Score of Battersby et al for Neonatal Necrotizing Enterocolitis(NNEC)

Description

Battersby et al reported a score for neonatal necrotizing enterocolitis (NNEC). This can be interpreted together with the gestational age to determine risk. The authors are from multiple sites in England and members of the UK Neonatal Collaborative Necrotising Enterocolitis Study Group.

Patient selection: neonate

Outcome: neonatal necrotizing enterocolitis

Parameters:

(1) abdominal discoloration

(2) abdominal tenderness

(3) increased and/or bilious aspirates

(4) abdominal distention

(5) pneumoperitoneum

(6) fixed loop

(7) portal venous gas

(8) blood in the stool

(9) pneumatosis

Parameter	Finding	Points
abdominal discoloration	absent	0
	present	1
abdominal tenderness	absent	0
	present	1
blood in the stool	absent	0
	present	2
pneumatosis	absent	0
	present	3
aspirates and distention	both	1
	none or one	0
pneumoperitoneum, fixed loop, portal venous gas	one or more	1
	none	0

total score =

= SUM(points for all parameters)

Interpretation:

• minimum score: 0

• maximum score: 9

• The higher the score the greater the chances of NEC.

• The cutoff for NEC varies with gestational age at birth.

Gestational Age	Cutoff for NEC
< 30 weeks	>= 2
30 to 36.99	>= 3
>= 37 weeks	>= 4

Performance:

• The area under the ROC curve was 0.88.

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Score of Battersby et al for Neonatal Necrotizing Enterocolitis(NNEC)

Description

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