title: SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal Extension-II) in Predicting Mortality and Morbidity in NICU.
abstract: BACKGROUND
  A number of illness severity scores have evolved which would predict mortality and morbidity in intensive care units. One such scoring system developed by Richardson was SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal extension-II).
  
  
  OBJECTIVE
  The present study was conducted to assess the validity of SNAPPE-II score as a predictor of mortality and morbidity.
  
  
  METHODS
  A total of 248 neonates who met the inclusion criteria were included in the study and SNAPPE-II score was calculated. Receiver Operating Characteristic (ROC) curve was constructed to derive the best cut-off score and SPSS package (Statistical Package for the Social Sciences) was used for statistical analysis.
  
  
  RESULTS
  SNAPPE-II score was higher among expired neonates compared to survived ones. A mean score of 37 was associated with higher mortality. However, it didn't accurately predict the length of stay.
  
  
  CONCLUSIONS
  SNAPPE II score is a better predictor of mortality irrespective of gestational ages and it is not a good predictor of morbidity.
authors.affiliation: Assistant Professor, Department of Paediatrics, Sri Siddhartha Medical College , Tumkur, Karnataka, India .
authors.forename: Shivanna Sree
authors.initials: SS
authors.lastname: Harsha
authors.affiliation: Assistant Professor, Department of Microbiology, Sri Siddhartha Medical College , Tumkur, Karnataka, India .
authors.forename: Banur Raju
authors.initials: BR
authors.lastname: Archana
keywords: Illness severity; Length of stay; Neonate; Scoring systems