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婴儿临床危险系数(CRIB)评分是用于评价低出生体重儿的临床危险性及疾病严重程度的简便工具。该研究的目的是确定在与运送部门进行第一次电话联系时能否应用修正的婴儿临床危险系数(MCRIB),以辨别送来的婴儿是否会死于新生儿阶段,从而分析MCRIB可否作为一个有用的分类工具。此回顾性定群研究对象为2504名婴儿,胎龄中位数为36周,平均出生体重2782 g。均由新威尔士南部新生儿和儿科急救运输中心(NETS)运送。在送来过程中的4个时间点对这些婴儿进行了MCRIB评分。首次电话联系时的MCRIB评分及送来过程中的MCRIB评分的改变均与最终的结果(新生儿死亡或存活)相关。首次电话联系时的平均MCRIB 评分在那些新生儿期就死亡的患儿中较高(4.37),而在存活的患儿中较低(2.63),(P<0.0001)。MCRIB较胎龄(0.56)和出生体重(0.52)能更好地预测新生儿死亡
The CRIN score is a handy tool for assessing the clinical risk and severity of disease in low-birth-weight infants. The purpose of this study was to determine whether a revised infant clinical risk factor (MCRIB) could be applied when making the first telephone contact with the carrier to identify whether the delivered infant will die during the neonatal period to analyze whether MCRIB can be used as a Useful classification tools. This retrospective study population of 2504 infants, the median gestational age was 36 weeks, the average birth weight of 2782 g. All were delivered by the New South Wales Department of Neonatology and Pediatric Emergency Transportation (NETS). The infants were MCRIB scored at 4 time points during delivery. Changes in the MCRIB score at the time of the first telephone contact and the MCRIB score during delivery were related to the end result (neonatal death or survival). The mean MCRIB score at the first phone contact was higher among those who died during the neonatal period (4.37) and lower (2.63) among those who survived (P <0.0001). MCRIB better predicts neonatal death than gestational age (0.56) and birth weight (0.52)