Table IV.

Association of elective surgery cancellation and time to inguinal hernia repair with interval incarceration and emergency department encounters at 14 US children’s hospitals between September 13, 2019 and September 13, 2020

	Interval incarceration		Interval ED encounter
	aOR (95% CI)	P value	aOR (95% CI)	P value
Cancellation period
Precancellation	Ref		Ref
Postcancellation	1.15 (0.64–2.05)	.65	1.27 (0.62–2.59)	.52
Time to inguinal hernia repair
<2 weeks	2.80 (0.82–9.54)	.10	6.78 (1.65–27.95)	.01
>2 weeks & ≤4 weeks	Ref		Ref
>1 month & ≤3 months	1.52 (0.33–7.06)	.59	1.72 (0.62–4.82)	.30
≥4 months	2.61 (0.65–10.53)	.18	5.18 (1.61–16.70)	.01
Sex
Female	Ref		Ref
Male	2.28 (0.90–5.79)	.08	1.70 (0.63–4.63)	.30
Adjusted gestational age, years	0.91 (0.80–1.04)	.18	0.92 (0.82–1.03)	.14
Race
Non-Hispanic White	Ref		Ref
Hispanic White	3.24 (1.36–7.69)	.01	2.06 (1.05–4.03)	.04
Black/African American	2.54 (1.09–5.91)	.03	2.33 (1.32–4.13)	<.01
Other	2.73 (1.06–7.05)	.04	1.43 (0.74–2.75)	.29
Unknown/refused	1.47 (0.40–5.33)	.56	0.40 (0.08–2.08)	.28
Insurance
Private	Ref		Ref
Public	1.43 (0.73–2.78)	.30	1.09 (0.55–2.19)	.80
Unknown/uninsured	7.61 (3.80–15.21)	<.01	2.65 (1.17–6.01)	.02
Laterality
Bilateral	Ref		Ref
Left	1.45 (0.70–2.99)	.32	0.86 (0.46–1.60)	.63
Right	1.30 (0.56–3.05)	.54	1.30 (0.61–2.76)	.49
ASA class
ASA class 1/2	Ref		Ref
ASA class 3/4	1.85 (0.65–5.25)	.25	1.17 (0.40–3.44)	.77

Precancellation period was defined as September 13, 2019, to the date that hospitals cancelled elective surgeries, and postcancellation was defined as the date of elective surgery cancellation through September 13, 2020. Cohort excluded those presenting with incarceration or undergoing an urgent operation at diagnosis.

aOR, adjusted odds ratio; ASA, American Society of Anesthesiologist classification; CI, confidence interval; ED, emergency department.