Neonatal severity of illness scoring systems: A comparison

Neonatal severity of illness scoring systems: A comparison
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DOI:
10.1177/000992289703600407
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发表时间:
1997-04-01
影响因子:
1.6
通讯作者:
Stevenson, DK
Stevenson, DK
中科院分区:
医学4区
文献类型:
--
作者:
Fleisher, BE;Murthy, L;Stevenson, DK

文献摘要

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已经开发了几种不同的评分系统来预测新生儿发病率和死亡率。在这项研究中,我们比较了四种疾病严重程度评分系统(SISS)作为需要机械通气的极低出生体重(VLBW)早产儿呼吸机使用天数(DOV)、住院时间(LOS)和死亡率的预测因子的效用。新生儿急性生理学评分(SNAP)、新生儿急性生理学-围产期扩展评分(SNAP + PE)、新生儿急性生理学-围产期扩展评分(SNAP+PE)、新生儿急性生理学-围产期扩展评分(SNAP+PE)、新生儿急性生理学-围产期扩展评分(SNAP+PE)。婴儿临床风险指数(CRIB)和12小时Sinkin评分(SS 12)结果显示SS 12、SNAP、SNAP+PE、CRIB、出生体重(BW)、DOV和LOS。然而,在VLBW通气组中,我们评估的系统均未提供明显优于BMT的优势。
Several different scoring systems have been developed to predict neonatal morbidity and mortality, In this investigation we compared the utility of four severity of illness scoring systems (SISS) as predictors of days on ventilator (DOV), length of hospital stay (LOS), and mortality in very-low-birth weight (VLBW) premature infants who required mechanical ventilation, The SISS assessed were the Score for Neonatal Acute Physiology (SNAP); the Score for Neonatal Acute Physiology-Perinatal Extension (SNAP+PE); Clinical Risk Index for Babies (CRIB), and the Sinkin Score at 12 hours (SS12) Results revealed significant correlations among the SS12, SNAP, SNAP+PE, CRIB, birth weight (BW), DOV, and LOS. However, none of the systems we assessed offered striking advantage over BMT in a VLBW ventilated group.