Prediction of mortality in NICU of tertiary care rural hospital by using Snappe- II

Authors

  • Shruti Chaudhary DMIMS, Author
  • Shruti Chaudhary DMIMS, Author

DOI:

https://doi.org/10.61841/7w088q25

Keywords:

NAPPE II score,, Sneonatal mortality

Abstract

 Neonatal mortality is very high in India. The complains of neonatal illnesses are not that obvious, so by the time an illness is diagnosed, the neonates become critically ill. Hence, an objective scale is required. To predict mortality of neonates in NICU by using SNAPPE II. To study correlation of snappe II score and mortality of neonates. The study was conducted in Neonatal ICU of Jawaharlal Neharu Medical College and AVBRH ,Sawangi (M) , WardhaDuration of study: 2 years .From August 2018 to June 2020Sample size : 50Type of study : Prospective observational studyEthical Committee approval : The Institutional Ethical Committee permission was sought to conduct this study before data collection.Inclusion criteria : All newborns coming to NICU with birth weight < 1500 gm Exclusion criteria :Neonates going discharged against medical advice and referred patients.Congenital malformationsProcedure of study : All patients getting admitted to NICU with <1500 gms were examined for following 9 parameters to award specific points depending on observations on neonatal reports within first 12 hours of NICU stay. Depending on those points we got cumulative score by summation of points of these 9 parameters. The neonates who had higher score was considered to be more prone for mortality. Our prediction and the actual outcome in the form of survival and non-survival was compared.

Findings will be encouraging to use SNAPPE II Scores for assessments of neonates in NICU.

 

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References

1. WHO (data@unicef .org)

2. Richardson DK, Gray JE, McCormick MC, Workman K, Goldman DA. Score for neonatal acute physiology: a physiology severity index for neonatal intensive care. Pediatrics. 1993;91(3):617–23.

3. Escobar GJ, Fischer A, Li DK, Kremers R, Armstrong MA. Score for neonatal acute physiology: validation in three kaiserpermanente neonatal intensive care units. Pediatrics. 1995;96(5 Pt 1):918–22.

4. Petridou E, Richardson DK, Dessypris N, Malamitsi Puchner A, Mantagos S, Nicolopoulos D, et al. Outcome prediction in Greek neonatal intensive care units using a score for neonatal acute physiology (SNAP) Pediatrics.1998;101(6):1037–44.

5. Richardson DK, Phibbs CS, Gray JE, McCormick MC, Workman-Daniels K, Glodman DA. Birthweight and illness severity: Independent predictors of neonatal mortality. Pediatrics. 1993;91(5):969–75.

6. Richardson DK, Corcoran JD, Escobar GJ, Lee SK. SNAP-II and SNAPPE-II: simplified newborn illness severity and mortality risk scores. J Pediatr. 2001;138(1):92–100.

7. Khandekar, Aditya, and Gargi Dangre-Mudey. “Tackling Rheumatic Heart Disease: Prevalence and Antibiogram of Streptococcus Pyogenes in Cases of Paediatric Pharyngitis.” JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH 13, no. 2

8. Taksande, A. “A New Scoring System for the Diagnosis of Pulmonary Arterial Hypertension.” EUROPEAN HEART JOURNAL 38, no. 1 (August 2017): 158–59.

9. Taksande, Amar, RewatMeshram, and Amol Lohakare. “A Rare Presentation of Isolated Oculomotor Nerve Palsy Due to Multiple Sclerosis in a Child.” INTERNATIONAL JOURNAL OF PEDIATRICS- MASHHAD 5, no. 8 (August 2017): 5525–29. https://doi.org/10.22038/ijp.2017.24602.2075.

10. Taksande, Amar, RewatMeshram, Purnima Yadav, Shreyas Borkar, Amol Lohkare, and Pankaj Banode. “A Rare Case of Budd Chiari Syndrome in a Child.” INTERNATIONAL JOURNAL OF PEDIATRICS- MASHHAD 5, no. 10 (October 2017): 5809–12. https://doi.org/10.22038/ijp.2017.25157.2131.

11. Taksande, Amar, RewatMeshram, Purnima Yadav, and Amol Lohakare. “Rare Presentation of Cerebral Venous Sinus Thrombosis in a Child.” JOURNAL OF PEDIATRIC NEUROSCIENCES 12, no. 4 (December 2017): 389–92

12. Jagzape, Arunita, Tushar Jagzape, and Swanand Pathak. “Medical Education Terminologies: Do These Really Percolate to the Level of Medical Students? A Survey.” JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH 11, no. 9 (September 2017): JC1–5.

https://doi.org/10.7860/JCDR/2017/26582.10631

13. Ashish Varma, Sachin Damke, Revat Meshram, International Journal of Contemporary Pediatrics Varma A et al. Int J Contemp Pediatr. 2017 Mar;4(2):322-327 http://www.ijpediatrics.com ‘Prediction of mortality by pediatric risk of mortality (PRISM III) score in teriary care rural hospital in India’.

