Comparison of STOPS and SNAPPE-II in Predicting Neonatal Survival at Hospital Discharge: A Prospective, Multicentric, Observational Study

Autor: Venkateshwarlu, Vardhelli, Soutrik, Seth, Yassar Arafat, Mohammed, Srinivas, Murki, Baswaraj, Tandur, Bijan, Saha, Tejo Pratap, Oleti, Saikiran, Deshabhotla, Sunayana, Siramshetty, Venkat Reddy, Kallem
Rok vydání: 2022
Předmět:
Zdroj: Indian Journal of Pediatrics.
ISSN: 0973-7693
0019-5456
DOI: 10.1007/s12098-022-04330-w
Popis: To compare SNAPPE-II and STOPS admission severity scores in neonates admitted to neonatal intensive care unit (NICU) with a gestational age of ≥ 33 wk.In this multicenter, prospective, observational study, the sickness scoring was done on all the neonates at 12 h after admission to the NICUs. The scoring systems were compared by the area under the curve (AUC) on the receiver operating characteristics (ROC) curve.A total of 669 neonates with gestational age ≥ 33 wk (mortality rate: 2.4%), who were admitted to five participating NICUs within 24 h of birth, were included. Both SNAPPE-II and STOPS had the good discriminatory and predictive ability for mortality with AUCs of 0.965 [95% confidence interval (CI): 0.94-0.98] and 0.92 (95% CI: 0.87-0.99), respectively. The STOPS scoring system with a cutoff score ≥ 4 on the ROC curve had 85% accuracy, whereas the SNAPPE-II cutoff score ≥ 33 on the ROC curve had 94% accuracy in predicting mortality.In infants with the gestational age of ≥ 33 wk, SNAPPE-II and STOPS showed similar predictive ability, but the STOPS score, being a simpler clinical tool, might be more useful in resource-limited settings.
Databáze: OpenAIRE
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