Introduction: A number of illness severity scores have evolved which would predict mortality and morbidity in intensive care units. One such scoring system developed by Richardson was SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal extension-II).
Aim: The present study was conducted to assess the validity of SNAPPE-II score as a predictor of mortality and morbidity.
Materials And Methods: A total of 248 neonates who met the inclusion criteria were included in the study and SNAPPE-II score was calculated. Receiver Operating Characteristic (ROC) curve was constructed to derive the best cut-off score and SPSS package (Statistical Package for the Social Sciences) was used for statistical analysis.
Results: SNAPPE-II score was higher among expired neonates compared to survived ones. A mean score of 37 was associated with higher mortality. However, it didn't accurately predict the length of stay.
Conclusion: SNAPPE II score is a better predictor of mortality irrespective of gestational ages and it is not a good predictor of morbidity.
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http://dx.doi.org/10.7860/JCDR/2015/14848.6677 | DOI Listing |
BMJ Paediatr Open
December 2024
Federal University of Sergipe, São Cristovão, Brazil.
Objective: To compare, through a systematic review and meta-analysis of observational accuracy studies, the main existing neonatal death prediction scores.
Method: Systematic review and meta-analysis of observational accuracy studies. The databases accessed were MEDLINE, ELSEVIER, LILACS, SciELO, OpenGrey, Open Access Thesis and Dissertations, EMBASE, Web of Science, SCOPUS and Cochrane Library.
Front Pediatr
October 2024
Department of Neonatology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Aim: To provide a risk prediction for bronchopulmonary dysplasia (BPD) in premature infants under the new diagnostic criteria and establish a prediction model.
Methods: In this study, we retrospectively collected case data on preterm infants admitted to the NICU from August 2015 to August 2018. A lasso analysis was performed to identify the risk factors associated with the development of BPD.
Ann Med
December 2024
Department of Neonatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Background: Neonatal illness severity scores are not extensively studied for their ability to predict mortality or morbidity in preterm infants. The aim of this study was to compare the Neonatal Sequential Organ Failure Assessment (nSOFA), Clinical Risk Index for Babies-II (CRIB-II), and Score for Neonatal Acute Physiology with Perinatal extension-II (SNAPPE-II) for predicting mortality and short-term morbidities in preterm infants ≤32 weeks.
Methods: In this retrospective study, infants born in 2017-2018 with gestational age (GA) ≤32 weeks were evaluated.
Cad Saude Publica
September 2024
Universidade Federal de Uberlândia, Uberlândia, Brasil.
This study aimed to analyze the association between sociodemographic factors, maternal and neonatal characteristics and the time taken to introduce complementary feeding in low birthweight and preterm newborns. This is a prospective cohort study of 79 preterm newborns weighing less than or equal to 1,800g. Data were collected at the time of hospital discharge and at the 6th, 9th ,and 12th months of corrected gestational age (CGA), using a structured questionnaire to analyze the time taken to introduce complementary feeding and the texture of the foods introduced.
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March 2024
Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, NY, United States.
Background: Maternal stress is pervasive in the neonatal intensive care unit (NICU). Maternal stress is associated with changes in human milk (HM) immunomodulatory agents, which may impact neonatal health. We sought to determine the association between maternal stress, HM immunoglobulin A (IgA) and cortisol, and to assess how these milk components correlate with infant immune and neurodevelopmental outcomes.
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