Predicting neonatal morbidity after perinatal asphyxia: A scoring system
| Autor: | Brian S. Carter, M. Gail Murphy, Gerald B. Merenstein, Mark S. Gaylord, Rita E. Thieme, Ronald J. Portman |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Pediatrics
medicine.medical_specialty Population Severity of Illness Index law.invention Predictive Value of Tests law Severity of illness medicine Humans education Retrospective Studies Asphyxia Asphyxia Neonatorum education.field_of_study business.industry Organ dysfunction Infant Newborn Obstetrics and Gynecology medicine.disease Intensive care unit Perinatal asphyxia Evaluation Studies as Topic Predictive value of tests Apgar score Morbidity medicine.symptom business Forecasting |
| Zdroj: | American Journal of Obstetrics and Gynecology. 162:174-182 |
| ISSN: | 0002-9378 |
| Popis: | Predicting immediate neonatal morbidity after perinatal asphyxia has been difficult. A review of asphyxiated neonates ≥36 weeks' gestation admitted to The Chidlrens Hospital Newborn Intensive Care Unit in 1983 was conducted to devise a scoring system that would rapidly predict organ dysfunction observed in the immediate neonatal period. Comparison of potential score components to morbidity by multiple regression analysis yielded significant association with abnormalities in fetal heart rate monitoring, the 5-minute Apgar score, and neonatal base deficit. A scoring system was devised whose sensitivity (93.8%) and specificity (81.3%) were more predictive than any of its individual components. Prospective analysis in a similar population in 1984 validated its ability to distinguish severe from moderate morbidity after asphyxia. Positive predictive value for the score in the combined study groups ( n = 98) was 79% and the negative predictive value was 83%. The scoring system may offer a rapid and accurate prediction of organ dysfunction in the immediate neonatal period after asphyxia. (AM J OBSTET GYNECOL 1990;162:174-82.) |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|