ĐÁNH GIÁ TIÊN LƯỢNG TỬ VONG THEO THANG ĐIỂM NSOFA Ở TRẺ SƠ SINH DƯỚI 32 TUẦN MẮC NHIỄM KHUẨN HUYẾT TẠI BỆNH VIỆN HÙNG VƯƠNG

Abstract

Aim: Determine mortality rate and evaluate mortality prognosis according to nSOFA scale in sepsis newborns under 32 weeks. Research subjects and methods: Premature newborns under 32 weeks admitted to the neonatal department of Hung Vuong Hospital from September 2023 to February 2024, longitudinal prospective study, determining the rate of sepsis, the rate of neonatal mortality from sepsis, and determining the nSOFA score within 72 hours after birth, the mortality prognostic value of this score using the ROC curve and the area under the ROC curve (AUC). Results: 180 newborns were collected, 88 neonates had sepsis (48,8%), the mortality rate of children with sepsis was 30,7%, the nSOFA score in 72 hours after birth in the group of children infected with sepsis was higher than the group of children with sepsis survival, the nSOFA scale has predictive value for death with a cutoff point ≥ 5 points, AUC 0.977 CI (0.94-1), specificity 100%, sensitivity 92%, with p < 0.0001. Conclusion: nSOFA score in 72 hours after birth can assess the prognosis of death in newborns 32 weeks of gestation with sepsis nvery well.