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Effect of body mass index percentile on pediatric gastrointestinal surgery outcomes

Cordelie E Witt1, Adam B Goldin2, Monica S Vavilala3

  • 1Department of Surgery, University of Washington, 1959 NE Pacific Street, Seattle, WA, USA, 98195; Harborview Injury Prevention and Research Center, 325 9th Ave, Box 359960, Seattle, WA, USA, 98104.

Journal of Pediatric Surgery
|April 9, 2016
PubMed

Insights

Pediatric obesity increases surgical complications and operative time for appendectomies, but not other intestinal surgeries. Body mass index (BMI) percentile is a key factor in these outcomes.

Area of Science:

  • Pediatric Surgery
  • Public Health
  • Surgical Outcomes Research

Background:

  • Pediatric obesity is a growing public health issue.
  • The impact of pediatric obesity on surgical outcomes remains unclear.
  • Understanding these effects is crucial for patient care.

Purpose of the Study:

  • To investigate the association between body mass index (BMI) percentile and surgical outcomes in children.
  • To determine if BMI percentile influences complication rates and hospital resource use in pediatric gastrointestinal surgeries.

Main Methods:

  • Analysis of the 2012-2013 Pediatric National Surgical Quality Improvement Program datasets.
  • Inclusion of patients aged 2 to 17 years undergoing appendectomy or other gastrointestinal operations.
  • Calculation of age- and gender-specific pediatric BMI percentiles for separate cohort analysis.

Main Results:

  • For appendectomies, complication frequency rose with increasing BMI percentile (normal weight 4.5% to morbidly obese 7.3%).
  • A quadratic association was found between BMI percentile and increased risks of superficial incisional infection, unplanned tracheal intubation, and longer operative duration.
  • In the intestinal surgery cohort, BMI percentile did not predict complications or hospital resource utilization.

Conclusions:

  • Age- and gender-specific BMI percentile is linked to higher complication risks and longer operative times in pediatric appendectomies.
  • BMI percentile was not associated with adverse outcomes in other pediatric intestinal operations.
  • These findings highlight the specific impact of obesity on appendectomy outcomes in children.
Abstract

Keywords:
AppendicitisGastrointestinal surgeryObesityPediatric

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