Title: [The use of CRIB score for predicting neonatal mortality risk]

POPLINE Document Number: 315162

Author(s):

Sarquis AL
Miyaki M
Cat MN

Source citation:

Jornal de Pediatria, 2002;78(3):225-9.

Abstract:

The objective was to examine the clinical risk index for babies (CRIB) predictive value for hospital death; to identify the score variable with the best predictive value and to compare CRIB score capability to predict hospital mortality to birth weight, gestational age and base excess. CRIB score was obtained through a prospective way from 100 newborns with birthweight of 1,500 g or less or gestational age less than 31 weeks, who were admitted consecutively to the Neonatal Unit of Hospital das Clínicas, Universidade Federal do Paraná. Fifty-five newborns were female and 45 were male, the average of birthweight was 1,078 ± 0.277 g and gestational age was 29.2 ± 2.8 weeks. Twenty-one patients died. The mortality rate in the CRIB groups 1, 2, 3 and 4 was, respectively 6.6%; 46.2%; 87.5% and 100.0%. The score accuracy for mortality was confirmed (area under the ROC curve = 0.877) and the best score variable to predict hospital death was maximum base excess (area under the ROC curve = 0.795). Compared with birthweight and gestational age, CRIB was significantly better to predict mortality. Besides being useful to predict hospital death, CRIB was a simple score to be applied. Based on these results, we recommend its inclusion in the routine of neonatal units. (author's)

Keywords:

Brazil
Research Report
Prospective Studies
Infant
Health Status Indexes
Neonatal Diseases and Abnormalities
Infant Mortality
Birth Weight
Gestational Age
South America, Eastern
South America
Latin America
Americas
Developing Countries
Studies
Research Methodology
Youth
Age Factors
Population Characteristics
Demographic Factors
Population
Health
Diseases
Mortality
Population Dynamics
Body Weight
Physiology
Biology
Fetus
Pregnancy
Reproduction