Pediatric anesthesia & critical care

Development and validation of a score for prediction of postoperative respiratory complications in infants and children (SPORC-C)

Br J AnaesthPublished Prediction model development and external validation study

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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