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PP-097 Assessment of the critical condition of newborns with congenital anomalies
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  1. Narmin Azizova Akif
  1. Scientific Researh Institute of Pediatrics named after K. Farajova, Baku, Azerbaijan

Abstract

Aim Babies diagnosed with congenital anomalies occupy a special place and make up approximately 15% among the patients admitted to the neonatal intensive care unit in critical condition. Scoring systems are designed and used to assess the severity of the critical condition of the disease and to predict the morbidity, mortality and progress of newborns in neonatal intensive care unit. The purpose of this study is a comparative analysis of various scales to assess the effectiveness of determining the severity of the critical condition of infant diagnosed with congenital anomalies in the intensive care unit.

Material and Method 1256 children (15.2%) under 1 year of age hospitalized between 2019–2022 patients in the intensive care unit with a diagnosis of congenital anomaly were included in the study. These neonates were initially stabilized in the intensive care unit and evaluated according to the SNAPPE II, CRIB, NTISS scales within the first 24 hours. The final score was calculated as the arithmetic sum of the points given for each item.

Results Out of 1256 patients, 1084 patients (86.3%) survived (297 premature, 787 term) and 172 patients died (13.7%) (78 premature, 94 term) babies. NTISS average scale was 18.1±0.1 points in survived group and NTISS mean score 20.6±0.2 ( pU< 0.001) in died group (figure 1). In survived group SNAPPE II mean score was 12.5 ± 0.3 points and in died group SNAPPE II average score is 21.9±1.2 (pU< 0.001) (figure 2). CRIB mean score was 4.0 ±0.1 points in survived group and CRIB average score was 6.7±0.2 (pU< 0.001) in died group (figure 3).

Conclusions Statistical analysis of the clinical material of our study showed that the SNAPPE II, CRIB and NTISS scale was significantly higher results were obtained in the congenital anomalies diagnosed mortal group compared to the survived group.

Abstract PP-097 Figure 1,2,3

1) Comparative analysis according NTISS scale in survived and died group; 2) Comparative analysis according SNAPPE II scale in survived and died group; 3) Comparative analysis according CRİB scale in survived and died group

  • congenital anomalies
  • intensive care unit
  • scoring systems

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