Pediatric anesthesia & critical care
Development and validation of a score for prediction of postoperative respiratory complications in infants and children (SPORC-C)
Authors' conclusion
SPORC is a novel validated score for predicting the likelihood of postoperative respiratory complications in children that can be used to predict postoperative respiratory complications in infants and children.
Study context
- Population
- Paediatric patients (≤12 yr) undergoing surgery in New York and Boston, US
- Participants
- 32,187 surgical procedures
- Comparison
- Development vs Internal validation vs External validation
- Outcome
- Postoperative respiratory complications (respiratory infection, respiratory failure, aspiration pneumonitis, pneumothorax, pleural effusion, bronchospasm, laryngospasm, reintubation)
- Follow-up
- Within 30 days after surgery
Methodological detailsretrospective, multicentre, stepwise backwards elimination, multivariate logistic regression
- Retrospective
- Multicentre
- Stepwise backwards elimination
- Multivariate logistic regression
Performance
As reported in the abstract
Discrimination of SPORC (11 predictors)
Development
0.85
AUC · 95% CI 0.83–0.87
Internal validation
0.84
AUC · 95% CI 0.80–0.87
External validation
0.83
AUC · 95% CI 0.80–0.86
Further findings
Incidence of postoperative respiratory complications (all procedures)
- Children with postoperative respiratory complications
- 768 (2.4%)
Original publication
Development and validation of a score for prediction of postoperative respiratory complications in infants and children (SPORC-C). Br J Anaesth. Published 5 August 2024. doi:10. 1016/ j. bja. 2024. 07. 011
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