Neonatal Death
Conditions
Brief summary
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.
Interventions
OTHERCRIB II
Calculate Clinical Risk Index for Babies II score
OTHERSNAP-II
Calculate Score for Neonatal Acute Physiology II
OTHERSNAPPE-II
Calculate Score for Neonatal Acute Physiology Perinatal Extension II
OTHERSTOPS
Calculate Sensorium, temperature, oxygenation, perfusion, skin color, and blood sugar score
OTHERMSNS
Calculate Modified Sick neonatal Score
OTHERnSOFA
Calculate neonatal sequential organ failure assessment
Sponsors
Sohag University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 28 Days
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Survival at discharge | One year | Proportion of neonates discharged alive from NICU |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of hospital stay | One year | Length of stay in NICU |
| Need for CPAP | One year | Proportion of neonates connected to continuous positive airway pressure |
| Need for invasive ventilation | One year | Proportion of neonates requiring invasive ventilation |
Countries
Egypt
Contacts
Primary ContactRehab Z Abdelftah, MD
Backup ContactElsayed Abdelkreem, MD, PhD
Outcome results
None listed