Rhee et al reported a risk score for evaluating a pediatric patient prior to surgery. These were divided into groups that can be summed into a final score. The authors are from multiple Children's hospitals in the United States.
Patient selection: pediatric patient prior to surgery
Subscores:
(1) Demographic, Cardiovascular, Pulmonary, Genitourinary
(2) Endocrine, Infectious, Neurologic, Gastrointestinal, Hematologic, Oncologic
(3) Musculoskeletal, Soft Tissue, Trauma, Perinatal
total score =
= SUM(points for the subscores)
Interpretation:
• minimum subscore and total score: 0
• maximum subscore 1: 18
• maximum subscore 2: 25
• maximum subscore 3: 19
• maximum total score: 62
|
Total Score
|
Mortality in Training Cohort
|
Mortality in Validation Cohorts
|
|
0
|
0%
|
0%
|
|
1
|
0.2%
|
0.1 to 0.2%
|
|
2
|
1.9%
|
0.9 to 1.6%
|
|
3
|
4.9%
|
3.1 to 3.7%
|
|
4
|
9.7%
|
6.7 to 7.7%
|
|
5
|
20.6%
|
9.2 to 12.9%
|
|
>= 6
|
33.5%
|
24.3 to 28.3%
|
Performance:
• The area under the ROC curve was 0.95.
