Comparison of PRAm and NARCO-SS risk assessment scores in assessing perioperative outcomes in paediatric patients

This is a prospective observational cohort study comparing the Pediatric Risk Assessment score (PRAm) and the Neurological, Airway, Respiratory, Cardiovascular, Other and Surgical severity (NARCO-SS) score. The primary objective is to compare the accuracy of PRAm and NARCO-SS scores in predicting perioperative outcomes among paediatric patients. The participants will be assessed prior to the surgery and scores will be assigned from the both scoring systems. The participants will then be then be followed up for 30 days after the surgery. The perioperative outcomes that will be recorded are predefined.

The secondary objective is to determine the inter-observer reliability of PRAm and NARCO-SS scores. A subset of the participants will be assessed prior to surgery by multiple observers and they will assign scores from both PRAm and NARCO-SS. This subset will be used to determine the secondary objective.

References

1. PRAm Nasr VG, DiNardo JA, Faraoni D. Development of a Pediatric Risk Assessment Score to Predict Perioperative Mortality in Children Undergoing Noncardiac Surgery. Anesth Analg 2017; 124: 1514–1519.
2. NARCO-SS Malviya S, Voepel-Lewis T, Chiravuri SD, et al. Does an objective system-based approach improve assessment of perioperative risk in children? A preliminary evaluation of the ‘NARCO’. Br J Anaesth 2011; 106: 352–358.