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FATES Score for Neonatal Hypoxic-Ischemic Encephalopathy

Purpose: To evaluate the risk of encephalopathy in the newborn secondary to hypoxia or ischemia.

Description

Hypoxic-ischemic encephalopathy can affect newborn infants and can be associated with significant morbidity and mortality. Based upon the clinical evaluation after the first week it is possible to assess the severity of the encephalopathy and to determine the likely prognosis. The acronym FATES (feeding, Apgar, tone, extubation, seizures) is used for a scoring system.


Clinical Information evaluated:

(1) Apgar scores at birth

(2) feeding

(3) muscle tone

(4) need for respiratory support

(5) seizure activity

 

Parameter

Finding

Points

feeding

no problems

2

 

resolved <= 7 days

1

 

resolved > 7 days

0

Apgar score at 5 minutes

> 4

2

 

3 - 4

1

 

< 3

0

muscle tone

no problems

2

 

resolved <= 7 days

1

 

resolved > 7 days

0

 

unresolved

0

extubation

< 7 hours

2

 

7-48 hours

1

 

> 48 hours

0

seizures

none

2

 

onset > 12 hours

1

 

onset < 12 hours

0

 

 

encephalopathy score =

= (feeding points) + (Apgar score points) + (tone points) + (extubation points) + (seizure points)

 

Interpretation:

• minimum points 0

• maximum points 10

 

Score

Outcome

>= 7 points

no disability

4 - 6

mild disability

1 - 3

moderate to severe disability

0 - 2

death

 


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Specialty

Objective

ICD-10