IMPORTANCE OF CLINICAL RISK INDEX FOR BABIES SCORE FOR PREDICTING NEONATAL MORTALITY IN NICU IN A TERTIARY CARE HOSPITAL

Authors

  • Shahzad Najeeb ATH
  • Ejaz Hussain WMC Atd
  • Muhammad Ali Raza ATH
  • Shabana Sarwar ATH
  • Saima Gillani Associate Professor, Department of Pediatrics, AYUB MEDICAL COLLEGE,ABBOTTABAD.PAKISTAN.
  • Rifayat Ullah Afridi Naseer Teaching Hospital Peshawar
  • Husnain Ali IMDC Islamabad
  • Imran Mahmood Khan Islamabad Medical & Dental College IMDC Isb

Abstract

Background: High mortality among premature and very low birth weight (VLBW) babies necessitates the need to formulate and use scoring systems like CRIB score to predict the mortality in this vulnerable group. Objective of the study was to determine the strength of Clinical Risk Index For Babies (CRIB) score in detecting neonatal mortality in babies presenting with very low birth weight so that timely intervention can be done. It was a cross-sectional study, conducted at NICU, Children Hospital, Pakistan Institute of Medical Sciences Islamabad (PIMS) in nine months starting from First July 2017. Methods: A total of two hundred and fifty-four (n=254) new-borns with birth weight of between 500–1500 grams and gestational age lesser than 35 weeks were included in the study. CRIB score was calculated in all neonates and its association was assessed with mortality during NICU stay. Recorded data was analysed for demographic variables. Means and standard deviation was calculated for numeric variables. Chi-square test was applied to find p-value for the correlation between the main variables. Results: 54.3% (n=138) patients were males and 45.7% (n=116) were females. Mean gestational age was 33.3 weeks±1.04 SD and mean birth weight of study population was 1129.9 grams±210.6 SD. Mean CRIB score among the study population was 6.3±3.1SD and overall mortality was found to be 54.7% (n=139). Mean CRIB score was found to be 8.27±2.1 SD among mortality group and it was 3.87±3.4 SD among new-borns who were discharged (p<0.05). Mortality was present in 4.3% (n=4) of neonates with CRIB score between 1 to 5, 87.1% (n=121) who had CRIB score between 6 to 10 and 100% (n=14) of neonates who had CRIB score level 11–15 (p<0.05), so a significantly higher percentage mortality was noted among neonates with higher CRIB scores. Conclusion: According to our study mean CRIB score is a significant predictor of neonatal mortality.

Author Biographies

Shahzad Najeeb, ATH

Paeds

Ejaz Hussain, WMC Atd

Senior Registrar

Muhammad Ali Raza, ATH

Paeds

Shabana Sarwar, ATH

Paeds

Saima Gillani, Associate Professor, Department of Pediatrics, AYUB MEDICAL COLLEGE,ABBOTTABAD.PAKISTAN.

associate professor,department of paediatrics,ATH, Abbottabad

Rifayat Ullah Afridi, Naseer Teaching Hospital Peshawar

Paeds

Husnain Ali, IMDC Islamabad

S. Reg. IMDC Isb.

Imran Mahmood Khan, Islamabad Medical & Dental College IMDC Isb

AP Paesds

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Published

2020-09-07

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