Predicting Outcome in Neonatal Hypoxic Respiratory Failure with the Score for Neonatal Acute Physiology (SNAP) and Highest Oxygen Index (OI) in the First 24 Hours of Admission
OBJECTIVE: To determine the clinical utility of SNAP score versus the highest oxygen index (OI) in first 24 hours of admission in predicting outcome of HRF. STUDY DESIGN: All admissions (1991 to 1999) ≥36 weeks gestation, ventilated for ≥12 hours with FiO 2 ≥0.50, without congenital anomalies were r...
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| Veröffentlicht in: | Journal of perinatology 2004-06, Vol.24 (6), p.376-381 |
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| creator | Kumar, Deepak Super, Dennis M Fajardo, Rudolph A Stork, Eileen E Moore, John J Saker, Firas A |
| description | OBJECTIVE:
To determine the clinical utility of SNAP score versus the highest oxygen index (OI) in first 24 hours of admission in predicting outcome of HRF.
STUDY DESIGN:
All admissions (1991 to 1999) ≥36 weeks gestation, ventilated for ≥12 hours with FiO
2
≥0.50, without congenital anomalies were reviewed. Primary outcome measure was survival (without ECMO) versus ECMO and/or death.
RESULTS:
From 184 infants with HRF, 148 survived (without ECMO) versus 36 died and/or received ECMO. SNAP score and highest OI were similar in predicting outcome of HRF (area under ROC curve: 0.813±0.037 versus 0.814±0.041;
P
=0.72). Death and/or ECMO requirement were best predicted by a SNAP score of 19 (Sensitivity 75.0%, Specificity 71%) or an OI of 28 (Sensitivity 75.0%, Specificity 76.4%).
CONCLUSION:
Although both, the SNAP score and highest OI, are useful and similar in predicting outcome of HRF, OI is preferable because of its ease of use. We believe the predictive value of these parameters should be evaluated in a multicenter setting. |
| doi_str_mv | 10.1038/sj.jp.7211110 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_71966056</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A183335839</galeid><sourcerecordid>A183335839</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3290-b143eae395a9f718fa414c160b0434b05bafcc5f65c86b1a99b486705cdea1203</originalsourceid><addsrcrecordid>eNp1kl-L1DAUxYso7rr66KsEBdl96Jg0f9o-DovjDCw7g6vPIU1v25RO001anH4qv6IZZmBANC8hnF_OORduFL0neEEwzb74dtEOizQh4eAX0TVhqYg5Z_RldI1TRuOMMnEVvfG-xfgopq-jK8IJEYSm19HvnYPS6NH0NdpOo7Z7QKZHj2B7NaoOrefBHoxG38EPxqnRuhmtlOkmB-iXGRs0NoCetA3PyrrLv6WeRkC7ZvbGdrae0e3T43J3h1RforWpG_Aj2h7mGnq06Us4oNvt5u6YfPRbGRfkhKG1nZxHtkLLcm98sOrfRq8q1Xl4d75vop-rrz_u1_HD9tvmfvkQa5rkOC4Io6CA5lzlVUqySjHCNBG4wIyyAvNCVVrzSnCdiYKoPC9YJlLMdQmKJJjeRJ9PvoOzz1NoK0MBDV2nerCTlynJhcBcBPDTX2AbSvehm0wEw4Ixjo92H_9LJZiFUpxcMmvVgWxAdWPjbTeNYW4vlySjlPKM5gGMT6B21nsHlRyc2Ss3S4LlcSukb2U7yPNWBP7DOX0q9lBe6PMaBGBxAnyQ-hrcpd6_Hf8AiFXAyw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>220404351</pqid></control><display><type>article</type><title>Predicting Outcome in Neonatal Hypoxic Respiratory Failure with the Score for Neonatal Acute Physiology (SNAP) and Highest Oxygen Index (OI) in the First 24 Hours of Admission</title><source>MEDLINE</source><source>SpringerLink Journals</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Kumar, Deepak ; Super, Dennis M ; Fajardo, Rudolph A ; Stork, Eileen E ; Moore, John J ; Saker, Firas A</creator><creatorcontrib>Kumar, Deepak ; Super, Dennis M ; Fajardo, Rudolph A ; Stork, Eileen E ; Moore, John J ; Saker, Firas A</creatorcontrib><description>OBJECTIVE:
To determine the clinical utility of SNAP score versus the highest oxygen index (OI) in first 24 hours of admission in predicting outcome of HRF.
