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- Title
Correlation between Perfusion Index and CRIB Score in Sick Neonates Admitted to a Tertiary Center.
- Authors
Mathew, Jisha; Shekarappa, Chandrakala Bada; Rao, Suman Padubidri Nanyam; Bada Shekarappa, Chandrakala; Padubidri Nanyam Rao, Suman
- Abstract
<bold>Objective: </bold>The study was to determine the correlation of Perfusion Index (PI) and Clinical Risk Index for Babies (CRIB) score, in assessing the severity of illness in sick neonates.<bold>Methods: </bold>This was a cross-sectional study conducted at a tertiary care Neonatal Intensive Care Unit (NICU). All eligible neonates, both term and preterm, admitted to the high-dependency unit of the NICU were included, after parental consent. Relevant details of history and examination were collected with a structured proforma. Severity of illness was assessed using CRIB score within 12 h of admission. PI was recorded within 24 h of admission, and babies were examined for the presence or absence of shock and their outcome was documented. The correlation coefficient between PI and CRIB score was derived.<bold>Results: </bold>A total of 200 eligible newborns were enrolled. The mean gestational age of the neonates was 34 weeks. The median [interquartile range (IQR)] CRIB score was 1.00 (0.00, 3.00), and PI was 1.400 (0.93, 2.30). The Spearman's rank correlation coefficient between PI and CRIB score was -0.41 with p value <0.05. The median PI of neonates with CRIB score ≤5, 6-10 and >10 was 1.50, 0.74, 0.67, respectively (p value <0.0001). The median (IQR) PI of babies with shock and without shock was 0.63 (0.43, 0.84) and 1.58 (1.19, 2.41), respectively, with p value <0.001.<bold>Conclusion: </bold>PI has a negative correlation with CRIB score and can be used to assess the severity of illness in sick neonates.
- Subjects
NEWBORN infants; NEONATAL intensive care units; GESTATIONAL age; PULSE oximeters; CROSS-sectional method
- Publication
Journal of Tropical Pediatrics, 2019, Vol 65, Issue 1, p84
- ISSN
0142-6338
- Publication type
journal article
- DOI
10.1093/tropej/fmy016