摘要
Abstract
Objective To investigate the value of scores for Neonatal Acute Physiology,Perinatal Extension Version Ⅱ (SNAPPE-Ⅱ) and Neonatal Critical Illness Score (NCIS) in prediction of mortality risk of neonatal respiratory distress syndrome (RDS).Methods The 118 cases of neonates with RDS were scored by SNAPPEⅡ and NCIS.The receiver operating characteristic curves (ROC) of the two methods were described.The correlation of the two scores,and the value of the two scores in prediction of the mortality risk of neonatal RDS were explored.Results The average SNAPPE-Ⅱ of the death group was (28.06 ± 8.77),higher than (14.28 ± 10.95) of the survival group.The average NCIS was (84.84 ± 3.77),lower than (90.38± 4.70) of the survival group.The two scores were significantly different between the two groups (t=7.332 and 7.098,P=0.000);the two scores were negatively correlated (r =-0.522,P=0.000).Using ROC values of SNAPPE-Ⅱ and NCIS for prediction of the mortality risk of neonatal RDS,the area under the ROC of SNAPPE-Ⅱ was 0.841 [(95％ CI:0.796,0.912),P=0.000],SNAPPE-Ⅱ of 22.5 was the best boundary value to predict RDS mortality;the area under the ROC of adjusted NCIS was 0.829 [(95％ Ch 0.754,0.903),P =0.000],NCIS of 89 was the best cut-off value for prediction of RDS mortality.Conclusions SNAPPE-Ⅱ and NCIS can be used to predict mortality risk of neonatal respiratory distress syndrome.The higher the SNAPPE-Ⅱ,the lower the NCIS,the higher the mortality risk of RDS.SNAPPE-Ⅱ is better in prediction of mortality risk of RDS,and can be more appropriate to assess the risk of death in neonates with RDS.关键词
新生儿急性生理学评分围生期补充Ⅱ/新生儿危重病例评分/新生儿/呼吸窘迫综合征/死亡风险预测Key words
Score for Neonatal Acute Physiology, Perinatal Extension Version Ⅱ/Neonatal Critical Illness Score/respiratory distress syndrome/neonatal/mortality risk prediction分类
医药卫生
