Score for Neonatal Acute Physiology Perinatal Extension II (SNAPPE II) as the predictor of neonatal mortality hospitalized in neonatal intensive care unit

  • James Thimoty
  • Dany Hilmanto
  • Tetty Yuniati
Keywords: SNAPPE II, mortality, NICU

Abstract

Background The assesment of severity of illness with scoring
system 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.

Author Biographies

James Thimoty
Department of Child Health, Medical School, Padjadjaran
University, Hasan Sadikin General Hospital, Bandung, Indonesia.
Dany Hilmanto
Department of Child Health, Medical School, Padjadjaran
University, Hasan Sadikin General Hospital, Bandung, Indonesia.
Tetty Yuniati
Department of Child Health, Medical School, Padjadjaran
University, Hasan Sadikin General Hospital, Bandung, Indonesia.

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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 28Mar.2024];49(3):155-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/544
Section
Articles
Received 2016-09-10
Accepted 2016-09-10
Published 2009-07-01