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FoalScore

Evidence Tier:EVALUATED

Assessed by researchers — did not demonstrate expected results

For:Clinicians & Healthcare Professionals

App Summary

FoalScore is a clinical decision support tool for veterinarians that calculates the probability of survival and sepsis in critically ill newborn foals using published scoring systems. A prospective validation study (N=283) of the underlying survival score demonstrated a sensitivity of 96% and specificity of 71% for predicting outcomes in hospitalized foals. The associated research concludes that the score can be easily implemented to provide an objective, data-driven tool that aids in clinical decision-making and discussions with owners about prognosis.

App Screenshots

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Detailed Description

Functionality & Mechanism

Developed by researchers at The Ohio State University, FoalScore is a clinical assessment tool for equine neonates. The interface facilitates the entry of a foal's vital signs and relevant laboratory data based on admission findings. The system then calculates the probability of survival and likelihood of sepsis by leveraging two distinct, published scoring models. The application architecture permits the storage and electronic sharing of calculated scores to support clinical record-keeping and communication between veterinary professionals.

Evidence & Research Context

  • A validation study of the underlying survival score (N=283 hospitalized foals) demonstrated robust predictive performance with 96% sensitivity, 71% specificity, and a 91% positive predictive value.
  • An evaluation study (N=273 ill foals) confirmed the integrated sepsis score is significantly elevated in septic neonates compared to sick-nonseptic and healthy controls.
  • The development and validation of the survival score was conducted in a multi-site hospital setting, with authors noting the need for further evaluation in field conditions.

Intended Use & Scope

FoalScore is intended for veterinarians as a clinical decision-support tool to rapidly assess prognosis in critically ill newborn foals. Its primary utility is to quantify risk and facilitate objective communication with owners regarding medical management. The system is not a substitute for comprehensive clinical judgment and should be used as an adjunct to a full diagnostic evaluation.

Studies & Publications

2 publications

Peer-reviewed research associated with this app.

Evaluation Study

Evaluation of updated sepsis scoring systems and systemic inflammatory response syndrome criteria and their association with sepsis in equine neonates

Wong et al. (2018) · Journal of Veterinary Internal Medicine

Updated scoring systems did not improve sepsis prediction accuracy in foals.

Background The original equine sepsis score provided a method of identifying foals with sepsis. New variables associated with sepsis have been evaluated, but the sepsis score has not been updated. Objectives To evaluate the sensitivity and specificity of 2 updated sepsis scores and the systemic inflammatory response syndrome (SIRS) criteria in regard to detecting sepsis in foals. Animals Two?hundred and seventy?three ill foals and 25 healthy
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Development/Design Paper

Development of a likelihood of survival scoring system for hospitalized equine neonates using generalized boosted regression modeling

Dembek et al. (2014) · PLOS ONE

Describes the research-driven development of this app
Background Medical management of critically ill equine neonates (foals) can be expensive and labor intensive. Predicting the odds of foal survival using clinical information could facilitate the decision-making process for owners and clinicians. Numerous prognostic indicators and mathematical models to predict outcome in foals have been published; however, a validated scoring method to predict survival in sick foals has not been reported. The
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FoalScore

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