Author/Editor		Stanojević, M
Title		Sick newborn: to score or not to score?
Type		članek
Source		In: Ogrizek-Pelkič K, editor. Proceedings of the 25th Alpe Adria meeting of perinatal medicine, 17th congress Maribor; 2003 Oct 10-11; Maribor. Maribor: Splošna bolnišnica Maribor,
Publication year		2003
Volume		str. 107-14
Language		eng
Abstract		Objectives. The objective is to investigate availability of neonatal neurobiological risk scoring (Score for Acute Neonatal Physiology - SNAP) for very low birth weight newborns in order to predict illness severity, mortality risk, in hospital mortality and effectiveness of care. Study design. Setting is Neonatal Intensive Care Unit, "Sv. Duh" Hospital, Department of Obstetrics and Gynecology, Zagreb, Croatia. A retrospective study of 27 inborn VLBW infants, in whom availability of SNAP scoring in the first 12 hours after admission was investigated. Number of missing variables was searched for in the six of 27 infants who died in the first week of life, and in 21 of 27 infants who survived till discharge. Wilcoxon rank-sum test was used to compare two investigated groups, with P<0.05 considered as statistically significant. Results. ln the group of 6 VLBW infants who died, the median of missing variables was 9 (range 3 to 18), while in the group of 21 survivors the median of missing variables was 6 (range 3-10). The difference was statistically significant (Wilcoxon rank-sum test H=5,48; P=0,025). Conclusion. Neurobiologic risk scoring of sick VLBW newborns in Croatian NICU was only partially available, which means that substantial improvement in monitoring of high risk newborns should be made.
Descriptors		INFANT, NEWBORN, DISEASES INFANT, VERY LOW BIRTH WEIGHT INFANT, PREMATURE INTENSIVE CARE UNITS, NEONATAL SEVERITY OF ILLNESS INDEX INFANT, NEWBORN CRITICAL ILLNESS APGAR SCORE CROATIA