Pertinence of score for neonatal acute physiology-II to prognosticate mortality and organ dysfunction in neonatal sepsis

ABSTRACT

INTRODUCTION:The present investigation was undertaken to correlation between mortality and morbidity (organ dysfunction [OD]) and score for neonatal acute physiology-II (SNAP-II).MATERIALS AND METHODS:A prospective investigation of newborns neonates, a total 157 neonates 82 male (52.2%), female 75 (47.8%) were enrolled and disunited into four groups according to gestational age 28 to 30 weeks (G1), 31 to 33 (G2) 34 to 36 weeks (G3) and >37 weeks (G4) variables analyzed were SNAP II.RESULTS AND DISCUSSION:The receiver operating characteristic curve for SNAP-II score and death is more predictive in correlation to OD (area under curve of death is 0.776 as compared to 0.553 for OD). The sensitivity, specificity, positive predictive value, and negative predictive value of SNAP-II score with mortality (outcome) were 42.8%, 100%, 100%, and 82.3%, respectively.CONCLUSION:The SNAP-II revealed efficient to fantabulous ?40 can prognosticate OD and death when applied on admission to neonates with sepsis.