Frykman et al reported a risk score for Hirschsprung-assocated enterocolitis (HAEC). The authors are from Cedars-Sinai Medical Center Los Angeles, Karolinska University Stockholm, University of Texas Health Science Center Houston, University of California San Francisco and the University of Michigan.
Patient selection: pediatric patient with Hirschsprung disease, status post pull-through surgery and enterocolitis
Parameters:
(1) explosive diarrhea
(2) decreased peripheral perfusion
(3) lethargy
(4) dilated loops of bowel on abdominal imaging studies
Parameter
Finding
Points
explosive diarrhea
no
0
yes
5
decreased peripheral perfusion
no
0
yes
5
lethargy
no
0
yes
5
dilated loops of bowel
no
0
yes
4
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 19
• A score >= 4 (one or more criteria present) was associated with HAEC.
Performance:
• The area under the ROC curve was 0.91.
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