Oesophageal atresia: at-risk groups for the 1990s.
The authors analyzed the outcome for 357 infants with oesophageal atresia and 15 with H-type tracheoesophageal fistula treated from 1980 through 1992. Survival according to Waterston risk categories was 99% for group A, 95% for group B, and 71% for group C. Presently, with optimal management, virtually all infants in groups A and B should survive. When examining the risk factors in the infants who died, two criteria were found to be important predictors of outcome: birth weight of less than 1,500 g and the presence of major congenital cardiac disease. A new classification for predicting outcome in oesophageal atresia is proposed: group I: birth weight > or = 1,500 g, without major cardiac disease, survival 97% (283 of 293); group II: birth weight < 1,500 g, or major cardiac disease, survival 59% (41 of 70); and group III: birth weight < 1,500 g, and major cardiac disease, survival 22% (2 of 9).
Spitz
L
L
Department of Surgery, Hospital for Sick Children, London, England.
Kiely
E M
EM
Morecroft
J A
JA
Drake
D P
DP
D000015:Abnormalities, Multiple; D001724:Birth Weight; D002423:Cause of Death; D004933:Esophageal Atresia / Q000401:mortality* / Q000601:surgery; D006330:Heart Defects, Congenital / Q000150:complications; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012307:Risk Factors; D015996:Survival Rate; D014138:Tracheoesophageal Fistula / Q000151:congenital / Q000401:mortality / Q000601:surgery