Lim Lilian, Rozycki Henry J
Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Virginia Commonwealth University School of Medicine, Richmond, VA 23298-0276, USA.
J Matern Fetal Neonatal Med. 2008 Jun;21(6):415-9. doi: 10.1080/14767050802046481.
To determine if daily SNAP-II scores (Score for Neonatal Acute Physiology) after the first day are useful in identifying neonatal intensive care unit (NICU) patients who die or develop sepsis or necrotizing enterocolitis.
Prospective data were collected on all 141 admissions to a university level III NICU over 4 months. SNAPPE-II scores were calculated from the day of admission and SNAP-II scores from subsequent hospital days. The scores were compared between those who developed events and those who did not.
At least 64% of the daily SNAP-II scores on the day of and the preceding 4 days from the event were 0. Admission SNAPPE-II scores correlated with length of stay (r = 0.44, p < 0.01) but patient average SNAP-II did not (r = 0.02, p > 0.5).
SNAP-II scores from after the first day of life did not accurately assess or predict neonatal morbidity and mortality.
确定出生后首日之后的每日新生儿急性生理学评分（SNAP-II）是否有助于识别在新生儿重症监护病房（NICU）死亡、发生败血症或坏死性小肠结肠炎的患者。
前瞻性收集了4个月内一所大学三级NICU的141例入院患者的所有数据。从入院当天开始计算SNAPPE-II评分，并计算随后住院日的SNAP-II评分。对发生相关事件的患者和未发生相关事件的患者的评分进行比较。
在事件发生当日及前4天，至少64%的每日SNAP-II评分为0。入院时的SNAPPE-II评分与住院时间相关（r = 0.44，p < 0.01），但患者的平均SNAP-II评分与住院时间无关（r = 0.02，p > 0.5）。
出生后首日之后的SNAP-II评分不能准确评估或预测新生儿的发病率和死亡率。
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