Shivanna Sree Harsha1, Banur Raju Archana2. 1. Assistant Professor, Department of Paediatrics, Sri Siddhartha Medical College , Tumkur, Karnataka, India . 2. Assistant Professor, Department of Microbiology, Sri Siddhartha Medical College , Tumkur, Karnataka, India .
Abstract
INTRODUCTION: A number of illness severity scores have evolved which would predict mortality and morbidity in intensive care units. One such scoring system developed by Richardson was SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal extension-II). AIM: The present study was conducted to assess the validity of SNAPPE-II score as a predictor of mortality and morbidity. MATERIALS AND METHODS: A total of 248 neonates who met the inclusion criteria were included in the study and SNAPPE-II score was calculated. Receiver Operating Characteristic (ROC) curve was constructed to derive the best cut-off score and SPSS package (Statistical Package for the Social Sciences) was used for statistical analysis. RESULTS: SNAPPE-II score was higher among expired neonates compared to survived ones. A mean score of 37 was associated with higher mortality. However, it didn't accurately predict the length of stay. CONCLUSION: SNAPPE II score is a better predictor of mortality irrespective of gestational ages and it is not a good predictor of morbidity.
INTRODUCTION: A number of illness severity scores have evolved which would predict mortality and morbidity in intensive care units. One such scoring system developed by Richardson was SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal extension-II). AIM: The present study was conducted to assess the validity of SNAPPE-II score as a predictor of mortality and morbidity. MATERIALS AND METHODS: A total of 248 neonates who met the inclusion criteria were included in the study and SNAPPE-II score was calculated. Receiver Operating Characteristic (ROC) curve was constructed to derive the best cut-off score and SPSS package (Statistical Package for the Social Sciences) was used for statistical analysis. RESULTS: SNAPPE-II score was higher among expired neonates compared to survived ones. A mean score of 37 was associated with higher mortality. However, it didn't accurately predict the length of stay. CONCLUSION: SNAPPE II score is a better predictor of mortality irrespective of gestational ages and it is not a good predictor of morbidity.
Keywords:
Illness severity; Length of stay; Neonate; Scoring systems
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