COMPARISON OF INFORMATION VALUE OF THE SCALE ESTIMATING MULTIPLE ORGAN FAILURE IN NEWBORNS WITH NECROTIZIN ENTEROCOLITIS

Abstract

Purpose of the study: to estimate the validity of two scales estimating multiple organ failures among newborns with necrotizing enterocolitis.
Materials and methods. The observational study included 30 newborns with necrotizing enterocolitis at the stage of intestinal perforation. The condition severity was estimated using two sales such as The Sequential Organ Failure Assessment (aSOFA), adjusted for the neonatal period, and The Neonatal Multiple Organ Dysfunction (NEOMOD), with equal intervals of staying at the resuscitation department.
Results. Representativeness of aSOFA and NEOMOD scales was proven using the ROC-analysis.
Conclusion. The compared scales have equal validity for dynamic estimation of the condition.

Keywords

newborn / necrotizing enterocolitis / scales estimating multiple organ failure / ROC-analysis

References

[1] 1. Александрович Ю. С., Гордеев В. И. Оценочные и прогностические шкалы в медицине критических состояний: Справочник. СПб.: ЭЛБИ-СПб., 2010. [Aleksandrovich Ju. S., Gordeev V. I. Evaluation and prognostic scale in critical care medicine. Spravochnik. Directory. SPb.: JeLBI-SPb., 2010. In Russian].

[2] 2. Александрович Ю. С., Паршин Е. В., Пшениснов К. В. Прогнозирование ранних исходов критических состояний у новорожденных. Вестник анестезиологии и реаниматологии. 2012;9 (4):36–42. [Aleksandrovich Ju. S., Parshin E. V., Pshenisnov K. V. Prediction of early outcomes of critical conditions in newborns. Vestnik anesteziologii i reanimatologii. 2012;9 (4):36–42. In Russian].

[3] 3. Гаин Ю. М., Хулуп Г. Я., Завада Н. В., Алексеев С. А., Богдан В. Г. Объективная оценка тяжести состояния больных и прогноз в хирургии. Минск: БелМАПО, 2005. [Gain Ju. M., Hulup G. Ja., ZavadaN. V., Alekseev S. A., Bogdan V. G. An objective assessment of severity and prognosis of the patients in the surgery. Minsk: BelMAPO, 2005. In Russian].

[4] 4. Fawcett T. ROC Graphs: Notes and Practical Considerations for Researchers. Machine learning. 2004;31 (1):1–38.

[5] 5. Janota J., Stranak Z., Statecna B. Characterization of multiple organ dysfunction syndrome in very low birthweight infants: a new sequential scoring system. Shock. 2001;15 (5):348–352.

[6] 6. Zobel G., Kuttnig M., Grubbauer H. M., Rodl S. Evaluation of clinical scoring systems in critically ill infants and children. Clin Intens Care. 1990;1 (5):202–206.

[7] 7. Vincent J. L., Moreno R., Takala J., Willatts S., De Mendonça A., Bruining H., Reinhart C. K., Suter P. M., Thijs L. G. The SOFA (Sepsis-related Organ Failure Assessment) score to describe organ dysfunction/failure. Intensive Care Medicine. 1996;22 (7):707–710.

[8] 8. Janota J., Simak J., Stranak Z. Critically ill newborns with multiple organ dysfunction: assessment by NEOMOD score in a tertiary NICU. Ir. J. Med. Sci. 2008;1 (177):11–17.

[9] 9. Шмаков А. Н., Кохно В. Н. Критические состояния новорожденных (технология дистанционного консультирования и эвакуации). Новосибирск, 2007. [Shmakov A. N., Kohno V. N. Critical condition of the newborn (remote consultation technology and evacuation). Novosibirsk, 2007. In Russian].

[10] 10. Григорьев С. Г., Лобзин Ю. В., Скрипченко Н. В. Роль и место логистической регрессии и ROC-анализа в решении медицинских диагностических задач. Журнал инфектологии. 2016;8 (4):36–45. [Grigorev S. G., Lobzin Ju. V., Skripchenko N. V. The role and place of logistic regression and ROC-analysis in the decision of the medical diagnostic problems. Zhurnal infektologii. 2016;8 (4):36–45. In Russian].

[11] 11. Файнзильберг Л. С., Жук Т. Н. Гарантированная оценка эффективности диагностических тестов на основе усиленного ROC-анализа. Управляющие системы и машины. 2009;5:3–13. [Fajnzilberg L. S., Zhuk T. N. Certified evaluation of diagnostic tests based on the amplified ROC analysis. Upravljajushhie sistemy i mashiny. 2009;5:3–13. In Russian].

RIGHTS & PERMISSIONS

Budarova K.V., Shmakov A.N., Sirota S.I.