用于转诊至三级保健的危重新生儿临床评估和死亡率预测的扩展新生儿危重症评分（ESNS）
Extended Sick Neonate Score (ESNS) for Clinical Assessment and Mortality Prediction in Sick Newborns referred to Tertiary Care.
机构信息
Department of Neonatology, Calcutta Medical College, Kolkata, West Bengal, India.
Department of Pediatric Medicine, Calcutta Medical College, Kolkata, West Bengal, India. Correspondence to: Dr Rakesh Mondal, Department of Pediatrics, Medical College, 88 College Street, Kolkata 700 073, West Bengal, India.
出版信息
Indian Pediatr. 2019 Feb 15;56(2):130-133.
OBJECTIVE
To evaluate utility of a new Extended Sick Neonate Score (ESNS). to predict 'in-hospital mortality' and compare with Score for Neonatal Acute Physiology - Perinatal Extension II (SNAPPE II) and Sick Neonate Score (SNS).
DESIGN
Prospective observational study.
METHODS
All extramural sick newborns transported to the neonatology unit of a tertiary care teaching hospital over a period of one year. Correlation between ESNS, SNAPPE-II and SNS scoring, and sensitivity/specificity of each score to predict mortality were determined.
RESULTS
961 newborns were enrolled in the study. ESNS, SNAPPE II and SNS were strongly correlated, even when stratified by gestation. ESNS of ≤11 had the best sensitivity (85.9%) and specificity (89.8%). For preterms, ESNS ≤12 had the best sensitivity (92.3%) and specificity (76.7%).
CONCLUSION
ESNS can predict 'in-hospital mortality' outcome with satisfactory sensitivity and specificity.
目的
评估新的扩展新生儿病危评分（ESNS）在预测“院内死亡率”方面的效用，并与新生儿急性生理学-围产期扩展评分 II（SNAPPE II）和新生儿病危评分（SNS）进行比较。
设计
前瞻性观察性研究。
方法
在一年期间，将所有外来的患病新生儿转运到三级教学医院的新生儿科。确定 ESNS、SNAPPE-II 和 SNS 评分之间的相关性，以及每个评分预测死亡率的敏感性/特异性。
结果
本研究共纳入 961 名新生儿。ESNS、SNAPPE II 和 SNS 之间相关性很强，即使在按胎龄分层时也是如此。ESNS≤11 时具有最佳的敏感性（85.9%）和特异性（89.8%）。对于早产儿，ESNS≤12 时具有最佳的敏感性（92.3%）和特异性（76.7%）。
结论
ESNS 可以预测“院内死亡率”结局，具有令人满意的敏感性和特异性。
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