CRIB II: an update of the clinical risk index for babies score

Parry, Gareth; Tucker, Janet Stephen; Tarnow‐Mordi, William

doi:10.1016/s0140-6736(03)13397-1

Cited by 415 publications

(308 citation statements)

References 5 publications

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“…In the study by Wong et al, a high coherence and high gain was found especially in the sickest preterm infants [34]. Coherence was superior in predicting mortality to the CRIB score, a highly predictive index of mortality [85,86]. However, in contrary to what Tsuji et al [6] had previously found, no association was found between the averaged coherence and ultrasound cerebral abnormalities.…”

Section: Clinical End Pointsmentioning

confidence: 77%

Measuring cerebrovascular autoregulation in preterm infants using near-infrared spectroscopy: an overview of the literature

Kooi¹,

Verhagen

Elting

et al. 2017

Expert Review of Neurotherapeutics

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(2017) Measuring cerebrovascular autoregulation in preterm infants using near-infrared spectroscopy: an overview of the literature, Expert Review of Neurotherapeutics, 17:8, 801-818, DOI: 10.1080/14737175.2017 Introduction:The preterm born infant's ability to regulate its cerebral blood flow (CBF) is crucial in preventing secondary ischemic and hemorrhagic damage in the developing brain. The relationship between arterial blood pressure (ABP) and CBF estimates, such as regional cerebral oxygenation as measured by near-infrared spectroscopy (NIRS), is an attractive option for continuous non-invasive assessment of cerebrovascular autoregulation. Areas covered: The authors performed a literature search to provide an overview of the current literature on various current clinical practices and methods to measure cerebrovascular autoregulation in the preterm infant by NIRS. The authors focused on various aspects: Characteristics of patient cohorts, surrogate measures for cerebral perfusion pressure, NIRS devices and their accompanying parameters, definitions for impaired cerebrovascular autoregulation, methods of measurements and clinical implications. Expert commentary: Autoregulation research in preterm infants has reported many methods for measuring autoregulation using different mathematical models, signal processing and data requirements. At present, it remains unclear which NIRS signals and algorithms should be used that result in the most accurate and clinically relevant assessment of cerebrovascular autoregulation. Future studies should focus on optimizing strategies for cerebrovascular autoregulation assessment in preterm infants in order to develop autoregulation-based cerebral perfusion treatment strategies. ARTICLE HISTORY

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Section: Clinical End Pointsmentioning

confidence: 77%

Measuring cerebrovascular autoregulation in preterm infants using near-infrared spectroscopy: an overview of the literature

Kooi¹,

Verhagen

Elting

et al. 2017

Expert Review of Neurotherapeutics

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“…These scoring systems help in predicting mortality and morbidity [20] and thereby can guide us in optimizing the limited health-care resources available in our country. There are various scores devised for neonates in medical literature [21] which includes CRIB [22], CRIB II [23], APACHE, SNAP [22], SNAP II [24], SNAP-PE, SNAPPE-II [25], NTISS [26], Berlin score, NICHHD [27] score; NMPI,NEO-MOD [28]. The choice of which variables to be included in the score and their relative weights is obviously vital.…”

Section: /8mentioning

confidence: 99%

To Prognosticate Survival Applying Scoring System based on Clinical Parameters and Study the Morbidity Pattern of Very Low Birth Weight Inborn Preterm Neonates: A Prospective Observational Study from India

Gupta¹,

Chhangani²,

Sharma³

et al. 2015

JPNC

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Objective: To prognosticate survival applying scoring system and study morbidity pattern of very low birth weight (VLBW) preterm neonates admitted in NICU.Methods: Hundred and ten VLBW preterm neonates were included.10 morbid conditions were assessed and graded as per morbidity score given by Minde et al.[1]. Neonates were categorized into 5 groups based on cumulative scores (Group A 0-20, B 21-40, C 41-60, D 61-80, E 81-100). All 5 groups were further divided based on total number of serious conditions (None/ 1 / 2 / 3). Final outcome (Discharged/Expired) was compared in each group.Result: There was statistical increase in hospital duration stay with increase in the severity score. Maximum neonates were in group A (41.8%) followed by group B and C. Mortality increased from group A to E. Most common causes of morbidity was neonatal sepsis. Conclusion:Not only an increasing total cumulative score is associated with poor outcome, rather cumulative score plus the total number of serious conditions predict the outcome more accurately. Keywords:

