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. 2015 Oct;9(10):SC10-2.
doi: 10.7860/JCDR/2015/14848.6677. Epub 2015 Oct 1.

SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal Extension-II) in Predicting Mortality and Morbidity in NICU

Shivanna Sree Harsha  1 , Banur Raju Archana  2
Affiliations

SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal Extension-II) in Predicting Mortality and Morbidity in NICU

Shivanna Sree Harsha et al. J Clin Diagn Res. 2015 Oct.

Abstract

Introduction: A number of illness severity scores have evolved which would predict mortality and morbidity in intensive care units. One such scoring system developed by Richardson was SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal extension-II).

Aim: The present study was conducted to assess the validity of SNAPPE-II score as a predictor of mortality and morbidity.

Materials and methods: A total of 248 neonates who met the inclusion criteria were included in the study and SNAPPE-II score was calculated. Receiver Operating Characteristic (ROC) curve was constructed to derive the best cut-off score and SPSS package (Statistical Package for the Social Sciences) was used for statistical analysis.

Results: SNAPPE-II score was higher among expired neonates compared to survived ones. A mean score of 37 was associated with higher mortality. However, it didn't accurately predict the length of stay.

Conclusion: SNAPPE II score is a better predictor of mortality irrespective of gestational ages and it is not a good predictor of morbidity.

Keywords: Illness severity; Length of stay; Neonate; Scoring systems.

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Figures

[Table/Fig-3]:
[Table/Fig-3]:
AUC cut-off value, sensitivity and specificity
See this image and copyright information in PMC

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