Bedside predictors of in-hospital mortality in neonatal gastric perforation: development of a clinical scoring system

The authors aimed to develop and validate a clinical prediction model for in-hospital mortality in neonates with gastric perforation using readily available bedside variables at diagnosis. They identified three key predictors—delivery room intubation, onset-to-diagnosis interval, and shock at diagnosis—that effectively stratified patients into low- and high-risk groups. Additionally, the study highlighted significant differences in post-operative vasoactive inotropic score trajectories between survivors and non-survivors, indicating potential for improved clinical reassessment.