The prognosis in infants with esophageal atresia can be predicted using a prognostic score developed by Rokitansky et al.
Prognostic factors identified: presence or absence of:
(1) cardiac malformations
(2) medical complications other than aspiration or pneumonia
(3) empyema
(4) mediastinitis
(5) sepsis
|
Prognostic Factor |
Finding |
Points |
|
cardiac malformations |
none |
0 |
|
|
isolated (ASD, VSD) |
1 |
|
|
combined |
2 |
|
|
complex |
3 |
|
medical complications (excluding aspiration and pneumonia) |
no |
0 |
|
|
yes (other than listed below) |
1 |
|
|
cardiac insufficiency. pulmonary bleeding, pulmonary embolism, lung abscess, multiorgan failure |
2 |
|
|
intracranial bleeding |
3 |
|
empyema |
no |
0 |
|
|
yes |
3 |
|
mediastinitis |
no |
0 |
|
|
yes |
3 |
|
sepsis |
no |
0 |
|
|
yes |
1 |
prognostic score =
= SUM(points for 5 prognostic factors)
Interpretation:
• minimum score: 0
• maximum score: 13
• Scores < 2 associated with good prognosis (long term survival 91%).
• Scores >= 2 associated with poor prognosis (long term survival 6%).
Specialty: Gastroenterology, Pedatrics
