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Paediatric anaesthesia in France: National data on outpatient procedures, emergency admissions, and critical outcomes

Karine Nouette-Gaulain1, Aurélie San Miguel2, Michele Brami3

  • 1Univ. Bordeaux, INSERM U12-11, Laboratoire de Maladies Rares: Génétique et Métabolisme (MRGM), 176 Rue Léo Saignat, F-33000 Bordeaux, France; CHU Bordeaux, Service d'Anesthésie Réanimation Femme Mere Enfant, Hôpital Pellegrin, Place Amélie Raba Léon, F-33000 Bordeaux, France; Board of French Association of Ambulatory Surgery.

Anaesthesia, Critical Care & Pain Medicine
|October 1, 2025
PubMed

Insights

Outpatient pediatric anesthesia in France reached 76.2% in 2023. Analysis revealed variations in care based on hospital type and patient age, highlighting the need for personalized healthcare strategies.

Area of Science:

  • Pediatric Anesthesiology
  • Healthcare Management
  • Public Health Policy

Background:

  • France aims for 80% outpatient pediatric anesthesia.
  • Current rates vary significantly across institutions.
  • Variations stem from organizational, patient, and admission factors.

Purpose of the Study:

  • Analyze factors influencing outpatient pediatric anesthesia rates.
  • Identify barriers to outpatient care feasibility.
  • Compare outpatient rates between public and private hospitals.

Main Methods:

  • Utilized French national PMSI database for 2023 anesthesia cases.
  • Collected data on institution type, length of stay, procedure, admission status, ICU stay, mortality, age, and gender.
  • Included both ambulatory and non-ambulatory cases.

Main Results:

  • Performed 990,296 anesthesia procedures for 704,796 children (0-17 years).
  • Overall outpatient rate was 76.2%.
  • Private hospitals had >90% outpatient rates; public hospitals had 58.8% outpatient rates. Infants under one year showed significant differences in outpatient rates between public (22.8%) and private (72.7%) hospitals.

Conclusions:

  • Personalized healthcare pathways are crucial.
  • Strengthening local/regional healthcare organization is key.
  • Focusing on patient characteristics and needs is more effective than solely increasing outpatient rates.
Abstract

Keywords:
Ambulatory surgeryCritical care admissionNeonatesOutpatient stayPaediatric anaesthesiaPaediatric emergency

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