Document Detail

Neonatal risk scoring systems. Can they predict mortality and morbidity?
MedLine Citation:
PMID:  9779336     Owner:  NLM     Status:  MEDLINE    
Physiology-based illness severity scores are proving their value through a wide variety of practical applications. The theoretical disadvantages noted in Table 1 have not turned out to be major problems, whereas the advantages have been quite real. Numerous studies have reported insightful comparisons between treatment groups, between NICUs, between countries, between eras, and over the course of care. Many institutions have implemented routine collection of physiology-based newborn scores. The answer to the question posed in the title is yes; neonatal risk scoring systems can predict some mortality and some morbidity. However, it is clear that this function is much less important than their application as a means of improving quality and cost. Future development will depend on commercially viable applications.
D K Richardson; W O Tarnow-Mordi; G J Escobar
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Clinics in perinatology     Volume:  25     ISSN:  0095-5108     ISO Abbreviation:  Clin Perinatol     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1998-12-03     Completed Date:  1998-12-03     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  7501306     Medline TA:  Clin Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  591-611     Citation Subset:  IM    
Joint Program in Neonatology, Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, Boston, Massachusetts, USA.
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MeSH Terms
Birth Weight
Gestational Age
Infant Mortality*
Infant, Newborn
Intensive Care Units, Neonatal
Managed Care Programs
Outcome Assessment (Health Care)
Predictive Value of Tests
Reproducibility of Results
Risk Factors
Severity of Illness Index*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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