1998, Number 1
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Rev Mex Pediatr 1998; 65 (1)
Índice de riesgo clínico para bebés y riesgo de muerte en neonatos de 1,500 g o menos
Sierra BG, Mezquita OC, Falcón AE
Language: Spanish
References: 14
Page: 12-14
PDF size: 110.82 Kb.
ABSTRACT
Objective: To determine the mortality of the newborn with ‹ 1,500 grams of weight in our intensive care unit, estratified for the clinical risk index for babies.
Design: Prolective descriptive cohort.
Methods: We determine gestational age, weight, congenital malformations presents, and in the first 12 hours of life the maximum excess base, the minimum and the maximum inspired fraction of oxigen and the newborn were distributed at one of the four categories of the clinical risk index for babies. And was registered the condition at the unit exit.
Results: There were 24 females and 16 males in the period of the 16-february-1995 at 15 february-1996, with gestational age between 26-34 weeks and weight between 675-1500 grams. The mortality was for:
Clinical risk index for babies 0-5 points (11 patients): 0.0%
Clinical risk index for babies 6-10 points (19 patients): 15.7%
Clinical risk index for babies 11-15 points (8 patients): 62.5%
Clinical risk index for babies › 15 points (2 patients): 100.0%.
Conclusions: The mortality for ‹ 1,500 grams babies, estratiffied for the clinical risk index for babies, is similar reported in the literature for the neonatal intensive care units.
REFERENCES
Goldsmith JP. Karotkin EH. Asisted ventilation of the neonate. 2a. ed. Philadelphia: WB Saunders Company, 1988: 12.
Rautonen J, Makela A, Boyd H, Apajasalo M, Puhjavouri M. CRIB vs SNAP: assesing the risk of death for preterm neonates. Lancet 1994; 343: 1272-3
Balakrishnan G, Aitchinson T, Halworth D, Morton NS. Prospective evaluation of the pediatric risk of mortality (PRISM) score. Arch Dis Child 1992; 67: 196-200
Richardson DK, Gray JE, McCormick MC, Workman K, Goldmann DA. Score for neonatal acute phisiology. A phisiologic severity index for neonatal mortality. Pediatrics 1993; 91: 617-23.
Richardson DK, Phibbs CS, Gray JE, McCormick MC, Workmann DK, Goldmann DA. Birth weight and illness severity; independent predictors of neonatal mortality. Pediatrics 1993; 91: 969-75.
The international neonatal network. The CRIB (clinical Risk Index for Babies) score a tool for assesing initial neonatal risk and comparing performance of neonatal intensive care units. Lancet 1993; 342: 193-8.
Bard H. Assesing neonatal risk: CRIB vs SNAP. Lancet 1993; 343: 949-50.
Hack M, Horbar JD, Mallory MH, Tyson JE, Wrigth E, Wrigth L. Very low birth weight outcomes of the National Institute of Child Health and human development neonatal network. Pediatrics 1991; 87: 587-97.
Pollack MM, Ruttimann UE, Getson PR, Members of the multi-institutional study group. Accurate prediction of the outcome of pediatric intensive care. A new quantitative method. N Eng J Med 1987; 316: 134-9.
Tarnow MW, Ogston S, Wilkinson AR, Reid E, Gregory J, Saeed M, Wilkie R. Predicting death from initial disease severity in very low birthweight infants: a method for comparing the performance of neonatal units. BMJ 1990; 300: 1611-4.
Horbar JD, Onstad L, Wrigth E. The National Institute of child health and human development neonatal research network. Predicting mortality risk for infants weighing 501 to 1,500 grams at birth. Crit care med 1993; 21:12-8.
Pollack MM, Alexander SR, Clarke N, Ruttimann UE, Tesselar HM, Bachulis AC. Improved outcomes from tertiary center pediatric intensive care: A statewide comparison of tertiary and nontertiary care facilities. Crit Care Med 1991; 19: 150-9.
Escobar GJ, Littenberg B, Petitti DB. Outcome among surviving very low birthweight infants: a meta-analysis. Arch Dis Child 1991; 66: 204-11.
Msall ME, Buck GM, Rogers BT, Merke DP, Wan CC, Catanzaro NL, Zorn WA. Multivariate risks amon extremely premature infants. J Perinatol 1994; 14: 41-7.