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

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

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Abstract

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.

Original languageEnglish
Number of pages7
JournalPEDIATRIC SURGERY INTERNATIONAL
Volume38
Issue number10
DOIs
Publication statusPublished - 2022
Publication typeA1 Journal article-refereed

Keywords

  • Complex gastroschisis
  • Gastroschisis
  • Level of evidence: Level III
  • Risk stratification
  • Score

Publication forum classification

  • Publication forum level 1

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

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