STUDY DESIGN:
All admissions (1991 to 1999) ≥36 weeks gestation, ventilated for ≥12 hours with FiO
2
≥0.50, without congenital anomalies were reviewed. Primary outcome measure was survival (without ECMO) versus ECMO and/or death.
RESULTS:
From 184 infants with HRF, 148 survived (without ECMO) versus 36 died and/or received ECMO. SNAP score and highest OI were similar in predicting outcome of HRF (area under ROC curve: 0.813±0.037 versus 0.814±0.041;
P
=0.72). Death and/or ECMO requirement were best predicted by a SNAP score of 19 (Sensitivity 75.0%, Specificity 71%) or an OI of 28 (Sensitivity 75.0%, Specificity 76.4%).
CONCLUSION:
Although both, the SNAP score and highest OI, are useful and similar in predicting outcome of HRF, OI is preferable because of its ease of use. We believe the predictive value of these parameters should be evaluated in a multicenter setting.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/sj.jp.7211110</identifier><identifier>PMID: 15116137</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>Airway Resistance ; Babies ; Blood pressure ; Cardiovascular disease ; Complications and side effects ; Congenital anomalies ; Congenital defects ; Congenital diseases ; Diagnosis ; Extracorporeal Membrane Oxygenation ; Hernias ; Humans ; Hypoxia ; Hypoxia - complications ; Infant, Newborn ; Infants ; Length of stay ; Medical equipment ; Medical records ; Medicine ; Medicine & Public Health ; Mortality ; Neonates ; Newborn babies ; original-article ; Oxygen ; Oxygen - blood ; Patient outcomes ; Pediatric Surgery ; Pediatrics ; Physiological apparatus ; Physiology ; Pulmonary hypertension ; Respiratory failure ; Respiratory insufficiency ; Respiratory Insufficiency - complications ; Respiratory Insufficiency - mortality ; Respiratory Insufficiency - physiopathology ; Respiratory Insufficiency - therapy ; Risk factors ; ROC Curve ; Sensitivity ; Sensitivity and Specificity ; Severity of Illness Index ; Survival Rate ; Treatment Outcome ; Ventilators</subject><ispartof>Journal of perinatology, 2004-06, Vol.24 (6), p.376-381</ispartof><rights>Springer Nature America, Inc. 2004</rights><rights>COPYRIGHT 2004 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Jun 2004</rights><rights>Nature Publishing Group 2004.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3290-b143eae395a9f718fa414c160b0434b05bafcc5f65c86b1a99b486705cdea1203</citedby><cites>FETCH-LOGICAL-c3290-b143eae395a9f718fa414c160b0434b05bafcc5f65c86b1a99b486705cdea1203</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.jp.7211110$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.jp.7211110$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15116137$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kumar, Deepak</creatorcontrib><creatorcontrib>Super, Dennis M</creatorcontrib><creatorcontrib>Fajardo, Rudolph A</creatorcontrib><creatorcontrib>Stork, Eileen E</creatorcontrib><creatorcontrib>Moore, John J</creatorcontrib><creatorcontrib>Saker, Firas A</creatorcontrib><title>Predicting Outcome in Neonatal Hypoxic Respiratory Failure with the Score for Neonatal Acute Physiology (SNAP) and Highest Oxygen Index (OI) in the First 24 Hours of Admission</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>OBJECTIVE:
To determine the clinical utility of SNAP score versus the highest oxygen index (OI) in first 24 hours of admission in predicting outcome of HRF.
STUDY DESIGN:
All admissions (1991 to 1999) ≥36 weeks gestation, ventilated for ≥12 hours with FiO
2
≥0.50, without congenital anomalies were reviewed. Primary outcome measure was survival (without ECMO) versus ECMO and/or death.
RESULTS:
From 184 infants with HRF, 148 survived (without ECMO) versus 36 died and/or received ECMO. SNAP score and highest OI were similar in predicting outcome of HRF (area under ROC curve: 0.813±0.037 versus 0.814±0.041;
P
=0.72). Death and/or ECMO requirement were best predicted by a SNAP score of 19 (Sensitivity 75.0%, Specificity 71%) or an OI of 28 (Sensitivity 75.0%, Specificity 76.4%).
