Chen Cui-Yao, Huang Wei-Min, Qian Xin-Hua, Tang Li-Jun
Department of Neonatology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2017 Mar;19(3):342-345. doi: 10.7499/j.issn.1008-8830.2017.03.018.
To investigate the accuracy and clinical utility of neonatal critical illness score (NCIS) and score for neonatal acute physiology, perinatal extension, version II (SNAPPE-II) in predicting the "dead and abandoned" risk in critically ill neonates.
A total of 269 critically ill neonates were divided into two groups according to their prognosis: dead/abandoned and improved/cured. The accuracy of these two scoring systems, NCIS and SNAPPE-II, in predicting the "dead and abandoned" risk was compared.
The dead/abandoned group had a significantly higher SNAPPE-II score than the improved/cured group (P<0.001), while there was no significant difference in the NCIS score between the two groups (P=0.091). The children who were in line with the individual indicator in the NCIS results had a significantly higher "dead and abandoned" risk than those who were not (P=0.005).
SNAPPE-II is more accurate in early prediction of the "dead and abandoned" risk in critically ill neonates compared with NCIS. NCIS has the ability to predict the "dead and abandoned" risk in children in line with the individual indicator.
探讨新生儿危重病评分（NCIS）和新生儿急性生理学及围生期扩展Ⅱ评分（SNAPPE -Ⅱ）预测危重新生儿“死亡及被遗弃”风险的准确性和临床实用性。
将269例危重新生儿根据预后分为两组：死亡/被遗弃组和好转/治愈组。比较NCIS和SNAPPE -Ⅱ这两种评分系统预测“死亡及被遗弃”风险的准确性。
死亡/被遗弃组的SNAPPE -Ⅱ评分显著高于好转/治愈组（P<0.001），而两组的NCIS评分无显著差异（P = 0.091）。NCIS结果中符合个体指标的患儿“死亡及被遗弃”风险显著高于不符合的患儿（P = 0.005）。
与NCIS相比，SNAPPE -Ⅱ在早期预测危重新生儿“死亡及被遗弃”风险方面更准确。NCIS有能力预测符合个体指标患儿的“死亡及被遗弃”风险。
