Lian et al reported a score for predicting postoperative intensive care unit (ICU) admission or death. The authors are from multiple institutions in China.
Patient selection: pediatric surgical patient, excluding reoperation and patient in ICU prior to surgery
Outcome: postoperative ICU admission and/or perioperative death
Parameters:
(1) age in years
(2) ASA physical status
(3) SpO2 in percent
(4) prematurity (< 37 weeks)
(5) fasting status
Parameter
Finding
Points
age
< 0.1 year
10
0.1 to 0.99 years
4
>= 1 year
0
ASA status
1
0
2
10
3
17
4
19
5
24
SpO2
>= 90%
0
< 90%
10
prematurity
no
0
yes
3
fasting status
fasted
0
unfasted
3
where:
• Prematurity may not have as much significance in an older child.
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 50
Score
Risk Group
Percent Critical
0 to 20.5
low
0.14%
20.5 to 27.5
intermediate
1.9%
27.5 to 50
high
6.5% (greater for scores 40-50)
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