Yamoto et al reported a prognostic classification for an infant with esophageal atresia. This can help to identify a patient who may have a worse prognosis. The authors are from Shizuoka Children's Hospital in Japan.
Patient selection: infant with esophageal atresia
Parameters:
(1) body weight at birth in grams
(2) complex cardiac anomalies
Complex cardiac anomalies include:
(1) coarctation of the aorta AND ventricular septal defect AND patent ductus arteriosus
(2) double-outlet right ventricle AND coarctation of the aorta
(3) double-outlet right ventricle AND ventricular septal defect
(4) tetralogy of Fallot
(5) pulmonary atresia with ventricular septal defect
(6) total anomalous pulmonary venous connection
(7) hypoplastic left heart syndrome
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Complex Cardiac Anomalies
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Birthweight
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Risk Class
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|
no
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> 2,000 g
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I
|
|
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1,000 to 2,000 g
|
II
|
|
|
< 1,000 g
|
III
|
|
yes
|
> 2,000 g
|
II
|
|
|
1,000 to 2,000 g
|
III
|
|
|
< 1,000 g
|
IV
|
|
Class
|
Risk Group
|
Mortality Rate
|
|
I
|
low
|
0%
|
|
II
|
intermediate
|
7%
|
|
III
|
high
|
33%
|
|
IV
|
super high
|
100%
|
Performance:
• The area under the ROC curve is 0.94
