A competitor to the VON case definition of NEC

N. T. Longford and C. Battersby

Abstract

The Vermont Oxford Network (VON) has established a rule for predicting necrotising enterocolitis by reaching a consensus among a group of experts in neonatology. We develop an alternative rule by analysing a dataset extracted from the UK National Neonatal Research Database for two recent years. The new rule, based on a five-point scale, is more precise than the VON rule, but is also more complex. Unlike the VON rule, it can be tailored to the clinicians' purpose, priorities and value judgements, and can incorporate a grey zone.} {Classification rule; false positive and false negative; NEC score; necrotising enterocolitis; test and validation datasets; UK National Neonatal Research Database.

  Submitted.

  October 2016