Effect of Obesity on Surgical Outcomes and Complication Rates in Pediatric Patients: A Comprehensive Systematic Review and Meta-Analysis.

Autor:	Rivero-Moreno Y; Department of Surgery, Universidad de Oriente, Anzoategui, VEN., Garcia A; Department of Internal Medicine, Universidad de Oriente, Ciudad Bolivar, VEN., Rivas-Perez M; Department of Surgery, Universidad de Oriente, Anzoategui, VEN., Coa-Bracho J; Department of Surgery, Hospital de Talagante, Santiago de Chile, CHL., Salcedo Y; Department of Surgery, Universidad Iberoamericana, Santo Domingo, DOM., Gonzalez-Quinde G; Department of Surgery, Hospital Leon Becerra Camacho, Milagro, ECU., Montero-Palma E; Department of Surgery, Universidad de Oriente, Anzoategui, VEN., Valdivia-Sepulveda D; Department of Surgery, Centro de Estudios Universitarios Xochicalco, Xochicalco, MEX., Paz-Castillo M; Department of Surgery, Universidad de Oriente, Anzoategui, VEN., Machado-Paled D; Department of Surgery, Universidad Catolica de Honduras, Tegucigalpa, HND., Garcia-Cazorla W; Department of Surgery, Universidad de Cuenca, Cuenca, ECU., Acero-Alvarracín K; Department of General Surgery, Universidad de Guayaquil Facultad de Ciencias Médicas, Guayaquil, ECU., Tarabey-Yunis L; Department of Surgery, Universidad Centroccidental Lisandro Alvarado, Lara, VEN., Estrella-Gaibor C; Department of General Surgery, Ministerio de Salud Pública, Hospital Esmeraldas sur Delfina Torres de Concha, Quito, ECU.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Feb 19; Vol. 16 (2), pp. e54470. Date of Electronic Publication: 2024 Feb 19 (Print Publication: 2024).
DOI:	10.7759/cureus.54470
Abstrakt:	Obesity is one of the primary public health problems faced by children. The increased incidence of obesity in the pediatric population poses significant challenges during and after surgical procedures. This systematic review and meta-analysis aimed to understand to what extent obesity is to surgical complications in pediatric patients. A systematic database search of PubMed, Web of Science, Scopus, and Science Direct was performed in June 2023. According to the inclusion and exclusion criteria, two evaluators independently conducted literature screening, data extraction, and quality evaluation of the retrieved literature. The Newcastle-Ottawa Scale score was used for quality evaluation, and a meta-analysis was performed using Review Manager software 5.4.1. A total of 1,170 relevant articles were initially identified, and 20 articles were finally included for data extraction and meta-analysis. The results of the meta-analysis showed that compared with normal-weight individuals, obese pediatric patients had a higher risk of developing surgical site infection (SSI) (relative risk (RR) = 1.63; 95% confidence interval (CI) = 1.33-2.00), wound dehiscence (RR = 2.01; 95% CI = 1.24-3.23), and underwent procedures that were 11.32 minutes longer (95% CI = 5.36-17.29). There were no differences in bleeding requiring transfusion, deep venous thromboembolism, postoperative abscess rate, and length of stay. Obese pediatric patients have a higher risk of SSI and dehiscence, along with a longer operative time. The established risks in obese adults undergoing surgery suggest a similar risk for obese pediatric patients. The findings of this study hold significant implications for clinical practice, suggesting the potential for additional measures to prevent surgical complications in children. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Rivero-Moreno et al.)
Databáze:	MEDLINE
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