Term neonates with bilious vomiting – should they be considered as time critical transfers to the surgical centre?: Abstract G200 Table 1
Bibliographic record
Abstract
<h3>Background</h3> Bilious vomiting in a neonate can be a presenting sign of intestinal obstruction with consequences of gut compromise and long term sequelae. As it is difficult to identify the baby with an underlying surgical problem, neonates presenting with bilious vomiting are often transferred to surgical centres. The burden and outcomes of this cohort of infants on neonatal services are not described in the literature. <h3>Aims</h3> To evaluate the outcomes of infants referred with bilious vomiting to a regional neonatal transfer service. <h3>Methods</h3> A retrospective audit of transfers performed by our service during a three year period (January 2007 to January 2011). Clinical data and outcomes were collected from case records. <h3>Results</h3> During the three year period, 203 neonates with bilious vomiting were transferred. Of these, 38 records had missing outcome data and were excluded, resulting in 165 records being analysed. The median gestation was 39.5 weeks and median birth weight 3.2 Kg. A male preponderance with a ratio of 1.4 to 1 was seen. Median age at referral was 36 hours (Range 2.3-166 hours). Median response time (time interval between time of referral and transfer team arriving to the baby) was 80 minutes (IQR 55-170 minutes). Median stabilisation times were 46 minutes (IQR 40-60 minutes). Following transfer 54 (33%) infants underwent a surgical procedure. A further 17 had Hirschprungs disease which was conservatively managed, making a total of 71 (43%) of babies with a surgical condition (diagnoses shown in table 1). <h3>Conclusion</h3> We have demonstrated that 43% of neonates referred with bilious vomiting have a surgical condition, a quarter of whom have a diagnosis of malrotation. We recommend that transfers of such infants should be regarded as time critical and this should be taken into consideration in service and resource planning.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".