The END in NICU (Early Neonatal Death in NICU) score can help to predict mortality for early neonatal death in the NICU. The authors are from University of Gondar and Bahir Dar Universtiy in Ethiopia.
Patient selection: neonate in the NICU
Outcome early death (death within 7 days of delivery)
Parameters:
(1) birth APGAR score
(2) perinatal asphyxia
(3) mode of delivery
(4) respiratory distress syndrome
(5) birth weight in grams
(6) gestational age in weeks
(7) sepsis
Parameter
Finding
Points
birth APGAR score
7 to 10
0
4 to 6
1
0 to 3
4
perinatal asphyxia
no
0
yes
3
mode of delivery
spontaneous vaginal
0
cesarean section
3
respiratory distress syndrome
no
0
yes
3
birthweight
>= 2,500 grams
0
1,500 to 2,499 grams
1
< 1,500 grams
3
gestational age
>= 37 weeks
0
32 to 36 weeks
2
< 32 weeks
5
sepsis
no
0
yes
4
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 25 (the paper says 29. This is the sum of all the assigned points but that is inappropriate.)
• The higher the score the greater the risk of early neonatal mortality.
Total Score
Risk Group
< 7
low
>= 7
high
Performance:
• The area under the ROC curve is 0.91.
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