Score for Neonatal Acute Physiology Perinatal Extension II (SNAPPE II) as the predictor of neonatal mortality hospitalized in neonatal intensive care unit
Keywords:
SNAPPE II, mortality, NICU
Abstract
Background The assesment of severity of illness with scoringsystem has been used to predict neonatal mortality in neonatal
intensive care unit (NICU). Score for Neonatal Acute Physiology
Perinatal Extension II (SNAPPE II) is the best scoring system
although most of the studies were commonly conducted in
developed countries.
Objective To evaluate SNAPPE II as the predictor of neonatal
mortality in NICU Hasan Sadikin General Hospital (HSGH)
Ban dung.
Methods This was a longitudinal observational study. All neonates
hospitalized in NICU HSGH during the period of August to
November 2008 were investigated according to SNAPPE II
requirements. We excluded subjects admitted more than 48
hours of age, who were discharged or moved to intermediate
newborn care ward less than 24 hours after admission. Prediction
of mortality and determination of SNAPPE II cut-off point were
analyzed using logistic regression. Discrimination was analyzed
using receiver operating characteristic (ROC) and calibration was
analyzed using Hosmer-Lemeshow goodness-of-fit.
Results Forty subjects fulfilled the inclusion criteria. There was a
good relation between SNAPPE II and mortality prediction (P =
0.007). The cut-off point for predicting mortality was 51. SNAPPE
II showed good discrimination with AUC 0.933 (95% CI 0.843
to 1.0) and good calibration 1.69 (P = 0.97).
Conclusion SNAPPE II can be used to predict neonatal mortality
in NICU similar to that found in developed countries.
References
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K, Goldmann DA. Score for neonatal acute physiology:
a physiologic severity index for neonatal intensive care.
Pediatrics. 1993;91:617-23.
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mortality risk evaluation. Rev Sude Publica. 2003;3 7:1-10.
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clinical risk index for babies score. Lancet. 2003;361: 1789-
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10. Richardson OK, Corcoran JD, Escobar GJ, Lee SK. SNAPII
and SNAPPE-II: simplified newborn illness severity and
mortality risk scores. J Pediatr. 2001;138:92-100.
11. Zupancic JAF, Richardson OK, Horbar JD, Carpenter JH, Lee
SK, Escobar GJ, et al. Revalidation of the score for neonatal
acute physiology in the Vermont Oxford network. Pediatrics.
2007;119:e156-63.
12. Mia RA, Etika R, Harianto A, Indarso F, Damanik SM.
The use of score for neonatal acute physiology perinatal
extention II (SNAPPE II) in predicting neonatal outcome
in neonatal intensive care unit. Paediatr Indones.
2005;45:241-5.
13. Kadivar M, Sagheb S, Bavafa F, Moghadam L, Eshrati B.
Neonatal mortality risk assessment in a neonatal intensive
care unit (NICU). IranJ Ped. 2007;17:325-31.
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under a receiver operating characteristics (ROC) curve cases.
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2008]. Available from: http://www.Biostat.wisc.edu/~cook/642.
tex/notes0412.pdf
Workman-Daniels K, Goldmann DA. Birth weight and
illness severity: independent predictors of neonatal mortality.
Pediatrics. 1993;91:969-75.
2. American Academy Pediatrics, American College of
Obstetricians and Gynecologist. The apgar score. Pediatrics.
2006;117: 1144-7.
3. Richardson DK, Shah BL, Frantz ID, Bednarek F, Rubin
LP, McCormick MC. Perinatal risk and severity of illness in
newborns at 6 neonatal intensive care units. Am J Public
Health. 1999;89:511-6.
4. Richardson DK, Gray JE, McCormick MC, Workman
K, Goldmann DA. Score for neonatal acute physiology:
a physiologic severity index for neonatal intensive care.
Pediatrics. 1993;91:617-23.
5. DorlingJS, Field OJ, Manktelow B. Neonatal disease severity
scoring systems. Arch Dis Child. 2005;90:F11-6.
6. Gagliardi L, Cavazza A, Brunelli A, Battaglioli M, Merazzi D,
Tandoi F, et al. Assessing mortality risk in very low birth weight
infants: a comparison of CRIB, CRIB-II, and SNAPPE-II.
Arch Dis Child. 2004;89:419-22.
7. International Neonatal Network. The CRIB (Clinical Risk
Index for Babies) score: a tool for assesing initial neonatal
risk and comparing performance of neonatal intensive-care
units. Lancet. 1993;342: 193-8.
8. Brito ASJ, Matsuo T, Gonzalez MRC, Carvalho ABR, Ferrari
LSL. CRIB score, birth weight and gestational age in neonatal
mortality risk evaluation. Rev Sude Publica. 2003;3 7:1-10.
9. ParryG, Tucker J, Tarnow-Mordi W. CRIB II: an update of the
clinical risk index for babies score. Lancet. 2003;361: 1789-
91.
10. Richardson OK, Corcoran JD, Escobar GJ, Lee SK. SNAPII
and SNAPPE-II: simplified newborn illness severity and
mortality risk scores. J Pediatr. 2001;138:92-100.
11. Zupancic JAF, Richardson OK, Horbar JD, Carpenter JH, Lee
SK, Escobar GJ, et al. Revalidation of the score for neonatal
acute physiology in the Vermont Oxford network. Pediatrics.
2007;119:e156-63.
12. Mia RA, Etika R, Harianto A, Indarso F, Damanik SM.
The use of score for neonatal acute physiology perinatal
extention II (SNAPPE II) in predicting neonatal outcome
in neonatal intensive care unit. Paediatr Indones.
2005;45:241-5.
13. Kadivar M, Sagheb S, Bavafa F, Moghadam L, Eshrati B.
Neonatal mortality risk assessment in a neonatal intensive
care unit (NICU). IranJ Ped. 2007;17:325-31.
14. Hanley JA, McNeil BJ. The meaning and use of the area
under a receiver operating characteristics (ROC) curve cases.
Radiology. 1982;143:29-36.
15. The Hosmer-lemeshow goodness-of-fit [cited August 27,
2008]. Available from: http://www.Biostat.wisc.edu/~cook/642.
tex/notes0412.pdf
Published
2009-07-01
How to Cite
1.
Thimoty J, Hilmanto D, Yuniati T. Score for Neonatal Acute Physiology Perinatal Extension II (SNAPPE II) as the predictor of neonatal mortality hospitalized in neonatal intensive care unit. PI [Internet]. 1Jul.2009 [cited 22Nov.2024];49(3):155-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/544
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Received 2016-09-10
Accepted 2016-09-10
Published 2009-07-01
Accepted 2016-09-10
Published 2009-07-01
