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1 . 2024
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Comparative characterization of scales used to assess the severity of newborns in the early neonatal period

Abstract

The assessment of the severity of the newborn in a critical condition is an integral part of the work of the neonatal service, as well as the ability to predict the development of adverse perinatal outcomes.

Objective. Comparative characteristics of the nSOFA and NEOMOD scales in predicting adverse outcomes in newborns from the neonatal near miss group.

Material and methods. Newborns were included in the three groups: group 1 (n=30) consisted of newborn infants who met WHO criteria for Neonatal Near Miss group (Pileggi C., 2014): gestational age less than 33 weeks, body weight less than 1750 g, Apgar score less than 7 points at 5 minutes; group 2 (n=23) and group 3 (n=17) included infants who required support of the vital functions within 72 h or more after the birth (Mukwevo, 2007). Assessment of the condition of newborns was carried out on the 1st day of life according to the scales: nSOFA, NEOMOD.

Results. The nSOFA scale showed the most significant result in predicting unfavorable outcome in full-term newborns. However, the NEOMOD scale allows for the most comprehensive assessment of the condition of newborns by organs and systems, including the hemostatic system and assessment of the acid-base state.

Conclusion. Today, the question of creating generally accepted criteria and/or scales for neonatal near miss remains open, allowing not only to assess the severity and stability of the condition, but also to be able to reliably predict the likelihood of developing an unfavorable outcome.

Keywords:neonate; Neonatal Near Miss; neonatal scales; NEOMOD; nSOFA; Neonatal Near Miss criteria; critical condition

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

Contribution. Collection of information, development of statistical model, data processing – ​Abakarova D.A., Kadochnikova P.A.; general management, development of statistical model, data processing – ​Chistyakova G.N.; general management, collection of information, data processing – ​Remizova I.I., Bychkova S.V.

For citation: Abakarova D.A., Chistyakova G.N., Bychkova S.V., Remizova I.I., Yakornova G.V., Kadochnikova P.A. Comparative characterization of scales used to assess the severity of newborns in the early neonatal period. Neonatologiya: novosti, mneniya, obuchenie [Neonatology: News, Opinions, Training]. 2024; 12 (1): 18–26. DOI: https://doi.org/10.33029/2308-2402-2024-12-1-18-26 (in Russian)