14. Daigavane S, Prasad M. To observe the proportion of amblyopia among children presenting in a rural hospital in Central India. J Datta Meghe Inst Med Sci Univ 2018;13(3):119-121.

15. Gadge A, Acharya N, Shukla S, Phatak S. Comparative study of transvaginal sonography and hysteroscopy for the detection of endometrial lesions in women with abnormal uterine bleeding in perimenopausal age group. J SAFOG 2018;10(3):155-160.

16. Anjankar SD. Urethral protrusion of the distal end of shunt. J Pediatr Neurosci 2018;13(3):371-372.

17. Swarnkar M, Pandey P. Heterotopic subserosal pancreatic tissue in jejunum. Formosan J Surg 2018;51(4):167-170.

18. Choudhari MS, Sonkusale MI, Deshpande RA. Sudden cardiac arrest on 5 th day after coronary artery bypass graft surgery: Diagnostic dilemma. Ann Card Anaesth 2018;21(3):341-342.

19. Kirnake V, Arora A, Sharma P, Goyal M, Chawlani R, Toshniwal J, et al. Non-invasive aspartate aminotransferase to platelet ratio index correlates well with invasive hepatic venous pressure gradient in cirrhosis. Indian J Gastroenterol 2018;37(4):335-341.

20. Kürhade G, Nayak BS, Kurhade A, Unakal C, Kurhade K. Effect of martial arts training on IL-6 and other immunological parameters among Trinidadian subjects. J Sports Med Phys Fitness 2018;58(7-8):1110- 1115.

21. Balwani MR, Bawankule C, Khetan P, Ramteke V, Tolani P, Kute V. An uncommon cause of rapidly progressive renal failure in a lupus patient: Pauci-immune crescentic glomerulonephritis. Saudi J Kidney Dis Transpl 2018;29(4):989-992.

22. Mohite D, Hande A, Gupta R, Chaudhary M, Mohite P, Patil S, et al. Immunohistochemical evaluation of expression pattern of p53, p63, and p73 in epithelial dysplasia. J Datta Meghe Inst Med Sci Univ 2018;13(3):122-129.

23. Rathi N, Chandak M, Mude G. Comparative evaluation of dentinal caries in restored cavity prepared by galvanic and sintered burs. Contemp Clin Dent 2018;9(5):S23-S27.

24. Gupta V, Bhake A. Reactive Lymphoid Hyperplasia or Tubercular Lymphadenitis: Can Real-Time PCR on Fine-Needle Aspirates Help Physicians in Concluding the Diagnosis? Acta Cytol 2018;62(3):204-208.

25. Zodpey S, Sharma A, Zahiruddin QS, Gaidhane A, Shrikhande S. Allopathic Doctors in India: Estimates, Norms and Projections. J Health Manage 2018;20(2):151-163.

26. Yadav S, Agrawal M, Hariharan C, Dewani D, Vadera K, Krishna N. A comparative study of serum lipid profile of women with preeclampsia and normotensive pregnancy. J Datta Meghe Inst Med Sci Univ 2018;13(2):83-86.

27. Bhinder HHPS, Kamble TK. The study of carotid intima-media thickness in prediabetes and its correlation with cardiovascular risk factors. J Datta Meghe Inst Med Sci Univ 2018;13(2):79-82.

28. Munjal R, Mudey G. Nasal carriage of Staphylococcus aureus among undergraduate medical students: Prevalence and antibiogram including methicillin resistance, inducible clindamycin resistance, and high- level mupirocin resistance. J Datta Meghe Inst Med Sci Univ 2018;13(2):91-94.

29. Mittal V, Jagzape T, Sachdeva P. Care seeking behaviour of families for their sick infants and factors impeding to their early care seeking in rural part of central India. J Clin Diagn Res 2018;12(4):SC08- SC12.

30. Choudhary S, Tarafdar P, Jawade S, Singh A. A point to note in pili torti. Int J Trichology 2018;10(2):95- 97.

31. Madke B, Gardner JM. Enhanced worldwide dermatology-pathology interaction via Facebook, Twitter, and other social media platforms. Am J Dermatopathol 2018;40(3):168-172.

32. Girish M, Rawekar A, Jose S, Chaudhari U, Nanoti G. Utility of Low Fidelity Manikins for Learning High Quality Chest Compressions. Indian J Pediatr 2018;85(3):184-188.

