BACKGROUND: Adenotonsillectomy (T&A) is a very common surgical procedure in children. With the rising prevalence of childhood overweight and obesity, our goal was to describe the prevalence of overweight/obesity in children presenting for T&A in our institution. We also sought to compare the frequency of peri-operative complications and the likelihood of being admitted following T&A between overweight/obese and normal weight children. METHODS: We examined our peri-operative database and extracted clinical, demographic and anthropometric information on 2170 children who underwent T&A between January 2005 and February 2008. Children were classified into normal weight, overweight and obese using published body mass index (BMI) criteria. The incidences of peri-operative complications were compared between the BMI categories. We also examined factors contributing to the likelihood of admission following T&A. RESULTS: The overall prevalence of overweight and obese was 20.7%. Overweight/obese children were more likely to have intra-operative desaturation (p=0.004), multiple attempts at laryngoscopy (p<0.001), difficult mask ventilation (p=0.001), and post-induction and post-anesthesia care unit (PACU) upper airway obstruction (p<0.001). Additionally, overweight and obese children were more likely to be admitted following T&A. BMI showed a moderate positive correlation with post-operative length of stay (LOS). Multiple logistic regression analysis showed that BMI and presence of medical co-morbidities were independent predictors of LOS. CONCLUSION: Overweight and obese children presenting for T&A have a higher incidence of peri-operative complications and are more likely to be admitted and stay for longer than their healthy weight peers.
BACKGROUND: Adenotonsillectomy (T&A) is a very common surgical procedure in children. With the rising prevalence of childhood overweight and obesity, our goal was to describe the prevalence of overweight/obesity in children presenting for T&A in our institution. We also sought to compare the frequency of peri-operative complications and the likelihood of being admitted following T&A between overweight/obese and normal weight children. METHODS: We examined our peri-operative database and extracted clinical, demographic and anthropometric information on 2170 children who underwent T&A between January 2005 and February 2008. Children were classified into normal weight, overweight and obese using published body mass index (BMI) criteria. The incidences of peri-operative complications were compared between the BMI categories. We also examined factors contributing to the likelihood of admission following T&A. RESULTS: The overall prevalence of overweight and obese was 20.7%. Overweight/obesechildren were more likely to have intra-operative desaturation (p=0.004), multiple attempts at laryngoscopy (p<0.001), difficult mask ventilation (p=0.001), and post-induction and post-anesthesia care unit (PACU) upper airway obstruction (p<0.001). Additionally, overweight and obesechildren were more likely to be admitted following T&A. BMI showed a moderate positive correlation with post-operative length of stay (LOS). Multiple logistic regression analysis showed that BMI and presence of medical co-morbidities were independent predictors of LOS. CONCLUSION: Overweight and obesechildren presenting for T&A have a higher incidence of peri-operative complications and are more likely to be admitted and stay for longer than their healthy weight peers.
Authors: Stephen J Gleich; Michael D Olson; Juraj Sprung; Toby N Weingarten; Darrell R Schroeder; David O Warner; Randall P Flick Journal: Paediatr Anaesth Date: 2012-07-09 Impact factor: 2.556
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Authors: Renato Oliveira Martins; Nuria Castello-Branco; Jefferson Luis de Barros; Silke Anna Theresa Weber Journal: J Bras Pneumol Date: 2015-04-18 Impact factor: 2.624