Prognostic factors for mortality of oesophageal atresia patients: Waterston revived
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
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.  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) . Data were collected from patient charts, operative reports, and office notes, and were e ...
- Choudhury SR, Ashcraft KW, Sharp RJ, Murphy JP, Snyder CL, Sigalet DL (1999) Survival of patients with esophageal atresia: influence of birth weight, cardiac anomaly, and late respiratory complications. J Pediatr Surg 34: 70–73 CrossRef
- Deurloo JA, Ekkelkamp S, Schoorl M, Heij HA, Aronson DC (2001) Esophageal atresia: historical evolution of management and results in 371 patients. Ann Thorac Surg 73: 268–272
- Rokitansky AM, Kolankaya VA, Seidl S, Mayr J, Bichler B, Schreiner W, Engels M, Horcher E, Lischka A, Menardi G (1993) Recent evaluation of prognostic risk factors in esophageal atresia—a multicenter review of 223 cases. Eur J Pediatr Surg 3: 196–201
- Spitz L, Kiely EM, Morecroft JA, Drake DP (1994) Oesophageal atresia: at-risk groups for the 1990s. J Pediatr Surg 29: 723–725 CrossRef
- Waterston DJ, Bonham Carter RE, Aberdeen E (1962) Oesophageal atresia: tracheo-oesophageal fistula. A study of survival in 218 infants. Lancet 1: 819–822 CrossRef
- Prognostic factors for mortality of oesophageal atresia patients: Waterston revived
European Journal of Pediatrics
Volume 163, Issue 10 , pp 624-625
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Author Affiliations
- A1. Paediatric Surgical Centre of Amsterdam (Emma Children’s Hospital AMC and VU Medical Centre), PO Box 22660, 1100 DD, Amsterdam, The Netherlands
- A2. Department of Clinical Epidemiology and Biostatistics, Academic Medical Centre, Amsterdam, The Netherlands