CONCLUSION:
Although both, the SNAP score and highest OI, are useful and similar in predicting outcome of HRF, OI is preferable because of its ease of use. We believe the predictive value of these parameters should be evaluated in a multicenter setting.</description><subject>Airway Resistance</subject><subject>Babies</subject><subject>Blood pressure</subject><subject>Cardiovascular disease</subject><subject>Complications and side effects</subject><subject>Congenital anomalies</subject><subject>Congenital defects</subject><subject>Congenital diseases</subject><subject>Diagnosis</subject><subject>Extracorporeal Membrane Oxygenation</subject><subject>Hernias</subject><subject>Humans</subject><subject>Hypoxia</subject><subject>Hypoxia - complications</subject><subject>Infant, Newborn</subject><subject>Infants</subject><subject>Length of stay</subject><subject>Medical equipment</subject><subject>Medical records</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>original-article</subject><subject>Oxygen</subject><subject>Oxygen - blood</subject><subject>Patient outcomes</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Physiological apparatus</subject><subject>Physiology</subject><subject>Pulmonary hypertension</subject><subject>Respiratory failure</subject><subject>Respiratory insufficiency</subject><subject>Respiratory Insufficiency - complications</subject><subject>Respiratory Insufficiency - mortality</subject><subject>Respiratory Insufficiency - physiopathology</subject><subject>Respiratory Insufficiency - therapy</subject><subject>Risk factors</subject><subject>ROC Curve</subject><subject>Sensitivity</subject><subject>Sensitivity and Specificity</subject><subject>Severity of Illness Index</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><subject>Ventilators</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kl-L1DAUxYso7rr66KsEBdl96Jg0f9o-DovjDCw7g6vPIU1v25RO001anH4qv6IZZmBANC8hnF_OORduFL0neEEwzb74dtEOizQh4eAX0TVhqYg5Z_RldI1TRuOMMnEVvfG-xfgopq-jK8IJEYSm19HvnYPS6NH0NdpOo7Z7QKZHj2B7NaoOrefBHoxG38EPxqnRuhmtlOkmB-iXGRs0NoCetA3PyrrLv6WeRkC7ZvbGdrae0e3T43J3h1RforWpG_Aj2h7mGnq06Us4oNvt5u6YfPRbGRfkhKG1nZxHtkLLcm98sOrfRq8q1Xl4d75vop-rrz_u1_HD9tvmfvkQa5rkOC4Io6CA5lzlVUqySjHCNBG4wIyyAvNCVVrzSnCdiYKoPC9YJlLMdQmKJJjeRJ9PvoOzz1NoK0MBDV2nerCTlynJhcBcBPDTX2AbSvehm0wEw4Ixjo92H_9LJZiFUpxcMmvVgWxAdWPjbTeNYW4vlySjlPKM5gGMT6B21nsHlRyc2Ss3S4LlcSukb2U7yPNWBP7DOX0q9lBe6PMaBGBxAnyQ-hrcpd6_Hf8AiFXAyw</recordid><startdate>20040601</startdate><enddate>20040601</enddate><creator>Kumar, Deepak</creator><creator>Super, Dennis M</creator><creator>Fajardo, Rudolph A</creator><creator>Stork, Eileen E</creator><creator>Moore, John J</creator><creator>Saker, Firas A</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20040601</creationdate><title>Predicting Outcome in Neonatal Hypoxic Respiratory Failure with the Score for Neonatal Acute Physiology (SNAP) and Highest Oxygen Index (OI) in the First 24 Hours of Admission</title><author>Kumar, Deepak ; Super, Dennis M ; Fajardo, Rudolph A ; Stork, Eileen E ; Moore, John J ; Saker, Firas A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3290-b143eae395a9f718fa414c160b0434b05bafcc5f65c86b1a99b486705cdea1203</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Airway Resistance</topic><topic>Babies</topic><topic>Blood pressure</topic><topic>Cardiovascular disease</topic><topic>Complications and side effects</topic><topic>Congenital anomalies</topic><topic>Congenital defects</topic><topic>Congenital diseases</topic><topic>Diagnosis</topic><topic>Extracorporeal Membrane Oxygenation</topic><topic>Hernias</topic><topic>Humans</topic><topic>Hypoxia</topic><topic>Hypoxia - complications</topic><topic>Infant, Newborn</topic><topic>Infants</topic><topic>Length of stay</topic><topic>Medical equipment</topic><topic>Medical records</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortality</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>original-article</topic><topic>Oxygen</topic><topic>Oxygen - blood</topic><topic>Patient