Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/173661 |
Resumo: | 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 o2,500 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. |
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Clinics |
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Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk scoreHypothermiaLow WeightNeonatal Intensive Care UnitsNewbornRiskAssessmentSNAP-PE IIOBJECTIVES: 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 o2,500 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.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2020-08-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/clinics/article/view/17366110.6061/clinics/2020/e1731Clinics; Vol. 75 (2020); e1731Clinics; v. 75 (2020); e1731Clinics; Vol. 75 (2020); e17311980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/173661/162764https://www.revistas.usp.br/clinics/article/view/173661/162765Copyright (c) 2020 Clinicsinfo:eu-repo/semantics/openAccessLima, Renato OliveiraRibeiro, Ana PaulaJuliano, YaraFrança, Carolina NunesSouza, Patrícia Colombo de2020-08-14T20:56:48Zoai:revistas.usp.br:article/173661Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2020-08-14T20:56:48Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score |
title |
Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score |
spellingShingle |
Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score Lima, Renato Oliveira Hypothermia Low Weight Neonatal Intensive Care Units Newborn Risk Assessment SNAP-PE II |
title_short |
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_sort |
Survival prognosis of newborns from an intensive care unit through the SNAP-PE II risk score |
author |
Lima, Renato Oliveira |
author_facet |
Lima, Renato Oliveira Ribeiro, Ana Paula Juliano, Yara França, Carolina Nunes Souza, Patrícia Colombo de |
author_role |
author |
author2 |
Ribeiro, Ana Paula Juliano, Yara França, Carolina Nunes Souza, Patrícia Colombo de |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Lima, Renato Oliveira Ribeiro, Ana Paula Juliano, Yara França, Carolina Nunes Souza, Patrícia Colombo de |
dc.subject.por.fl_str_mv |
Hypothermia Low Weight Neonatal Intensive Care Units Newborn Risk Assessment SNAP-PE II |
topic |
Hypothermia Low Weight Neonatal Intensive Care Units Newborn Risk Assessment SNAP-PE II |
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 o2,500 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. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-08-14 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/173661 10.6061/clinics/2020/e1731 |
url |
https://www.revistas.usp.br/clinics/article/view/173661 |
identifier_str_mv |
10.6061/clinics/2020/e1731 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/173661/162764 https://www.revistas.usp.br/clinics/article/view/173661/162765 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Clinics info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Clinics |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 75 (2020); e1731 Clinics; v. 75 (2020); e1731 Clinics; Vol. 75 (2020); e1731 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222765181042688 |