Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score
OBJECTIVES: Although child mortality has declined significantly in recent decades, the reduction of neonatal mortality remains a major challenge as neonatal mortality represents 2/3 of the mortality rate in this population. The objective of this study was to evaluate the utility of the Score for Neo...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier España
2020-08-01
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| Series: | Clinics |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322020000100259&tlng=en |
| _version_ | 1818245822667554816 |
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| author | Renato Oliveira Lima Ana Paula Ribeiro Yara Juliano Carolina Nunes França Patrícia Colombo de Souza |
| author_facet | Renato Oliveira Lima Ana Paula Ribeiro Yara Juliano Carolina Nunes França Patrícia Colombo de Souza |
| author_sort | Renato Oliveira Lima |
| collection | DOAJ |
| description | OBJECTIVES: Although child mortality has declined significantly in recent decades, the reduction of neonatal mortality remains a major challenge as neonatal mortality represents 2/3 of the mortality rate in this population. The objective of this study was to evaluate the utility of the Score for Neonatal Acute Physiology Perinatal Extension II (SNAP-PE II) score for evaluating the survival prognosis of newborns admitted to a neonatal intensive care unit (NICU). METHODS: The study design involved an observational cross-sectional retrospective collection, as well as a prospective component. The sample included all newborns admitted to the NICU validated by the SNAP-PE II tool from January 1 to December 31, 2014. RESULTS: A predominance of young mothers (25.4 years), underwent prenatal care (86.2%), however a considerable percentage (49.4%) of mothers received insufficient medical consultation (less than six consults during their pregnancy). A prevalence of male admissions (62.4%) were noted in the NICU. Premature (61.7%) and underweight (weight <2,500 grams) newborns were also prevalent. The SNAP-PE II score showed an association between the infants who were discharged from the neonatal unit and the non-survivors. An increased prevalence of low birth weight and hypothermia was noted in the group of non-survivors. The mean arterial pressure appears to be a significant risk factor in the newborn group that progressed to death. Hypothermia, mean arterial pressure, and birth weight were the most significant variables associated with death. CONCLUSION: The SNAP-PE II was a beneficial indicator of neonatal mortality. The prevention of prematurity and hypothermia by improving maternity care and newborn care can decisively influence neonatal mortality. |
| first_indexed | 2024-12-12T14:39:01Z |
| format | Article |
| id | doaj.art-ca4c49eb801a4f3ebafa6779c01a0c63 |
| institution | Directory Open Access Journal |
| issn | 1980-5322 |
| language | English |
| last_indexed | 2024-12-12T14:39:01Z |
| publishDate | 2020-08-01 |
| publisher | Elsevier España |
| record_format | Article |
| series | Clinics |
| spelling | doaj.art-ca4c49eb801a4f3ebafa6779c01a0c632022-12-22T00:21:19ZengElsevier EspañaClinics1980-53222020-08-017510.6061/clinics/2020/e1731Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk scoreRenato Oliveira Limahttps://orcid.org/0000-0002-1608-9834Ana Paula Ribeirohttps://orcid.org/0000-0002-1061-3789Yara Julianohttps://orcid.org/0000-0002-8391-075XCarolina Nunes Françahttps://orcid.org/0000-0002-4167-4293Patrícia Colombo de Souzahttps://orcid.org/0000-0003-0247-4245OBJECTIVES: Although child mortality has declined significantly in recent decades, the reduction of neonatal mortality remains a major challenge as neonatal mortality represents 2/3 of the mortality rate in this population. The objective of this study was to evaluate the utility of the Score for Neonatal Acute Physiology Perinatal Extension II (SNAP-PE II) score for evaluating the survival prognosis of newborns admitted to a neonatal intensive care unit (NICU). METHODS: The study design involved an observational cross-sectional retrospective collection, as well as a prospective component. The sample included all newborns admitted to the NICU validated by the SNAP-PE II tool from January 1 to December 31, 2014. RESULTS: A predominance of young mothers (25.4 years), underwent prenatal care (86.2%), however a considerable percentage (49.4%) of mothers received insufficient medical consultation (less than six consults during their pregnancy). A prevalence of male admissions (62.4%) were noted in the NICU. Premature (61.7%) and underweight (weight <2,500 grams) newborns were also prevalent. The SNAP-PE II score showed an association between the infants who were discharged from the neonatal unit and the non-survivors. An increased prevalence of low birth weight and hypothermia was noted in the group of non-survivors. The mean arterial pressure appears to be a significant risk factor in the newborn group that progressed to death. Hypothermia, mean arterial pressure, and birth weight were the most significant variables associated with death. CONCLUSION: The SNAP-PE II was a beneficial indicator of neonatal mortality. The prevention of prematurity and hypothermia by improving maternity care and newborn care can decisively influence neonatal mortality.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322020000100259&tlng=enHypothermiaLow WeightNeonatal Intensive Care UnitsNewbornRisk AssessmentSNAP-PE II |
| spellingShingle | Renato Oliveira Lima Ana Paula Ribeiro Yara Juliano Carolina Nunes França Patrícia Colombo de Souza Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score Clinics Hypothermia Low Weight Neonatal Intensive Care Units Newborn Risk Assessment SNAP-PE II |
| title | Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score |
| title_full | Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score |
| title_fullStr | Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score |
| title_full_unstemmed | Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score |
| title_short | Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score |
| title_sort | survival prognosis of newborns from an intensive care unit through the snap pe ii risk score |
| topic | Hypothermia Low Weight Neonatal Intensive Care Units Newborn Risk Assessment SNAP-PE II |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322020000100259&tlng=en |
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