Evidence map›Paper›PMID 28125092›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2017

Improved SNAPPE-II and CRIB II scores over a 15-year period.

F Groenendaal, M C de Vos, J B Derks, E J H Mulder

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

F GroenendaalDepartment of Neonatology, Birth Center, University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
M C de VosDepartment of Neonatology, Birth Center, University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
J B DerksDepartment of Neonatology, Birth Center, University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.
E J H MulderDepartment of Neonatology, Birth Center, University Medical Center Utrecht/Wilhelmina Children's Hospital, Utrecht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDuring the last decades mortality and morbidity of preterm infants have declined in the Western world. We hypothesized that the decrease in mortality in preterm infants was associated with a decrease in illness severity scores (SNAPPE-II and CRIB II scores). STUDY

designSubjects were inborn infants born between January 1997 and December 1999 (period 1) and between January 2006 and December 2011 (period 2) with a gestational age of 26+0 through 28+6 weeks and without congenital malformations (n=394). SNAPPE-II, CRIB II scores, mortality, severe morbidity and survival without morbidity were recorded. Outcomes between the two periods were analyzed using multivariable analysis.

resultsSNAPPE-II, but not CRIB II, scores were significantly lower for all GAs in period 2 compared with period 1. The risk of mortality for identical SNAPPE-II scores and CRIB II scores did not differ between the two periods. The risk of morbidity for identical SNAPPE-II scores and CRIB II scores was significantly lower in period 2 versus period 1. Hence, the chance of survival without morbidity for identical SNAPPE-II scores and CRIB II scores increased significantly in period 2 versus period 1.

conclusionsSNAPPE-II, but not CRIB II, scores decreased over 15 years. The risk of mortality for identical SNAPPE-II and CRIB II scores did not change, but the risk of morbidity decreased and the chance of survival without morbidity increased for identical SNAPPE-II and CRIB II scores. These findings suggest substantial improvements in both obstetrical and neonatal care.

Indexed as

Infant, Extremely Low Birth WeightInfant, Extremely PrematureSeverity of Illness IndexGestational AgeHumansInfantInfant MortalityInfant, NewbornIntensive Care Units, NeonatalLogistic ModelsMaleMorbidityMultivariate AnalysisNetherlands

Identifiers

PMID28125092

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.