Mortality Risk Prediction of CRIB II, SNAPPE-II and NTISS Scoring Systems in Neonatal Intensive Care Unit CRIB II, SNAPPE-II ve NTISS Skorlama Sistemleri ile Yenidoğan Yoğun Bakım Ünitesinde Mortalite Riski Belirlenmesi

Çöğürlü M. T., ÖZGÜRHAN G., CÖMERT S., Samancı N., Özdoğan T., VAROL F., ...Daha Fazla

Sakarya Medical Journal, cilt.13, sa.4, ss.557-566, 2023 (Scopus, TRDizin)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 4
  • Basım Tarihi: 2023
  • Doi Numarası: 10.31832/smj.1373658
  • Dergi Adı: Sakarya Medical Journal
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.557-566
  • Anahtar Kelimeler: mortality risk, preterm, scoring system, very low birth weight
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Introduction Materials and Methods The aim of this study was to evaluate the efficacy of Score for Neonatal Acute Physiology-Perinatal Extension-II (SNAPPE-II), Clinical Risk Index for Babies II (CRIB-II) and Neonatal Therapeutic Intervention Scoring System (NTISS) on predicting mortality in very low birth weight (VLBW) neonates admitted to NICU within the first day of life and to find the cut off values of these scores. The files of 169 patients with birth of weight ≤1500 gr (VLBW) and gestational age ≤32 weeks were evaluated retrospectively between January 2009-June 2012. Ethics committe approval was received. (2011-KAEK-50, Decree no:246). Results The optimal cut-off values for all three scorings in terms of mortality were 10 for CRIB-II (71.4% sensitivity-84.3% specificity, AUC 0.778, p=0.001), 34 for SNAPPE-II (81% sensitivity-78% specificity, AUC 0.795, p=0.001), and 18 for NTISS (83.3% sensitivity-57.5% specificity, AUC 0.704, p=0.001). In multivariate logistic regression analysis, it was determined that the risk of mortality increased 3.43 and 5.33 times, respectively, over the cut-off points for CRIB-II and SNAPPE-II (p=0.022, p=0.003). Conclusion We concluded that, each of the three scoring systems can be used to predict mortality in neonatal period, but SNAPPE-II scoring system was found more advantageous than the CRIB II, and both were more advantageous than the NTISS.