outcomes</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Physiological apparatus</topic><topic>Physiology</topic><topic>Pulmonary hypertension</topic><topic>Respiratory failure</topic><topic>Respiratory insufficiency</topic><topic>Respiratory Insufficiency - complications</topic><topic>Respiratory Insufficiency - mortality</topic><topic>Respiratory Insufficiency - physiopathology</topic><topic>Respiratory Insufficiency - therapy</topic><topic>Risk factors</topic><topic>ROC Curve</topic><topic>Sensitivity</topic><topic>Sensitivity and Specificity</topic><topic>Severity of Illness Index</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kumar, Deepak</creatorcontrib><creatorcontrib>Super, Dennis M</creatorcontrib><creatorcontrib>Fajardo, Rudolph A</creatorcontrib><creatorcontrib>Stork, Eileen E</creatorcontrib><creatorcontrib>Moore, John J</creatorcontrib><creatorcontrib>Saker, Firas A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kumar, Deepak</au><au>Super, Dennis M</au><au>Fajardo, Rudolph A</au><au>Stork, Eileen E</au><au>Moore, John J</au><au>Saker, Firas A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predicting Outcome in Neonatal Hypoxic Respiratory Failure with the Score for Neonatal Acute Physiology (SNAP) and Highest Oxygen Index (OI) in the First 24 Hours of Admission</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2004-06-01</date><risdate>2004</risdate><volume>24</volume><issue>6</issue><spage>376</spage><epage>381</epage><pages>376-381</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>OBJECTIVE:
To determine the clinical utility of SNAP score versus the highest oxygen index (OI) in first 24 hours of admission in predicting outcome of HRF.
STUDY DESIGN:
All admissions (1991 to 1999) ≥36 weeks gestation, ventilated for ≥12 hours with FiO
2
≥0.50, without congenital anomalies were reviewed. Primary outcome measure was survival (without ECMO) versus ECMO and/or death.
RESULTS:
From 184 infants with HRF, 148 survived (without ECMO) versus 36 died and/or received ECMO. SNAP score and highest OI were similar in predicting outcome of HRF (area under ROC curve: 0.813±0.037 versus 0.814±0.041;
P
=0.72). Death and/or ECMO requirement were best predicted by a SNAP score of 19 (Sensitivity 75.0%, Specificity 71%) or an OI of 28 (Sensitivity 75.0%, Specificity 76.4%).
CONCLUSION:
Although both, the SNAP score and highest OI, are useful and similar in predicting outcome of HRF, OI is preferable because of its ease of use. We believe the predictive value of these parameters should be evaluated in a multicenter setting.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>15116137</pmid><doi>10.1038/sj.jp.7211110</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of perinatology, 2004-06, Vol.24 (6), p.376-381 |
| issn | 0743-8346 1476-5543 |
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| source | MEDLINE; SpringerLink Journals; EZB-FREE-00999 freely available EZB journals |
| subjects | Airway Resistance Babies Blood pressure Cardiovascular disease Complications and side effects Congenital anomalies Congenital defects Congenital diseases Diagnosis Extracorporeal Membrane Oxygenation Hernias Humans Hypoxia Hypoxia - complications Infant, Newborn Infants Length of stay Medical equipment Medical records Medicine Medicine & Public Health Mortality Neonates Newborn babies original-article Oxygen Oxygen - blood Patient outcomes Pediatric Surgery Pediatrics Physiological apparatus Physiology Pulmonary hypertension Respiratory failure Respiratory insufficiency Respiratory Insufficiency - complications Respiratory Insufficiency - mortality Respiratory Insufficiency - physiopathology Respiratory Insufficiency - therapy Risk factors ROC Curve Sensitivity Sensitivity and Specificity Severity of Illness Index Survival Rate Treatment Outcome Ventilators |
| title | Predicting Outcome in Neonatal Hypoxic Respiratory Failure with the Score for Neonatal Acute Physiology (SNAP) and Highest Oxygen Index (OI) in the First 24 Hours of Admission |
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