The Effectiveness of the ‘Extended Sick Neonatal Score in Predicting Mortality in a ResourceConstrained Neonatal Care Uni

Romisa Rehman; Asma Razzaq; Asad Maqbool Ahmad; Zarlish Rehman; Roshaan Rehman; Saad Ateeq

doi:10.51253/pafmj.v73i1.6880

Authors

Romisa Rehman Combined Military Hospital Peshawar/ National University of Medical Sciences (NUMS) Pakistan
Asma Razzaq Combined Military Hospital Peshawar/ National University of Medical Sciences (NUMS) Pakistan
Asad Maqbool Ahmad Combined Military Hospital Peshawar/ National University of Medical Sciences (NUMS) Pakistan
Zarlish Rehman Khyber Teaching Hospital Peshawar Pakistan
Roshaan Rehman Kabir Medical College Peshawar Pakistan
Saad Ateeq Combined Military Hospital Peshawar/ National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v73i1.6880

Keywords:

Neonatal mortality, Neonatal intensive care, Neonatal score

Abstract

Objectives: To determine the diagnostic accuracy of the extended sick neonatal score (ESNS) in neonates admitted in a resource-limited neonatal intensive care unit (NICU) at Peshawar.

Study Design: Cross-sectional analytical study

Place and Duration of Study: Neonatal Intensive Care Unit, CMH Peshawar Pakistan, from Mar to May 2020.

Methodology: Primary data was collected from 60 neonates admitted to NICU after taking consent from the parents. The receiver operating characteristic curve (ROC) was plotted to determine the clinical score (ESNS) cut-off value in predicting mortality.

Result: The sensitivity and specificity of the Extended sick neonatal score to predict mortality among neonates was 93.3% and 97%, respectively, for a cut-off of 12.5. The area under the ROC curve was 0.990 (95% CI: 0.971–1.000). This was statistically significant with a p-value of <0.001

Conclusion: Extended Sick Neonatal score is an important tool that helps predict the risk of mortality of a neonate without the help of any invasive diagnostic procedure, thus enhancing the prioritization of health care to the most deserving neonates.