A Systematic Review: The Utility of the Revised Version of the Score for Neonatal Acute Physiology Among Critically Ill Neonates.
A Systematic Review: The Utility of the Revised Version of the Score for Neonatal Acute Physiology Among Critically Ill Neonates.
复制标题
DOI：
10.1097/jpn.0000000000000135
复制
发表时间：
2015-10
期刊：
影响因子：
--
通讯作者：
Ashmeade T
中科院分区：
文献类型：
--
作者：
Morse S;Groer M;Shelton MM;Maguire D;Ashmeade T
修订后的新生儿急性生理评分（SNAP-II）已用于所有出生体重和胎龄，以衡量危重新生儿疾病严重程度的概念。SNAP-II已在研究中以各种方式实施。本系统综述旨在综合有关该工具效用的现有研究，特别是关于按顺序和稍后时间点测量疾病严重程度的效用。进行了系统评价，确定了35篇符合纳入和排除标准的研究文章。大多数研究使用SNAP-II仪器作为生命第一天疾病初始严重程度的衡量标准。6项研究使用SNAP-II工具来测量后期时间点的疾病严重程度，只有2项研究使用该工具来前瞻性地测量疾病严重程度。支持在以后的时间点和预期使用SNAP-II的证据缺乏，需要更多的证据。
The revised version of the Score for Neonatal Acute Physiology (SNAP-II) has been used across all birth weights and gestational ages to measure the concept of severity of illness in critically ill neonates. The SNAP-II has been operationalized in various ways across research studies. This systematic review seeks to synthesize the available research regarding the utility of this instrument, specifically on the utility of measuring severity of illness sequentially and at later time points. A systematic review was performed and identified 35 research articles that met inclusion and exclusion criteria. The majority of the studies used the SNAP-II instrument as a measure of initial severity of illness on the first day of life. Six studies utilized the SNAP-II instrument to measure severity of illness at later time points and only two studies utilized the instrument to prospectively measure severity of illness. Evidence to support the use of the SNAP-II at later time points and prospectively is lacking and more evidence is needed.