control Study. Paediatr Anaesth. Published 11 April 2026. doi:10.1002/pan.70185

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