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Date Published: 26/05/2023
Abstract Views: 257
Views PDF: 162
DOI: https://doi.org/10.51298/vmj.v526i1B.5394
Issue
Vol. 526 No. 1B (2023)
Section
Các bài báo
How to Cite
Phạm , L. A. ., Nguyễn, T. K. N. ., & Phùng , N. T. N. . (2023). EVALUATION OF THE SCORE FOR NEONATAL ACUTE PHYSIOLOGY EXTENSION II TO PREDICT MORTALITY IN 552 NEWBORNS. Vietnam Medical Journal, 526(1B). https://doi.org/10.51298/vmj.v526i1B.5394

EVALUATION OF THE SCORE FOR NEONATAL ACUTE PHYSIOLOGY EXTENSION II TO PREDICT MORTALITY IN 552 NEWBORNS

Lê An Phạm 1,, Thị Kim Nhi Nguyễn2, Nguyễn Thế Nguyên Phùng 1
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 THE CHILDREN’S HOSPITAL 2

Main Article Content

Abstract

Background: To assess the ability of the Score for Neonatal Acute Physiology version II (SNAP- II) to predict in-hospital mortality in newborns who were admitted in the Neonatal Intensive Care Unit (NCU). Methods: This study was conducted in Children’s Hospital 2, Vietnam between November 2016 to October 2018. A total of 552 newborns hospitalized in the Neonatal Intensive Care Unit were included. We collected all the physiology, and laboratory data for the first 24 hours needed to calculate SNAP-II at admission (SNAP-II(T0)) and 24 hours after admission SNAP-II(T1). The SNAP-II cut-off to predict in-hospital death was determined by comparing the area under the curve (AUC). Results: A total of 552 neonates admitted to NICU (357 newborns with birth weight > 1500g and 195 newborns with birth weight ≤ 1500g) were included meeting the criteria. The mortality rate was 23.6%. In a group of newborns with birth weight > 1500g, the SNAP-II(T0) and SNAP-II(T1) cut-offs were 13 and 15, the AUC of SNAP-II(T0) and SNAP-II(T1) were 0.839 and 0.879, p<0.001. In a group of newborns with birth weight ≤ 1500g, the SNAP-II(T0) and SNAP-II(T1) cut-offs were 20.5 and 6.0, the AUC of SNAP-II(T0) and SNAP-II(T1) were 0.656 and 0.733, p<0.001. Conclusion: According to our findings SNAP II is a useful tool in predicting mortality among neonates with birth weight > 1500g much better than neonates with birth weight ≤ 1500g. SNAP-II(T1) had a better predictive value compared to SNAP-II(T0).

Article Details

Keywords

NICU, SNAP-II, mortality

References

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