References

  1. Yakornova G.V., Bychkova S.V., Kraeva O.A., Davydenko N.B., Kinzhalova S.V., Makhanek A.A., et al. Using the model «neonatal near miss» (barely surviving newborn) to predict severe complications of the perinatal period. Lechenie i profilaktika [Treatment and Prevention]. 2019; 9 (1): 39–42. (in Russian)
  2. Mukwevo M.T.P., Avenant T., Pattinson R.C. Developing a practical clinical definition of severe acute neonatal morbidity to evaluate obstetric care: a pilot study. In: Presentation at the 27th conference on priorities in perinatal care in Southern Africa. Hartenbos, March 2007.
  3. Avenant T. Neonatal near miss: a measure of the quality of obstetric care. Best Pract Res Clin Obstet Gynaecol. 2009; 23 (3): 369–74. DOI: https://doi.org/10.1016/j.bpobgyn.2008.12.005 Epub 2009 Feb 6. PMID: 19201262.
  4. Pileggi C., Souza J.P., Cecatti J.G., Faundes A. Neonatal near miss approach in the 2005 WHO Global Survey Brazil. J Pediatr (Rio J). 2010; 86 (1): 21–6.
  5. Bonnaerens A., Thaens A., Mesens T., Van Holsbeke C., de Jonge E.T., Gyselaers W. Identification of neonatal near miss by systematic screening for metabolic acidosis at birth. Facts Views Vis Obgyn. 2011; 3 (4): 281–5. PMID: 24753878; PMCID: PMC3987470.
  6. Manandhar S., Manandhar D.S.M., Adhikari D., Shrestha J., Rai C., Rana H., et al. Neonatal near miss cases of different health facilities. J Nepal Paediatr Soc. 2014; 34 (2): 115–8.
  7. Pileggi-Castro C., Camelo J.S., Perdoná G.C., Mussi-Pinhata M.M., Cecatti J.G., Mori R., et al. Development of criteria for identifying neonatal near-miss cases: analysis of two WHO multicountry cross-sectional studies. BJOG. 2014; 121 (suppl 1): 110–8.
  8. Santos J.P., Pileggi-Castro C., Camelo J.S. Jr, Silva A.A., Duran P., Serruya S.J., et al. Neonatal near miss: a systematic review. BMC Pregnancy Childbirth. 2015; 15: 320. DOI: https://doi.org/10.1186/s12884-015-0758-y
  9. Carvalho M.S., Travassos C., Coeli C.M. The value of peer review. Cad Saude Publica. 2014; 30 (12): 1–2. (in English, Portuguese, Spanish). DOI: https://doi.org/10.1590/0102-311XED011214 PMID: 26247977.
  10. Вakari A., Bell A.J., Oppong S.A., Bockarie Y., Wobil P., Plange-Rhule G., et al. Neonatal near-misses in Ghana: a prospective, observational, multi-center study. BMC Pediatr. 2019; 19 (1): 509. DOI:https://doi.org/10.1186/s12887-019-1883-y PMID: 31870340; PMCID: PMC6927122].
  11. Janota J., Stranák Z., Statecná B., Dohnalová A., Sípek A., Simák J. Characterization of multiple organ dysfunction syndrome in very low birthweight infants: a new sequential scoring system. Shock. 2001; 15 (5): 348–52. DOI:https://doi.org/10.1097/00024382-200115050-00003 PMID: 11336193.
  12. Janota J., Simak J., Stranak Z., et al. Critically ill newborns with multiple organ dysfunction: assessment by NEOMOD score in a tertiary NICU. Ir J Med Sci. 2008; 177: 11–7. DOI:https://doi.org/10.1007/s11845-008-0115-5
  13. Аleksandrovich Yu.S., Gordeev V.I. Assessment and prognostic scales in critical medicine. Saint Petersburg: Sotis, 2007: 140 p. ISBN 5-85503-028-88. (in Russian)
  14. Wynn J.L., Kelly M.S., Benjamin D.K., et al. Timing of multiorgan dysfunction among hospitalized infants with fatal fulminant sepsis. Am J Perinatol. 2017; 34: 633–9. DOI:https://doi.org/10.1055/s-0036-1597130
  15. Mironov P.I., LekmanovА.U. Evaluation of the validity of the nSOFA score in newborns with sepsis. Vestnik anesteziologii i reanimatologii [Bulletin of Anesthesiology and Resuscitation]. 2021; 18 (2): 56–61. DOI: https://doi.org/10.21292/2078-5658-2021-18-2-56-61 (in Russian)
  16. Wynn J.L., Polin R.A. A neonatal sequential organ failure assessment score predicts mortality to late-onset sepsis in preterm very low birth weight infants. Pediatr Res. 2019; 88: 85–90. DOI:https://doi.org/10.1038/s41390-019-0517-2
  17. Idrisova R.G., Amirova V.R., Mironov P.I., Lekmanov A.U. Comparative assessment of the predictive ability of the nSOFA and NEOMOD scales in preterm newborns. Rossiyskiy vestnik detskoy khirurgii, anesteziologii i reanimatilogii [Russian Bulletin of Pediatric Surgery, Anesthesiology and Critical Care Medicine]. 2022; 12 (3): 351–9. DOI:https://doi.org/10.17816/psaic1278 (in Russian)
  18. Clinical guidelines. Therapeutic hypothermia in newborn children [Electronic resource]. Moscow, 2019. URL:http://neonatal22.ru/Protocol/protokol_hypothermia_2019.pdf (date of access June 16, 2023)/

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CHIEF EDITOR
CHIEF EDITOR
Degtyarev Dmitriy Nikolaevich
Doctor of Medical Sciences, Professor, Deputy Director for Scientific Research of the V.I. Kulakov Obstetrics, Gynecology and Perinatology National Medical Research Center of Ministry of Healthсаre of the Russian Federation, Head of the Chair of Neonatology at the Clinical Institute of Children's Health named after N.F. Filatov, I.M. Sechenov First Moscow State Medical University, Chairman of the Ethics Committee of the Russian Society of Neonatologists, Moscow, Russian Federation

ORCID iD 0000-0001-8975-2425
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