33. Goswami J, Balwani MR, Kute V, Gumber M, Patel M, Godhani U. Scoring systems and outcome of chronic kidney disease patients admitted in intensive care units. Saudi J Kidney Dis Transpl 2018;29(2):310-317.

34. Mohite PM, Anjankar AJ, Patnod S. Organo pHOSPHORUS pOISONING: Prognostic value of GCS score and other clinical indicators in assessing the final outcome. J Indian Acad Forensic Med 2018;40(2):197-205.

35. Mathur K, Ninave S, Patond S, Ninave S, Wankhade P. A comparative study of estimation of stature by Bertillon's system among individuals of different regions of India. J Indian Acad Forensic Med 2018;40(3):301-306.

36. Kumar S, Bhayani P, Hathi D, Bhagwati J. Hyponatremia initial presenting feature of normal pressure hydrocephalus in elderly patient: A rare case report. J Gerontology Geriatrics 2018;66(3):156-157.

37. Jaiswal S, Banait S, Daigavane S. A comparative study on peripapillary retinal nerve fiber layer thickness in patients with iron-deficiency anemia to normal population. J Datta Meghe Inst Med Sci Univ 2018;13(1):9-11.

38. Deshpande P, Gupta V, Bhake A. Methylation pattern of retrotransposons: Biomarker for human cancer. J Datta Meghe Inst Med Sci Univ 2018;13(1):66-70.

39. Deshpande S, Phatak S, Marfani G, Gupta N, Daga S, Samad S. Sonographic evaluation of painful shoulder and its comparison with clinical diagnosis. J Datta Meghe Inst Med Sci Univ 2018;13(1):12-15.

40. Singh P, Jain S, Methwani D, Kalambe S, Chandravanshi D, Gaurkar S, et al. Study of correlation of pre- operative findings with intra-operative ossicular status in patients with chronic otitis media. Iran J Otorhinolaryngol 2018;30(5):273-281.

41. Papalkar P, Kumar S, Agrawal S, Raisinghani N, Marfani G, Mishra A. Heterotaxy syndrome presenting as severe pulmonary artery hypertension in a young old female: Case report. J Gerontology Geriatrics 2018;66(2):59-61.

42. Rawlani SM, Bhowate R, Kashikar S, Khubchandani M, Rawlani S, Chandak R. Morphological evaluation of temporo-mandibular joint in Indian population. Braz Dent Sci 2018;21(1):44-53.

43. Modi L, Gedam SR, Shivji IA, Babar V, Patil PS. Comparison of total self-stigma between schizophrenia and alcohol dependence patients. Int J High Risk Behav Addict 2018;7(3).

44. Rajan R, Gosavi SN, Dhakate V, Ninave S. A comparative study of equipotent doses of intrathecal clonidine and dexmedetomidine on characteristics of bupivacaine spinal anesthesia. J Datta Meghe Inst Med Sci Univ 2018;13(1):4-8.

45. Rajan R, Gosavi S, Dhakate V, Ninave S. A comparative study of equipotent doses of intrathecal clonidine and dexmedetomidine on characteristics of bupivacaine spinal anesthesia. J Datta Meghe Inst Med Sci Univ 2018;13(1):4-8.

46. Phatak S, Marfani G. Galactocele ultrasonography and elastography imaging with pathological correlation. J Datta Meghe Inst Med Sci Univ 2018;13(1):1-3.

47. Swarnkar M, Agrawal A. Kimura's disease. Formosan J Surg 2018;51(1):26-28.

48. Chiwhane A, Pradeep. Study of rhythm disturbances in acute myocardial infarction. J Assoc Phys India 2018;66(January):54-58.

49. Gupta V, Bhake A. Assessment of Clinically Suspected Tubercular Lymphadenopathy by Real-Time PCR Compared to Non-Molecular Methods on Lymph Node Aspirates. Acta Cytol 2018;62(1):4-11.

50. Anjankar S. Askin's tumor in adult: A rare clinical entity. J Datta Meghe Inst Med Sci Univ 2018;13(1):54- 57.

51. Jain J, Banait S, Tiewsoh I, Choudhari M. Kikuchi's disease (histiocytic necrotizing lymphadenitis): A rare presentation with acute kidney injury, peripheral neuropathy, and aseptic meningitis with cutaneous involvement. Indian J Pathol Microbiol 2018;61(1):113-115.

52. Jain V, Waghmare L, Shrivastav T, Mahakalkar C. SNAPPS facilitates clinical reasoning in outpatient settings. Educ Health 2018;31(1):59-60.

