Giriş
SNAP was developed to assure a more accurate predietion of neonatal moıtality then traditionally used means such as BW, gestational age etc.
Amaç
We compared the ability of BW and SNAP as pıedictors of neonatal mortality.
Settings: Pediatric intensive care unit (PICU) at Institute for Healthcare of Child and Youth, Novi Sad, Vojvodina.
Yöntem
Retrospective study based on medical records of 120 critically ill newborns who were admitted during 13-month period. SNAP was determined in the first 24 hours from admission to the PICU and calculated using an algorithm based on deviations from normal values of 26 physiologic parameters. The area under receiver operating characteristics (ROC) curves was used for comparison.
Bulgular
Mean (SD) gestational age (GA) was 27.4 (2.5) weeks and BW was 1030g (351). 32 babies died (26.6%). The SNAP had the area under the ROC curve 0.846. 18 points SNAP value was optimal from the aspect of sensitivity (68.7) and specificity (92.0). BW had lower area under the ROC curve (0.732).
Sonuç
SNAP is useful predictive model, more accurate than BW in predicting of neonatal mortality.
Anahtar Kelimeler
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