Original ArticleThe impact of obesity on laparoscopic appendectomy: Results from the ACS National Surgical Quality Improvement Program pediatric database
Section snippets
Data source and study population
The study was performed using data from the ACS NSQIP Pediatric Participant Use Data File (PUF) from 2012, with data from 50 participating institutions collected in the period from January 1st 2012 to December 31st 2012. The population consisted of patients aged 2 to 18 years who underwent laparoscopic appendectomy (LA) for acute appendicitis as their primary operative procedure (Current Procedural Terminology CPT code 44970). The diagnosis of complicated and uncomplicated appendicitis was
Study population and demographics
During the study period, a total of 5741 patients were registered in the NSQIP Pediatric PUF with a procedural code indicating appendectomy. Excluded from the analysis were 2929 patients with missing BMI data, outlier BMI, younger than 2 years of age, and cases performed in an elective setting (Fig. 1). The study population consisted of 2812 patients that met inclusion criteria. There were 2189 (77.8%) nonobese and 634 (22.5%) obese patients. Demographic characteristics and preoperative risk
Discussion
This analysis of a large multicenter pediatric dataset was performed to clarify the conflicting findings of past studies regarding the impact of obesity on postsurgical outcomes. Appendectomy is the most common general surgery operation in the pediatric population and was accordingly chosen as the focus of this investigation. In this study, we found that obesity is not a risk factor for postoperative complications in pediatric patients undergoing laparoscopic appendectomy. Although there was a
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Obesity is not associated with increased resource utilization or morbidity in patients undergoing appendectomy
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