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“…Illness severity and mortality risk scores for neonatal intensive care represent reliable means capable of predicting morbidity and mortality in VLBW neonates. [10][11][12][13][14][15] Illness severity scores for newborns are complex systems with validations and calibrations restricted by birth weight. CRIB II provides a recalibrated and simplified scoring system aiming to avoid the potential problems of early treatment bias.…”

Section: Introductionmentioning

confidence: 99%

“…CRIB II provides a recalibrated and simplified scoring system aiming to avoid the potential problems of early treatment bias. 13 SNAPPE-II is a simple, empirically validated illness severity and mortality risk score. 14 Neonatal multiple organ dysfunction score (NEOMOD) evaluates daily severity of multiple organ dysfunction and is the only neonatal organ dysfunction score published.…”

Section: Introductionmentioning

confidence: 99%

Serum cortisol values, superior vena cava flow and illness severity scores in very low birth weight infants

et al. 2010

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Objective: Recent evidence suggests that high cortisol concentrations are associated with increased morbidity and mortality in very low birth weight (VLBW) infants. Neonatal illness severity and mortality risk scores are reliable in predicting morbidity and mortality. The objectives were (i) to assess the correlation between serum cortisol levels and clinical assessment of multi-organ dysfunction/illness severity scores (CRIB II, SNAPPE-II and neonatal multiple organ dysfunction score (NEOMOD)) in first 24 h in VLBW infants and (ii) to assess the relationship between surrogates of end organ blood flow and serum cortisol levels.Study Design: A prospective observational cohort study. Neonates with birth weight <1500 g were eligible for enrollment. Echocardiography evaluation of superior vena cava (SVC) flow was carried out in the first 24 h life. Cortisol levels were measured simultaneously and appropriate clinical scores were calculated.Result: A total of 54 VLBW neonates were enrolled following parental consent. Two patients were excluded because of congenital malformations. In 14 babies the cortisol value was not simultaneously obtained. The mean birth weight was 1.08 kg, mean gestational age was 27.8 weeks. There was a significant correlation between cortisol and NEOMOD score (P ¼ 0.006). There was no correlation between cortisol and CRIB II score (P ¼ 0.34), SVC flow (P ¼ 0.49) and mean arterial blood pressure respectively (P ¼ 0.35). Conclusion:There was no correlation between SVC flow and cortisol values or between cortisol and mean blood pressure values. There was a significant correlation between cortisol levels and neonatal organ dysfunction score evaluated suggesting that stressed VLBW infants do mount a cortisol response. Keywords: VLBW; neonate; cortisol; superior vena cava; blood pressure; illness severity score IntroductionThe immediate postnatal period in very low birth weight (VLBW) infants is frequently complicated by hypotension and low end-organ flow. Superior vena cava (SVC) flow has proven to be a useful marker of systemic blood flow, 1 but is not easily obtained at the bedside. Blood pressure values are readily available at the bedside and hypotension has been associated with adverse short-term and long-term outcome.2,3 A number recent studies have focused on evaluating the role of hydrocortisone therapy in hypotension and suspected adrenocortical insufficiency in the sick preterm infants during the early course of life.

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CRIB II: an update of the clinical risk index for babies score

Cited by 415 publications

References 5 publications

Measuring cerebrovascular autoregulation in preterm infants using near-infrared spectroscopy: an overview of the literature

Measuring cerebrovascular autoregulation in preterm infants using near-infrared spectroscopy: an overview of the literature

To Prognosticate Survival Applying Scoring System based on Clinical Parameters and Study the Morbidity Pattern of Very Low Birth Weight Inborn Preterm Neonates: A Prospective Observational Study from India

Serum cortisol values, superior vena cava flow and illness severity scores in very low birth weight infants

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