Vertaisarvioitu alkuperäisartikkeli tai data-artikkeli tieteellisessä aikakauslehdessä (A1)

Comparison of three risk stratification scores in gastroschisis neonates: gastroschisis prognostic score, gastroschisis risk stratification index and complex gastroschisis




Julkaisun tekijät: Tauriainen Asta, Raitio Arimatias, Tauriainen Tuomas, Vanamo Kari, Sankilampi Ulla, Helenius Ilkka, Hyvärinen Anna

Kustantaja: SPRINGER

Julkaisuvuosi: 2022

Journal: Pediatric Surgery International

Tietokannassa oleva lehden nimi: PEDIATRIC SURGERY INTERNATIONAL

Lehden akronyymi: PEDIATR SURG INT

Sivujen määrä: 7

ISSN: 0179-0358

DOI: http://dx.doi.org/10.1007/s00383-022-05180-5

Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/175900562


Tiivistelmä

Purpose: The aim of the study was to compare and evaluate the utility of three different risk stratification scores for gastroschisis neonates; simple/complex gastroschisis, gastroschisis prognostic score and risk stratification index.

Methods: Data of neonates born with gastroschisis between the years 1993 and 2015 were collected. The national registers and patient records of four Finnish University Hospitals were retrospectively reviewed. Logistic and linear regression analysis were performed to identify independent predictors for adverse outcomes. The efficacy of these prognostic methods was further assessed using ROC-curves and DeLong (1988) test.

Results: Gastroschisis risk stratification index was an acceptable predictor of in-hospital mortality, AUC 0.70, 95% CI 0.48-0.91, p = 0.049. Complex gastroschisis and gastroschisis prognostic score were able to predict short bowel syndrome, AUC 0.80, 95% CI 0.58-1.00, p = 0.012 and AUC 0.80, 95% CI 0.59-1.00, p = 0.012, respectively.

Conclusion: There are three easily obtainable risk stratification scores for outcome prediction in gastroschisis patients, however, their predictive ability did not have a statistical difference in the present study. The Gastroschisis risk stratification index seemed to perform moderately well in mortality prediction.


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Last updated on 2022-28-09 at 10:04