SNAPPE II Score as a Predictor of Neonatal Mortality in NICU at a Tertiary Care Hospital in Kolar - A Prospective Observational Study

Authors

  • Varsha Reddy. N
  • Krishnappa. J
  • Channakeshvala Srikanth
  • Pravallika Reddy. N

Keywords:

Nicu, Snappe Ii Score, Predictors, Neonatal Mortality

Abstract

Background: Advances In Neonatal Intensive Care Units (Nicus) Have Significantly Decreased Mortality And Morbidity While Increasing Survival Rates Among Neonates. To Aid In The Prediction Of Neonatal Outcomes, Various Scoring Systems Have Been Developed, One Of Which Is The Snappe-Ii (Score For Neonatal Acute Physiology With Perinatal Extension-Ii). This Tool Is A Modified Version Of The Original Snap (Score For Neonatal Acute Physiology) And Is Widely Used To Predict Neonatal Mortality. The Snappe-Ii Score Incorporates Both Physiological And Perinatal Factors, Offering A Comprehensive Assessment Of A Neonate's Condition. This Study Was Conducted To Evaluate The Validity Of The Snappe-Ii Score As A Predictor Of Neonatal Mortality And The Duration Of Stay In The Nicu.

Objectives: To Determine The Validity Of Snappe-Ii (Score For Neonatal Acute Physiology With Perinatal Extension-Ii) In Predicting The Outcome In Terms Of Mortality And Duration Of Nicu Stay In A Tertiary Care Hospital In Kolar.

Methodology: This Prospective Oobservational Study Was Conducted In Nicu Neonates Who Were Born In Rljh , Department Of Pediatrics Between February 2025 To April 2025. The Collected Data Underwent Statistical Analysis.

Results:A Total Of 131 Newborns Were Included In This Study, Out Of Which 61(46.5%) Were Female Babies And 70 (53.5%) Were Male Babies.Among The Study Population There Were 45(34.5%)Term , 22(16.5%) Late-Preterm, 64 (49%)Preterm Babies.Based On Distribution Of Snappe Ii Score 36 (27.5%) Newborns Were Classified In The Mild Category, 81 (61.5%) In The Moderate Category, And 14 (11%) In The Severe Category.The Study Found A Statistically Significant Correlation Between The Snappe-Ii Score And The Duration Of Nicu Stay, Indicating Its Utility In Predicting Mortality Outcomes.

Conclusion : The Findings Of This Study Support The Validity Of The Snappe-Ii (Score For Neonatal Acute Physiology With Perinatal Extension-Ii) As An Effective Tool For Predicting Both Neonatal Mortality And The Duration Of Nicu Stay. A Significant Correlation Was Observed Between Higher Snappe-Ii Scores And Increased Mortality Risk, As Well As Prolonged Nicu Hospitalization. These Results Indicate That Snappe-Ii Is A Reliable And Practical Scoring System That Can Aid Clinicians In Early Risk Stratification, Clinical Decision-Making, And Resource Allocation In The Neonatal Intensive Care Setting.

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References

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Muktan D, Singh RR, Bhatta NK, Shah D. Neonatal mortality risk assessment using SNAPPE-II score in a neonatal intensive care unit. BMC pediatrics. 2019 Dec;19:1-4...

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Published

2025-05-15

How to Cite

1.
Reddy. N V, Krishnappa. J KJ, Srikanth C, Reddy. N P. SNAPPE II Score as a Predictor of Neonatal Mortality in NICU at a Tertiary Care Hospital in Kolar - A Prospective Observational Study. J Neonatal Surg [Internet]. 2025May15 [cited 2025Sep.11];14(24S):82-7. Available from: https://www.jneonatalsurg.com/index.php/jns/article/view/5895

Issue

Vol. 14 No. 24S (2025): Journal of Neonatal Surgery

Section

Original Article

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