Читать книгу Practical Pediatric Gastrointestinal Endoscopy - Группа авторов - Страница 37

In 2015 the PRSC database was examined to quantify the effect of obesity on rates of adverse events. The study included 5153 patients with a body mass index greater than the 95th percentile, and compared them to 23 639 nonobese patients. Comparison of the groups revealed that obese children have a higher incidence of adverse respiratory events and resulting airway interventions during procedural sedation (odds ratio [OR] 1.49, 95% confidence interval [CI] 1.31–1.7). The obese group had a higher incidence of the need for bag valve mask (BVM), use of nasopharyngeal (NP) airway, and head repositioning (OR 1.56, 95% CI 1.35–1.8). These findings provide further supporting evidence that obesity is an independent risk factor for adverse events, as well as the need for airway intervention.