Document Detail


Score for Neonatal Acute Physiology: a physiologic severity index for neonatal intensive care.
MedLine Citation:
PMID:  8441569     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The substantial variation in birth weight-adjusted mortality among neonatal intensive care units (NICUs) may reflect differences in population illness severity. Development of an illness severity measure is essential for comparisons of outcomes. The Score for Neonatal Acute Physiology (SNAP) was developed and validated prospectively on 1643 admissions (114 deaths) in three NICUs. SNAP scores the worst physiologic derangements in each organ system in the first 24 hours. SNAP showed little correlation with birth weight and was highly predictive of neonatal mortality even within narrow birth weight strata. It was capable of separating patients into groups with 2 to 20 times higher mortality risk. It also correlated highly with other indicators of severity including nursing workload (r = .59), therapeutic intensity (r = .78), physician estimates of mortality risk (r = .65), and length of stay (R2 = .59). SNAP is an important new tool for NICU research.
Authors:
D K Richardson; J E Gray; M C McCormick; K Workman; D A Goldmann
Related Documents :
19501479 - Who should staff neonatal transport teams?
11867319 - Improving the health of infants on medicaid by collocating special supplemental nutriti...
18547009 - Care of the infant with inherent metabolic disease.
3880819 - Prospective controlled evaluation of auditory function in neonates given netilmicin or ...
16790729 - Death in the neonatal intensive care unit: changing patterns of end of life care over t...
16750809 - Development of a clinical pathway for near-term and convalescing premature infants in a...
19911629 - The visual search of an illusory figure: a comparison between 6-month-old infants and a...
2242319 - Assessment of tubular function in neonates using urinary beta 2-microglobulin.
3727999 - Advances in perinatal care and declining regional neonatal mortality in finland, 1968-82.
Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pediatrics     Volume:  91     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1993 Mar 
Date Detail:
Created Date:  1993-03-26     Completed Date:  1993-03-26     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  617-23     Citation Subset:  AIM; IM    
Affiliation:
Joint Program in Neonatology, Children's Hospital, Boston, MA 02115.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Birth Weight
Female
Humans
Infant, Newborn
Infant, Newborn, Diseases / diagnosis*,  mortality,  physiopathology
Intensive Care Units, Neonatal
Male
Prognosis
Prospective Studies
Risk Factors
Severity of Illness Index*
Grant Support
ID/Acronym/Agency:
R01-HSO6123/HS/AHRQ HHS

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


Previous Document:  Epilepsy as a risk factor for submersion injury in children.
Next Document:  Efficacy of intranasal midazolam in facilitating suturing of lacerations in preschool children in th...