53. Bains SK, John P, Nair D, Acharya S, Shukla S, Acharya N. Aptitude of medical research in undergraduate students of a medical university - Miles to go before we sow. J Clin Diagn Res 2017;11(12):JC07-JC11.

54. Taksande A, Meshram R, Yadav P, Lohakare A. Rare presentation of cerebral venous sinus thrombosis in a child. J Pediatr Neurosci 2017;12(4):389-392.

55. Choudhari MS, Charan N, Sonkusale MI, Deshpande RA. Inadvertent diversion of inferior vena cava to left atrium after repair of atrial septal defect - Early diagnosis and correction of error: Role of intraoperative transesophageal echocardiography. Ann Card Anaesth 2017;20(4):481-482.

56. Swarnkar M, Jain SC. Heterotopic subserosal pancreatic tissue in Jejunum-an incidental rare finding. J Krishna Inst Med Sci Univ 2017;6(4):105-108.

57. Taksande A, Meshram R, Yadav P, Borkar S, Lohkare A, Banode P. A rare case of Budd Chiari syndrome in a child. Int J Pediatr 2017;5(10):5809-5812.

58. Gupta V, Bhake A. Diagnosis of clinically suspected and unsuspected tubercular lymphadenopathy by cytology, culture, and smear microscopy. Indian J Tuberc 2017;64(4):314-317.

59. Gupta V, Bhake A. Clinical and cytological features in diagnosis of peripheral tubercular lymphadenitis – A hospital-based study from central India. Indian J Tuberc 2017;64(4):309-313.

60. Sharma SK, Chaubey J, Singh BK, Sharma R, Mittal A, Sharma A. Drug resistance patterns among extra- pulmonary tuberculosis cases in a tertiary care centre in North India. Int J Tuberc Lung Dis 2017;21(10):1112-1117.

61. Jyoti J, Nitin V, Shashank B, Pradeep D. Gamma glutamyl transferase levels in patients with acute coronary syndrome: A cross-sectional study. J Cardiovasc Dis Res 2017;8(4):121-125.

62. Saoji V, Madke B. Use of low-dose oral warfarin in three cases of livedoid vasculopathy. Indian J Dermatol 2017;62(5):508-511.

63. Dhamgaye TM, Bhaskaran DS. An unusual pulmonary metastatic manifestation of gestational choriocarcinoma: A diagnostic dilemma. Lung India 2017;34(5):490-491.

64. Jagzape A, Jagzape T, Pathak S. Medical education terminologies: Do these really percolate to the level of medical students? A survey. J Clin Diagn Res 2017;11(9):JC01-JC05.

65. Taksande A, Meshram R, Lohakare A. A rare presentation of isolated oculomotor nerve palsy due to multiple sclerosis in a child. Int J Pediatr 2017;5(8):5525-5529.

66. Roy M, Gajbe UL, Singh BR, Thute P. Morphometric measurement of fetal femur length for the prediction of gestational age in the iind and iiird trimester of pregnancy by ultrasonography. J Datta Meghe Inst Med Sci Univ 2017;12(3):187-190.

67. Nitnaware AS, Vagha J, Meshram R. Clinical profile of pediatric head injury. J Datta Meghe Inst Med Sci Univ 2017;12(3):191-195.

68. Jham R, Shukla S, Acharya S, Dhote S, Tamhane A, Bhake A. Correlation of the proliferative markers (AgNOR and Ki-67) with the histological grading of the glial tumors. J Datta Meghe Inst Med Sci Univ 2017;12(3):211-217.

69. Taneja S, Pande V, Kumar H, Agarkhedkar S. Correlation of various maternal factors with exaggerated hyperbilirubinemia of the newborn. J Datta Meghe Inst Med Sci Univ 2017;12(3):218-222.

70. Singhania S, Singhania A, Khan S, Kumar V, Singhania P. Prenatal diagnosis of cross-fused renal ectopia: Still a dilemma. Donald Sch J Ultrasound Obstet Gynecol 2017;11(3):225-226.

71. Jain S, Sharma SK. Challenges & options in dengue prevention & control: A perspective from the 2015 outbreak. Indian J Med Res 2017;145(June):718-721.

72. Gupta V, Bhake A. Molecular Diagnosis of Tubercular Lymphadenopathy from Fine-Needle Aspirates in Pediatric Patients. Acta Cytol 2017;61(3):173-178.

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Published

30.06.2020

How to Cite

Chaudhary , S., & Chaudhary , S. (2020). Prediction of mortality in NICU of tertiary care rural hospital by using Snappe- II. International Journal of Psychosocial Rehabilitation, 24(6), 8247-8253. https://doi.org/10.61841/7w088q25