Prognostic Score of Khirallah et al for a Pediatric Patient Undergoing Splenectomy for a Benign Hematological Disorder

Description

Khirallah et al reported a prognostic score for pediatric patients undergoing splenectomy for a benign hematological disorder. This can help to identify a patient who may require more aggressive management. The authors are from Tanta University in Egypt.

Patient selection: age 4-15 years with benign hematological disorder

Parameters:

(1) pathology

(2) splenic long axis in cm

(3) pedicle control

(4) blood loss in mL

Parameter	Finding	Points
pathology	ITP	1
	spherocytosis	2
	thalassemia	3
	sickle cell anemia	4
long axis	< 12 cm	1
	>= 12 cm	2
pedicle control	bipolar sealing device	1
	Hem-o-loc	2
	laparoscopic linear stapler	3
blood loss	<= 150 mL	1
	> 150 mL	2

total score =

= SUM(points for all of the parameters)

Interpretation:

• minimum score: 4

• maximum score: 11

Total Score	Risk Group	Postoperative Complications
4	low (no)	18%
5 to 8	moderate	40%
9 to 11	high	42%

Performance:

• With a cutoff >=5, the area under the ROC curve was 0.78.

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Prognostic Score of Khirallah et al for a Pediatric Patient Undergoing Splenectomy for a Benign Hematological Disorder

Description

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