Presurgical Model of Seetharamaiah et al for Predicting Survival in an Infant with Congenital Diaphragmatic Hernia Requiring ECMO

Description

Seetharamaiah et al developed models for predicting survival for infants with congenital diaphragmatic hernia who required extracorporeal membrane oxygenation (ECMO). One of these models is based on presurgical variables. The authors are from the University of Michigan and Mott Children's Hospital in Ann Arbor.

Parameters:

(1) birth weight in kilograms

(2) gestational age at birth in weeks

(3) 5 minute Apgar score

(4) cormorbid cardiac anomaly

(5) time of diagnosis

Parameter	Finding	Points
birth weight	>= 3 kg	0
	< 3 kg	0.39
gestational age	>= 38 weeks	0
	< 38 weeks	0.43
5 minute Apgar score	>= 7	0
	< 7	0.73
cardiac anomaly	none, mild or moderate	0
	severe	0.77
time of diagnosis	postnatal	0
	prenatal	0.50

X =

= 1.01 - SUM(points for the 5 parameters)

probability of survival =

= 1 / (1 + EXP((-1) * X))

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Description

Specialty

ICD-10