Neonatal risk scoring systems - Can they predict mortality and morbidity?

被引:37
|
作者
Richardson, DK
Tarnow-Mordi, WO
Escobar, GJ
机构
[1] Beth Israel Deaconess Med Ctr, Dept Neonatol, Joint Program Neonatol, Boston, MA 02115 USA
[2] Brigham & Womens Hosp, Joint Program Neonatol, Boston, MA 02115 USA
[3] Childrens Hosp, Joint Program Neonatol, Boston, MA 02115 USA
[4] Harvard Univ, Sch Med, Joint Program Neonatol, Boston, MA USA
[5] Harvard Univ, Sch Publ Hlth, Boston, MA 02115 USA
[6] Univ Dundee, Ninewells Hosp & Med Sch, Dept Child Hlth, Dundee DD1 9SY, Scotland
[7] Kaiser Permanente, Div Res, Oakland, CA USA
关键词
D O I
10.1016/S0095-5108(18)30099-X
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Fair comparison of outcomes between NICUs requires adjustment for initial risk. Birth weight, gestational age, and other risk factors do not adequately account for baseline risk. Two measures of. illness severity have been recently validated: these are the Clinical Risk Index for Babies (CRIB) and the Score for Neonatal Acute Physiology (SNAP). The authors review how these two scores have been applied in managed care settings and in a wide array of research applications, as well as the technical, commercial, and ethical issues involved in their use.
引用
收藏
页码:591 / +
页数:23
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