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Paediatric anaesthesia in France : national data on outpatient procedures, emergency admissions, and critical outcomes in 2023
Position du problème et objectif(s) de l’étude
Paediatric outpatient anaesthesia has become a part of modern healthcare systems. Our main objective is to provide an epidemiological overview of paediatric outpatient anaesthesia in France for the year 2023.
Matériel et méthodes
The number of anaesthesia cases in 2023 was obtained from the French national PMSI database of short-stay healthcare institutions. For each recorded anaesthesia procedure, the collected information included the type of healthcare institution (public or private hospital), length of stay (0 day or more), type of procedure involving anaesthesia, admission status (emergency: yes/no), whether there was a related intensive care unit stay, child mortality and the child's age and gender.
Résultats & Discussion
In 2023, 990,296 anaesthesia procedures were performed over 704,796 individual stays for children aged 0 to 17. Overall, outpatient stays accounted for 76.2%. Over 90% of paediatric anaesthesia stays in private hospitals were outpatient, whereas In comparison, in public hospitals children’s outpatient anaesthasia represent only 58.8%. The number of stays for children under one year was 20,373 in public hospitals and 1,280 in private hospitals, which included 4,657 and 931 outpatients, respectively. A total of 14,434 (2.0%) critical care admissions were documented, with 14,375 in public hospitals. A total of 346 deaths (1.6%) were reported among the 21,653 children under one year old who received an anaesthesia. In 2023, 565 children aged 0 to 17 died during an anaesthesia-related hospital stay.
Conclusion
Prioritising personalised healthcare pathways, strengthening local and regional healthcare organisations according to patient characteristics and needs are more suitable than simply increasing outpatient rates.
Auteurs
Karine NOUETTE-GAULAIN (1) , Aurélie SAN MIGUEL (2), Michele BRAMI (3), Maryline BORDES-DEMOLIS (2), Mathilde DE QUEIROZ (4) - (1)Univ. Bordeaux, Inserm U12-11, Laboratoire De Maladies Rares : Génétique Et Métabolisme (mrgm), Bordeaux, France, (2)Chu Bordeaux, Service D’anesthésie Réanimation Femme Mere Enfant, Hôpital Pellegrin, Bordeaux, France, (3)Fhp-Mco, Paris, France, (4)Hospices Civils De Lyon, Département D'anesthésie, Hôpital Femme Mère Enfant, Lyon, France