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Neonatal Severity of Illness Scorinng Systems: A Comparison

1997; SAGE Publishing; Volume: 36; Issue: 4 Linguagem: Inglês

10.1177/000992289703600407

1938-2707

Barry E. Fleisher, Lakshmi Murthy, Suk Lee, Janet C. Constantinou, W.E. Benitz, David K. Stevenson,

Respiratory Support and Mechanisms

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 (SS 12 ). Results revealed significant correlations among the SS 12 , SNAP, SNAP+PE, CRIB, birth weight (BW), DOV, and LOS. However, none of the systems we assessed offered striking advantage over BW in a VLBW ventilated group.