The Impact of Air Pollution and Neighborhood-Level Risk Factors on Pediatric Perioperative Respiratory Adverse Events

Jonathan M. Tan, MD, MPH, MBI, CMQ

Jonathan M. Tan, MD, MPH, MBI, CMQ

Jonathan M. Tan, MD, MPH, MBI, CMQ
Assistant Professor of Clinical Anesthesiology in the Department of Anesthesiology Critical Care Medicine at the Children’s Hospital Los Angeles (CHLA), the Keck School of Medicine at the University of Southern California (USC)

Dr. Tan’s project is entitled: “The Impact of Air Pollution and Neighborhood-Level Risk Factors on Pediatric Perioperative Respiratory Adverse Events

Project Summary: Perioperative respiratory adverse events (PRAE) are common in children receiving anesthesia. Despite evidence that demonstrates the adverse respiratory health effects of exposure to poor air quality on children, the perioperative patient safety implications of air quality exposure have not been studied in pediatric anesthesiology. We will conduct a single-center prospective observational study to examine the spatiotemporal effects of outdoor and indoor air pollution exposure associated with pediatric PRAE. Using outdoor air quality measures near the patient’s residential address, and pre-operative indoor air quality measurements, we hypothesize that children living in neighborhoods and homes of poor air quality are more likely to have PRAE. Understanding the neighborhood, environment and location risk factors for children receiving anesthesia will allow us to have a deeper understanding of the social determinant of health factors that can contribute to disparities in health outcomes and perioperative patient safety.