SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal Extension-II) in Predicting Mortality and Morbidity in NICU
Published: October 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6677
Shivanna Sree Harsha, Banur Raju Archana
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.
Correspondence
Dr. Shivanna Sree Harsha,
Assistant Professor, Department of Pediatrics, Sri Siddhartha Medical College, Tumkur, Karnataka-527107, India.
Email: drsriharsha@gmail.com
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.
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