Volume 24, Number 4 (2-2011)                   Med J Islam Repub Iran 2011 | Back to browse issues page


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Mohkam M, Afjeii A, Payandeh P, Zadkarami M, Kazemian M, Fakhraii H, et al . A comparison of CRIB, CRIB II, SNAP, SNAPII and SNAP-PE scores for prediction of mortality in critically ill neonates. Med J Islam Repub Iran. 2011; 24 (4) :193-199
URL: http://mjiri.iums.ac.ir/article-1-217-en.html

Pediatric Nephrologist Mofid Children's Hospital Shariati Ave. Tehran, Iran. Shahid Beheshti , Mohkamm@pirc.ir
Abstract:   (4180 Views)

 Abstract

 Background: Clinical Risk Index of Babies (CRIB), Score for Neonatal Acute Physiology

 (SNAP), an update of the Clinical Risk Index for Babies score (CRIB II) and

 Score for Neonatal Acute Physiology - Perinatal Extension (SNAP-PE) are scoring devices

 developed in neonatal intensive care units. This study reviewed these scoring systems

 in critically ill neonates to determine how well they could predict mortality.

 Methods: This prospective cohort study was conducted at the neonatal intensive care

 units of Mofid and Mahdieh hospitals between March 2006 and May 2009. We evaluated

 CRIB, CRIB II, SNAP, SNAPII and SNAP-PE score for each neonate and the final

 scores were then obtained. The predictive accuracy of these parameters were expressed

 as area under the receiver operative characteristic curve, sensitivity, specificity, positive

 predictive value and negative predictive value.

 Results: Of 404 neonate evaluated 53% were male. Primary diagnoses were respiratory

 distress syndrome, gastrointestinal obstruction, sepsis, prematurity, and neuromuscular

 diseases. The authors detected mortality in 20.5% and found a significant difference

 in scoring systems between survived and death groups. The mean CRIB score in

 survived neonates was 2.57±3.66 and in death neonates 8.43±4.66 (p value<0.001). We

 also found that the SNAP score had the highest area under the curve and the highest sensitivity,

 specificity, positive predictive value, negative predictive value and we had the

 lowest score for CRIB II.

 Conclusion: We concluded that the neonatal scoring systems could be a useful tool

 for prediction of mortality in NICUs and SNAP can predict the mortality better than the

 others.

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Type of Study: Original Research | Subject: Pediatric Nephrology

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