SNAP II and SNAPPE II as Predictors of Neonatal Mortality in a Pediatric Intensive Care Unit : Does Postnatal Age Play a Role?

Joint Authors

Godoy, Laura Evangelina
Alvarez Barrientos, Elizabeth
Mesquita Ramirez, Mirta Noemi

Source

International Journal of Pediatrics

Issue

Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2014-02-26

Country of Publication

Egypt

No. of Pages

5

Main Subjects

Medicine

Abstract EN

Introduction.

In developing countries, a lack of decentralization of perinatal care leads to many high-risk births occurring in facilities that do not have NICU, leading to admission to a PICU.

Objective.

To assess SNAP II and SNAPPE II as predictors of neonatal death in the PICU.

Methodology.

A prospective study of newborns divided into 3 groups according to postnatal age: Group 1 (G1), of 0 to 6 days; Group 2 (G2) of 7 to 14 days; and Group 3 (G3), of 15 to 28 days.

Variables analyzed were SNAP II, SNAPPE II, perinatal data, and known risk factors for death.

The Hosmer-Lemeshow test and the receiver operating characteristics (ROC) curve were used with SPSS 17.0 for statistical analysis.

An Alpha error <5% was considered significant.

Results.

We analyzed 290 newborns, including 192 from G1, 41 from G2, and 57 from G3.

Mortality was similar in all 3 groups.

Median SNAP II was higher in newborns that died in all 3 groups (P<0.05).

The area under the ROC curve for SNAP II for G1 was 0.78 (CI 95% 0.70–0.86), for G2 0.66 (CI 95% 0.37–0.94), and for G3 0.74 (CI 95% 0.53–0.93).

The area under the ROC curve for SNAPPE II for G1 was 0.76 (CI 95% 0.67–0.85), for G2 0.60 (CI 95% 0.30–0.90), and for G3 0.74 (CI 95% 0.52–0.95).

Conclusions.

SNAP II and SNAPPE II showed moderate discrimination in predicting mortality.

The results are not strong enough to establish the correlation between the score and the risk of mortality.

American Psychological Association (APA)

Mesquita Ramirez, Mirta Noemi& Godoy, Laura Evangelina& Alvarez Barrientos, Elizabeth. 2014. SNAP II and SNAPPE II as Predictors of Neonatal Mortality in a Pediatric Intensive Care Unit : Does Postnatal Age Play a Role?. International Journal of Pediatrics،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-461491

Modern Language Association (MLA)

Mesquita Ramirez, Mirta Noemi…[et al.]. SNAP II and SNAPPE II as Predictors of Neonatal Mortality in a Pediatric Intensive Care Unit : Does Postnatal Age Play a Role?. International Journal of Pediatrics No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-461491

American Medical Association (AMA)

Mesquita Ramirez, Mirta Noemi& Godoy, Laura Evangelina& Alvarez Barrientos, Elizabeth. SNAP II and SNAPPE II as Predictors of Neonatal Mortality in a Pediatric Intensive Care Unit : Does Postnatal Age Play a Role?. International Journal of Pediatrics. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-461491

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-461491