Risk Factors Associated With Adverse Airway Events In Pediatric Cleft Palate Repair
Victor Yu, MS1, Jason Pham, BS1, Yifan Guo, MD2.
1Eastern Virginia Medical School, Norfok, VA, USA, 2Children's Hospital of the King's Daughters, Norfok, VA, USA.
Adverse airway events (AAEs), defined as postoperative intubation or reintubation are an uncommon but devastating complication following palatoplasty. We hypothesize that prolonged OR time and presence of medical comorbidities are risk factors for AAEs.
Patients who underwent palatoplasty between 2016 and 2019, under 3 years of age, were identified from the Pediatric American College of Surgeons National Surgical Quality Improvement Program. Demographics, medical comorbidities, and outcomes were collected (Table 1). Risk factors were assessed using univariate and multivariate analyses.
A total of 6,668 patients met inclusion criteria. The median OR time was 126 minutes. AAEs were identified in 107 (1.6%) patients. After multivariable logistic regression, risks factors associated with AAEs included: greater than 2 hours OR time or presence of pulmonary, cardiac, neurological, and gastrointestinal comorbidities. Although patients in the older age group had significantly higher incidence of comorbidities (Table 2), it did not lead to significantly higher odds of AAEs (Graph 1).
AAEs are associated with increased OR time and noted in patients with multiple comorbidities. These patients may require greater postoperative monitoring.
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