Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/23454
Title: A simple presurgical necrotizing enterocolitis-mortality scoring system
Authors: U. Kessler
A. Mungnirandr
M. Nelle
A. F. Nimmo
Z. Zachariou
S. Berger
Universitat Bern
Mahidol University
Royal Infirmary of Edinburgh
Keywords: Medicine
Issue Date: 1-Dec-2006
Citation: Journal of Perinatology. Vol.26, No.12 (2006), 764-768
Abstract: Objective: To assess the relationship between early laboratory parameters, disease severity, type of management (surgical or conservative) and outcome in necrotizing enterocolitis (NEC). Study design: Retrospective collection and analysis of data from infants treated in a single tertiary care center (1980 to 2002). Data were collected on disease severity (Bell stage), birth weight (BW), gestational age (GA) and pre-intervention laboratory parameters (leukocyte and platelet counts, hemoglobin, lactate, C-reactive protein). Results: Data from 128 infants were sufficient for analysis. Factors significantly associated with survival were Bell stage (P<0.05), lactate (P<0.05), BW and GA (P<0.01, P<0.001, respectively). From receiver operating characteristics curves, the highest predictive value resulted from a score with 0 to 8 points combining BW, Bell stage, lactate and platelet count (P<0.001). At a cutoff level of 4.5 sensitivity and specificity for predicting survival were 0.71 and 0.72, respectively. Conclusion: Some single parameters were associated with poor outcome in NEC. Optimal risk stratification was achieved by combining several parameters in a score.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=33751355406&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/23454
ISSN: 14765543
07438346
Appears in Collections:Scopus 2006-2010

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