Predictive value of the "Clinical Risk Index for Babies" for the risk of neonatal death

• Autor(a) principal: Matsuoka, Oscar T.
• Data de Publicação: 1998
• Outros Autores: Sadeck, Lilian S.R., Haber, Jesselina F.S., Proença, Renata S.M., Mataloun, Marta M.G., Ramos, José L.A., Leone, Cléa R.
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista de Saúde Pública
• Texto Completo: https://www.revistas.usp.br/rsp/article/view/24417
• topic: Mortalidade neonatal^i1^sSaúde públ; Peso ao nascer; Idade gestacional; Unidades de terapia intensiva neonatal; Neonatal mortality^i2^sPublic hea; Birth weight; Gestacional age; Intensive care units^i2^sneona

OBJECTIVE: Several indicators, mainly birthweight and gestational age, have been used to predict the mortality risk in neonatal intensive care units. In order to assess the potential value of CRIB in predicting neonatal mortality, the score was used over the first 12 hours of life of the newborns admitted to this unit, during the year of 1996. METHOD: The inclusion criteria consisted of all infants without inevitably lethal congenital malformations, birthweight below 1,500g and/or gestational age less than 31 weeks. Newborn children who died within 12 hours after delivery were excluded. The CRIB score covers birth weight, gestational age, the presence of congenital malformations (not inevitably lethal ) and three indexes of physiological status during first 12 hours after birth - maximum and minimum appropriate fraction of inspired oxygen and maximum (most acidotic) base excess. RESULTS: In a prospective cohort, seventy one newborn children were studied. The birthweight (average) was 1,119 ± 275.6 g, gestational age 30 weeks 4/7 ±2 weeks 3/7; male (57%); Apgar 1° min. score