Totalis Score of Sho et al for Necrotizing Enterocolitis Totalis in a Premature Infant

Description

Sho et al developed a score for identifying a premature infant at risk for necrotizing enterocolitis (NEC) totalis. This can help to identify a neonate who may require more aggressive management. The authors are from Childern's Hospital of Pittsburgh and the University of Pittsburgh.

Patient selection: premature neonate with necrotizing enterocolitis

Parameters:

(1) age in days

(2) serum creatinine in mg/dL

(3) serum phosphate in mEq/L

(4) platelet count

Parameter	Finding	Points
age	<= 7 days	0
	>= 8 days	1
serum creatinine	<= 0.8 mg/dL	0
	> 0.8 mg/dL	1
serum phosphate	<= 6.0 mEq/L	0
	> 6.0 mEq/L	1
platelet count	>= 150,000 per µL	0
	80,000 to 149,999	1
	< 80,000 per µL	2

totalis score =

= SUM(points for all 4 parameters)

Interpretation:

• minimum score: 0

• maximum score: 5

• The higher the score the more likely that the patient will develop NEC totalis.

Performance:

• A score >= 3 had a sensitivity of 92% and specificity of 78% for NEC totalis.

• A score >= 4 had a sensitivity of 58% and specificity of 97%.

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Description

Specialty

ICD-10