Li et al reported a score for predicting mortality for an infant with esophageal atresia. This can help to identify an infant who may require more aggressive management. The authors are from Children's Hospital of Chongqing Medical University, the Key Laboratory of Pediatrics in Chongqing and the Ministry of Education Key Laboratory of Child Development and Disorders.
Patient selection: esophageal atresia, following surgical intervention
Parameters:
(1) anastomotic leak
(2) postoperative sepsis
(3) respiratory failure
(4) birth weight in grams
Parameter
Finding
Points
anastomotic leak
no
0
yes
3
postoperative sepsis
no
0
yes
2
respiratory failure
no
0
yes
2
birth weight
< 1,800 grams
2
1,800 to 2,500 grams
1
> 2,500 grams
0
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 9
Total Score
Risk Group
Mortality Rate
0 or 1
low
3.6%
2 to 4
moderate
47%
5 to 9
high
100%
Performance:
• The area under the ROC curve is 0.905.
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