SNAPPE-II（新生儿急性生理学与围产期扩展评分-II）在预测新生儿重症监护病房的死亡率和发病率中的应用
SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal Extension-II) in Predicting Mortality and Morbidity in NICU.
作者信息
Harsha Shivanna Sree, Archana Banur Raju
机构信息
Assistant Professor, Department of Paediatrics, Sri Siddhartha Medical College , Tumkur, Karnataka, India .
Assistant Professor, Department of Microbiology, Sri Siddhartha Medical College , Tumkur, Karnataka, India .
出版信息
J Clin Diagn Res. 2015 Oct;9(10):SC10-2. doi: 10.7860/JCDR/2015/14848.6677. Epub 2015 Oct 1.
INTRODUCTION
A number of illness severity scores have evolved which would predict mortality and morbidity in intensive care units. One such scoring system developed by Richardson was SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal extension-II).
AIM
The present study was conducted to assess the validity of SNAPPE-II score as a predictor of mortality and morbidity.
MATERIALS AND METHODS
A total of 248 neonates who met the inclusion criteria were included in the study and SNAPPE-II score was calculated. Receiver Operating Characteristic (ROC) curve was constructed to derive the best cut-off score and SPSS package (Statistical Package for the Social Sciences) was used for statistical analysis.
RESULTS
SNAPPE-II score was higher among expired neonates compared to survived ones. A mean score of 37 was associated with higher mortality. However, it didn't accurately predict the length of stay.
CONCLUSION
SNAPPE II score is a better predictor of mortality irrespective of gestational ages and it is not a good predictor of morbidity.
引言
已经出现了许多疾病严重程度评分系统，这些系统可以预测重症监护病房患者的死亡率和发病率。理查森开发的一种此类评分系统是SNAPPE-II（新生儿急性生理学伴围产期扩展-II评分）。
目的
本研究旨在评估SNAPPE-II评分作为死亡率和发病率预测指标的有效性。
材料与方法
本研究共纳入248例符合纳入标准的新生儿，并计算其SNAPPE-II评分。构建受试者工作特征（ROC）曲线以得出最佳截断分数，并使用SPSS软件包（社会科学统计软件包）进行统计分析。
结果
与存活新生儿相比，死亡新生儿的SNAPPE-II评分更高。平均分为37分与较高的死亡率相关。然而，它并不能准确预测住院时间。
结论
无论胎龄如何，SNAPPE II评分都是更好的死亡率预测指标，但它不是发病率的良好预测指标。
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