Comparison Of Neonatal Critical Illness Score With Score And Pediatric Risk Of Mortality Ⅲ Score In Predicting Mortality Risk In Critically Ill Neonates

Objective:To compare the advantages of critically ill neonates mortality risk prediction between neonatal criticalillness score and pediatric risk of mortality score and to research for the better neonatal disease severityscoring system feasible for use in our country.Methods:The170neonates，who were in neonatal intensive care unit（NICU）from Jan2013to Dec2013in the firstHospital affiliated to Shihezi University,were scored by NCIS and PRISM III According to theSimultaneously scores the patients were divided into three groups（very critical group，critical group，non-critical group），and mortality rates were compared in each group.At the same time we drew thereceiver operating characteristic curve（ROC）and counted out their areas under the ROC curves to observethe specificity and sensitivity of two scoring systems in predicting the risk of death in critically ill neonates.Results:(1)Among170enrolled neonates in the study, Male children is1.6times the female patients;very low birthweight children19cases (11.18%),87cases of preterm children (51.18%).(2)170cases of children with respiratory diseases120cases (70.59%),18cases of digestive diseases(10.59%), congenital heart disease,13cases (7.65%), nervous system diseases nine cases (5.29%),endocrine system diseases7patients (4.12%), other diseases13cases (7.65%).(3)170cases of children with18deaths, neonatal respiratory distress syndrome, which is the main cause ofdeath in10cases(55.56%); respiratory failure in3cases (16.67%); each multiple organ dysfunctionsyndrome and neonatal sepsis have death in2case(11.11%); hyaline membrane disease in1case(5.56%).(4)NCIS rated non-crisis restructuring, reorganization dangerous, very dangerous reorganization mortalitywere0,10.34%,56.25%, the mortality difference between adjacent groups were statistically significant (P<0.05); PRISM III score reorganization of non-hazardous, crisis restructuring, reorganization mortalitywere extremely dangerous0,18.52%,61.54%, between adjacent groups were statistically significantdifferences in mortality (P <0.05); mortality differences between the corresponding groups were notstatistically significant (P>0.05).(5)Logistic regression analysis showed: NCIS score in systolic blood pressure,heart rate, PH, Na andBUN five indicators into the regression equation, PRISM III score in the state of consciousness, PH, PaO2,creatinine and PTT five indicators into the regression equation.(6)the area under the ROC curve（AUC）：NCIS0.900，PRISM III0.909.Conclusions:(1)NICU mostly children admitted to hospital cause respiratory disease, followed by digestive diseases;cause of death was respiratory distress syndrome based.(2)NCIS and PRISM III neonatal critical condition of the role of consensus.(3)Both NCIS and PRISM III can predict mortality risk in critically ill neonates,PRISM III is fullyapplicable in our country.