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Dergi Kimliği

Online ISSN
1305-3132

Yayın Dönemi
1993 - 2021

Editor-in-Chief
​Cihat Şen, ​Nicola Volpe

Editors
Daniel Rolnik, Mar Gil, Murat Yayla, Oluş Api

Outcome prediction in critically ill newborn using two scoring systems

S. Spasojevic, V. Milovanov, A. Bregun Doronjski

Künye

Outcome prediction in critically ill newborn using two scoring systems. Perinatoloji Dergisi 2002;10(3):176-177

Yazar Bilgileri

S. Spasojevic1,
V. Milovanov1,
A. Bregun Doronjski2

  1. Clinic for Gynecology and Obstetrics Department of Neonatology Novi Sad YU
  2. Clinic for Pediatrics Clinic Center Institute for child's and Youth's Healthcare Novi Sad YU
Yayın Geçmişi
Çıkar Çakışması

Çıkar çakışması bulunmadığı belirtilmiştir.

Giriş

Beside Apgar Score (AS), the oldest scoring system used in neonatology, several scoring systems recently have been developed: Clinical Risk Index for Babies (CRIB), Score for Neonatal Acute Physiology (SNAP), Neonatal Therapeutic Intervention Scoring System (NTISS) etc.

Amaç

To evaluate the ability of 2 scoring systems in predieting neonatal mortality in very low birth weight (VLBW) newborns. Settings: Pediatric intensive çare unit (PICU) at Institute for Child's and Youth's Healthcare, Novi Sad, Yugoslavia.

Yöntem
 
Retrospective analysis of 120 records of VLBW newliorn.s who were admittecl to PICU within 13 months. Both score systems were applied on each child. The area under receiver operating characleristics (ROC) curves was used for comparison.

Bulgular

Of 120 VLBW newborns, 88 (73.34 %) survived. Mean (SD) gestational age (GA) was 27.4 (2.5) weeks and BW was 1030g (351). Mean AS at 1. minute was 6,01 and at 5. minute 7,80. Significant dif-t'erence couldn't be found between the areas under ROC curves of AS 1 (0,807) and of AS 5 (0,789). 5 point AS Y value was optimal from the aspect of sensitivity (78.1) and specificity (70.5). 7 point AS 5 value was optimal from the aspect of sensitivity (68.7) and specificity (73-9). The CRIB had significantly greater the area under the ROC curve (0.972) than AS. 6 point CRIB value was optimal from the aspect of sensitivity (100.0) and specificity (87.5).

Sonuç

We found that CRIB has excellent predictive ability. CRIB predicted neonatal moıtality significantly better than AS.
Anahtar Kelimeler

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