USE OF THE CRIB (CLINICAL RISK INDEX FOR BABIES) SCORE IN PREDICTION OF NEONATAL-MORTALITY AND MORBIDITY
USE OF THE CRIB (CLINICAL RISK INDEX FOR BABIES) SCORE IN PREDICTION OF NEONATAL-MORTALITY AND MORBIDITY
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DOI：
10.1136/fn.73.1.f32
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发表时间：
1995-07-01
影响因子：
4.4
通讯作者：
GAMSU, HR
中科院分区：
文献类型：
--
作者：
DECOURCYWHEELER, RHB;WOLFE, CDA;GAMSU, HR
对极低出生体重（< 1500 g）和极早产（< 32周）婴儿区域队列的护理结果进行了前瞻性研究。其目的是评估CRIB（婴儿临床风险指数）评分的能力，而不是胎龄或出生体重，以预测出院前死亡率、神经系统发病率和住院时间，并将CRIB评分作为新生儿重症监护表现的指标。676例活产符合标准，643例（95%）的数据完整。与妊娠期和出生体重相比，CRIB对死亡率的预测更好，对发病率的预测同样好，对住院时间的预测则不如。在提供最高水平护理的单位中，CRIB调整死亡率并没有表现出更好的表现，要么是CRIB评分对表现不敏感，要么是本研究中的3级医院表现不佳。根据这一分析，新生儿重症监护的购买者和提供者还不能依赖CRIB评分作为绩效指标。
A prospective study of the outcome of care of a regional cohort of very low birthweight (< 1500 g) and very preterm (< 32 weeks) infants was carried out. Its aims were to assess the ability of the CRIB (clinical risk index for babies) score, rather than gestational age or birthweight, to predict mortality before hospital discharge, neurological morbidity, and length of stay, and to access CRIB score as an indicator of neonatal intensive care performance. 676 live births fulfilled the criteria and complete data were available for 643 (95%). Compared with gestation and birthweight, CRIB was better for the prediction of mortality, was as good for the prediction of morbidity, and was not as good for the prediction of length of stay. CRIB adjusted mortality did not demonstrate better performance in units providing the highest level of care, Either the CRIB score was not sensitive to performance or the level 3 hospitals in this study were performing badly.On the basis of this analysis purchasers and providers of neonatal intensive care cannot yet rely on the CRIB score as a performance indicator.