Utilização dos escores snap pe II e NTISS em unidades de terapia intensiva neonatais

Abstract

Technological advances in perinatal area in recent decades have led to substantial changes in care processes in neonatal intensive care, scales have been applied to quantify the improvement in attention to critical patient. Objective: Evaluate the use of Score for Neonatal Acute Physiology Perinatal Extension version II (SNAP PE II) and the Neonatal Therapeutic Intervention Scoring System (NTISS) in neonatal intensive care units and know the characteristics of the newborn. Methodology: Longitudinal prospective study through analysis of secondary data, analytical approach. Scale variables were analyzed SNAP PE II, measured at the worst time the first 12 hours of the newborns admission to the NICU. The intensity of use of technology was evaluated by applying the NTISS every day of hospitalization of infants in neonatal intensive care units. The outcomes, discharge or death, were also analyzed. Results: SNAP PE II was sensitive and specific to identify the severity of newborns in the first 12 hours of life, finding the lowest risk of death in those RNs with SNAP PE II up to 24 points (p = 0.01). The NTISS score showed gradual decline during hospitalization until the time of discharge (p <0.001). The mean hospital stay was 21 days and the mortality rate was 6%.