Predictive value of the National Surgical Quality Improvement Program - Pediatrics risk calculator in neonatal patients. A retrospective correlational study.

Abstract

To verify the predictive value of the American College of Surgeons National Surgical Quality Improvement Program-Pediatric calculator as a prognosis for complications in neonatal patients undergoing surgery. An observational, retrospective, cross-sectional and correlational study was carried out. The files of the surgical neonates of the neonatology unit of the General Hospital of Puebla Dr. Eduardo Vázquez Navarro in the period between January 2014 and May 2017. The data was emptied into the platform yielding percentages of risk estimation. The patients were followed up through the files observing their evolution to determine which complications developed. The data obtained in the platform was correlated with the data obtained in the file and the predictive value of the scale was determined. According to the classification of presence or absence of complication, they stand out for correlations without statistical significance. Presenting positive correlation in 78 cases (10.19%), negative correlation in 279 cases (36.47%) and null correlation in 408 cases (53.34%). It was shown that the scale has a low predictive value with a tendency to overestimate, however, its usefulness was corroborated as part of the informed consent process in surgical neonates.