, Volume 163, Issue 10, pp 624-625
Date: 28 Jul 2004

Prognostic factors for mortality of oesophageal atresia patients: Waterston revived

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This study shows that the effect of medical progress on mortality is considerable and that the three factors of the Waterston classification still had a high impact on mortality in the most recent years.

In 1962, Waterston et al. [5] proposed a prognostic classification for patients born with oesophageal atresia (OA) based on low birth weight, presence of pneumonia, and associated congenital malformations. Over the last decades, much progress has been made and several authors have questioned the validity of Waterston’s classification [1, 3, 4]. This study analyses the influence of several clinical characteristics on mortality of OA patients, and investigates the value of the Waterston classification within the past and current time frame.

We studied all patients who were treated at the Paediatric Surgical Centre of Amsterdam for OA and/or tracheo-oesophageal fistula between 1947 and 2000 (n=371) [2]. Data were collected from patient charts, operative reports, and office notes, and were e ...