Accuracy of Scoring Systems for Risk Assessment in Neonatal Intensive Care Unit

Sohag University

Status: Enrolling

Conditions: Neonatal Death

Treatments: Other: nSOFA; Other: CRIB II; Other: SNAPPE-II; Other: STOPS; Other: MSNS; Other: SNAP-II

Study type: Observational

Funder types: Other

Identifiers

NCT05763316

Soh-Med-23-03-10MS

Details and patient eligibility

About

Early detection of neonates with higher risk of death is quite important for paying more attention to these cases, timely referral to tertiary neonatal intensive care unit (NICU), and provision of meticulous critical care, which ultimately may improve outcomes. Several scoring systems have recently been developed for assessment of the intensity of illness and prognosticate the risk of not only neonatal mortality but also short- and long-term morbidities. The accuracy of these scoring systems has been investigated in several NICUs from different countries, such as USA, UK, Canada, Brazil, India, and Iran. Previous Egyptian studies have investigated the accuracy of Clinical Risk Index for Babies II (CRIB II), Score for Neonatal Acute Physiology II (SNAP-II) and its Perinatal Extension II (SNAPPE-II). However, the accuracy of Sensorium, temperature, oxygenation, perfusion, skin color, and blood sugar (STOPS), Modified Sick neonatal Score (MSNS), and neonatal sequential organ failure assessment (nSOFA) has not been investigated in Egyptian NICUs. Therefore, more studies are required to investigate the utility and accuracy of neonatal risk assessment scores in Egyptian NICUs.

Enrollment: 300 estimated patients

Sex: All

Ages: Under 28 days old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Admission within 24 hours after birth.
• Length of hospital stay at the first admission to NICU ≥12 hours

Exclusion criteria

• Major congenital anomalies.
• Discharge against medical advice
• Transportation to other places.
• Missing data on items of scoring systems

Trial design

300 participants in 1 patient group

Study participants

Description:

Neonates admitted to NICU and fulfilling eligibility criteria

Treatment:

Other: MSNS

Other: CRIB II

Other: STOPS

Other: SNAP-II

Other: SNAPPE-II

Other: nSOFA