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The impact of obesity on 30-day complications in pediatric surgery

A T Train1, S B Cairo2, H A Meyers2

  • 1Department of Pediatric Surgery, Women and Children's Hospital of Buffalo, 219 Bryant Street, Buffalo, NY, 14222, USA. Ariannet@buffalo.edu.

Pediatric Surgery International
|September 7, 2017
PubMed

Insights

Obesity increases wound complication risks in pediatric surgery but decreases other complications and morbidity. The impact of obesity on surgical outcomes is complex and depends on the procedure and specialty.

Area of Science:

  • Pediatric Surgery
  • Obesity Research
  • Surgical Outcomes

Background:

  • Obesity is a growing concern in pediatric populations.
  • Understanding its impact on surgical outcomes is crucial for patient care.

Purpose of the Study:

  • To investigate the effects of pediatric obesity on surgical outcomes across different surgical specialties.
  • To analyze the association between obesity and postoperative complications, including wound complications and overall morbidity.

Main Methods:

  • Retrospective cohort study utilizing the National Surgical Quality Improvement Program (NSQIP) Pediatric database (2012-2014).
  • Included patients aged 2-17 years undergoing surgery in six specialties.
  • Multivariate regression analysis was used to calculate odds ratios for postoperative complications.

Main Results:

  • Obesity was linked to a higher risk of wound complications (OR 1.24) but a lower risk of non-wound complications (OR 0.68) and morbidity (OR 0.79).
  • No significant association between obesity and complications was found in otolaryngology or plastic surgery.
  • Obese children experienced longer anesthesia and operative times in most pediatric surgical procedures.

Conclusions:

  • Pediatric obesity presents a complex relationship with surgical outcomes, increasing wound complication risk in certain specialties.
  • Obesity is associated with reduced non-wound complications and morbidity overall.
  • Procedure- and specialty-specific factors appear more influential on obesity's impact on surgical outcomes than previously thought.
Abstract

Keywords:
ComplicationsObesityOutcomesPediatric surgery

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