PO-0638Usefulness Of Clinical Risk Index For Babies, Score For Neonatal Acute Physiology And Snappe Ii In Predicting Hospital Mortality In Preterm With Low Birth Weight

• Published in: Archives of disease in childhood 2014-10, Vol.99 (Suppl 2), p.A462-A462
• Main Authors: Munoz-Garcia, M, Martinez-Padilla, M C, Millan-Miralles, L, Santiago-Gutierrez, C, de la Cruz-Moreno, J
• Format: Article
• Language: English
• ISSN: 0003-9888
• DOI: 10.1136/archdischild-2014-307384.1279

Currently, there is an increased rate of prematurity. The use of risk score calculators is a simple and easy tool to implement in neonatal units. The aim of our study was to evaluate the usefulness of CRIB-II, SNAP-II and SNAPPE-II scores in predicting hospital mortality in preterm infants with low birth weight.MethodsA total of 81 preterm infants with low birth weight and less than or equal to 32 weeks of gestation were evaluated. Morbidity and mortality data were recorded and CRIB-II, SNAP-II and SNAPPE-II were analysed. Discriminative value was evaluated by calculating the ROC curve.ResultsThe overall mortality was 17.3%. The average score CRIB-II, SNAP-II and SNAPPE-II was higher for preterm died versus those who survived (13.7 plus or minus 4.1 vs. 5.8 plus or minus 3.2, p < 0.001; 33.8 plus or minus 16 vs. 12 plus or minus 10, p < 0.001 y 52.7 plus or minus 15.9 vs. 15.9 plus or minus 13, p < 0.001, respectively). CRIB II score showed an area under the curve of 0.925 (95% CI 0.859 to 0.991), p < 0.001. A cutoff of 8.5 had a sensitivity 92.9% and a specificity 80.6% for predicting mortality. The SNAP-II score provided an area under the curve of 0.863 (95% CI 0.758 to 0.968) p < 0.001 and a cutoff of 20.5 presented a sensitivity 78.6% and a specificity 83.6%. The SNAPPE II score showed an area under the curve of 0.925 (95% CI 0.859 to 0.991), p < 0.001. A cutoff of 25.5 presented a sensitivity 85.7% and a specificity 82.1%. The correlation was higher for CRIB-II and SNAPPE-II, r = 0.766, p = 0.001.ConclusionsThe use of SNAP-II, SNAPPE-II and CRIB-II scores has a high ability to predict neonatal hospital mortality.