External Validation of the Risk Assessment of Morbidity in Pediatric Surgery Score

Authors' conclusion

The RAMPS score performed well in this external validation with overall less patient complexity and less morbidity than in the original cohort included for development and internal validation. The score moderately overestimated risk in the most complex patients, which does not diminish its utility in guiding resource allocation to manage or prevent perioperative adverse events. In summary, the RAMPs score is a simple, highly discriminant, well-calibrated, and externally validated tool clinicians and health systems can use to predict morbidity among pediatric surgery patients.