Is the SNAP-II score useful for predicting mortality in mechanically ventilated in neonates within the first 12 hours of admission?
Article Category: Brief communication (Original)
Online veröffentlicht: 31. Jan. 2017
Seitenbereich: 77 - 80
DOI: https://doi.org/10.5372/1905-7415.0901.371
Schlüsselwörter
© 2017 Narongsak Nakwan, Jeerawan Wannaro, Pornpreenun Chaiwiriyawong
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Background
Respiratory failure is a most serious neonatal disorder. A severity of illness assessment should be performed for mechanically ventilated infants to predict the probability of hospital mortality and to assist clinical decision making.
Objectives
To evaluate the ability of the Score for Neonatal Acute Physiology, version II (SNAP-II) to predict the mortality risk for the infants who are mechanically ventilated with positive pressure ventilation (PPV) at a neonatal intensive care unit (NICU).
Methods
A prospective observational cohort study was performed in a 12-bed level III NICU at Hat Yai Hospital between January 2010 and December 2010.
Results
During the study period, 46 infants were ventilated with PPV at admission. Of these, 8 died (17%) and 30 survived (83%). The overall mean SNAP-II score was significantly higher in the group of infants who died compared with those who survived (36.5 ± 11.5 vs. 22.3 ± 13.6,
Conclusion
SNAP-II scores can significantly predict mortality in infants requiring mechanical PPV.