Rhee et al reported a risk score for evaluating a pediatric patient prior to surgery. These were divided into groups. The authors are from multiple Children's hospitals in the United States.
Patient selection: pediatric patient prior to surgery
Parameters:
(1) SLE or other connective tissue disorder
(2) crushing or internal injury
(3) shock
(4) drowning or submersion
(5) firearm
(6) motor vehicle or traffic accident
(7) suffocation
(8) suicide or intentional self-harm
(9) intracranial injury
(10) poisoning by nonmedicinal substance
(11) premature birth, low birth weight, or fetal growth retardation
(12) hypoxia, asphyxia, or aspiration during birth
(13) birth trauma
Parameter
Finding
Points
connective tissue disorder
no
0
yes
1
crushing or internal injury
no
0
yes
2
shock
no
0
yes
1
drowning or submersion
no
0
yes
1
firearm
no
0
yes
2
motor vehicle or traffic accident
no
0
yes
1
suffocation
no
0
yes
1
suicide or intentional self-harm
no
0
yes
2
intracranial injury
no
0
yes
1
poisoning by nonmedicinal substance
no
0
yes
3
premature birth, IUGR, or low birth weight
no
0
yes
1
hypoxia, asphyxia, or aspiration at birth
no
0
yes
2
birth trauma
no
0
yes
1
subscore =
= SUM(points for all of the parameters)
Interpretation:
• minimum subscore: 0
• maximum subscore: 19
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