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- W2017806532 abstract "Summary Objectives To report the epidemiology of obesity in a pediatric surgical population and determine whether obesity is a risk factor for longer anesthesia duration. Background Childhood obesity is a significant public health problem in the United States. Epidemiologic studies on pediatric surgical populations have been limited to states with very high prevalence of adult obesity ( M ichigan, T exas). Data from other states and more recent data since 2006 are unavailable. Methods We examined anesthesia records for surgical patients age 2–18 years at C olumbia U niversity M edical C enter from J anuary 2009 to D ecember 2010. Patients undergoing bariatric surgery or those with records missing preoperative height or weight data were excluded. Body mass index ( BMI ) was calculated as weight (kg)/height (m 2 ). BMI ≥95th percentile according to national growth charts were considered obese. Results We reviewed 9522 patients of which 1639 were obese (17.2%). The sex–age category interaction on obesity was not significant using logistic regression ( P = 0.11). Among surgical groups, the otolaryngology ( ENT ) cohort had the highest obesity rate (21.7%, 360/1656). Obese children who had tonsillectomy, adenoidectomy, or both did not have a prolonged anesthetic ( P = 0.33) or surgical duration ( P = 0.61) compared with nonobese children, adjusting for surgeon, season, surgical procedure code, and ASA status. Conclusion Children presenting for surgery, particularly the ENT cohort, have a high prevalence of obesity. Obese and nonobese children who had tonsillectomy, adenoidectomy, or both had comparable durations of anesthesia. Therefore, obesity did not lead to longer anesthetic duration." @default.
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- W2017806532 date "2014-05-14" @default.
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- W2017806532 title "Does obesity prolong anesthesia in children undergoing common <scp>ENT</scp> surgery?" @default.
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- W2017806532 doi "https://doi.org/10.1111/pan.12442" @default.
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