British journal of anaesthesia
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Multicenter Study
International multi-institutional external validation of preoperative risk scores for 30-day in-hospital mortality in paediatric patients.
Risk prediction scores are used to guide clinical decision-making. Our primary objective was to externally validate two patient-specific risk scores for 30-day in-hospital mortality using the Multicenter Perioperative Outcomes Group (MPOG) registry: the Pediatric Risk Assessment (PRAm) score and the intrinsic surgical risk score. The secondary objective was to recalibrate these scores. ⋯ The intrinsic surgical risk score performed better than the PRAm, but both resulted in large numbers of false positives. Both scores exhibited decreased performance compared with the original studies. ASA physical status scores in sicker patients drove the superior performance of the intrinsic surgical risk score, suggesting the use of a risk score does not improve prediction.
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Authorship provides academic recognition for substantial intellectual contributions to scholarly articles. Beyond recognition, authorship has become a form of currency within the academic community, acting as an indicator of academic output and thus influencing standing within an institution and the general medical community. ⋯ Unfortunately, this emphasis on authorship has also been linked to instances of misconduct. We discuss our personal experience with editorial misconduct hoping to highlight the issue and thereby increase awareness and peer-to-peer control to reduce future authorship misconduct and to encourage others to speak up.