New CRIB Score: One score for all NICU admissions † 957

Lund, Gregg C.; Browne, Richard; Ackerman, Neel B.

doi:10.1203/00006450-199704001-00976

Cited by 10 publications

(7 citation statements)

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“…The AUC for predicting death in this validation cohort was significantly greater for CRIB than birth weight alone (0.9 (SE 0.05) vs 0.78 (0.03), p=0.03). Other studies have produced similar values for the AUC using CRIB of 0.87 and 0.90 13 14. Manktelow et al have recently demonstrated that by recalibrating the CRIB-II score it provides excellent predictive characteristics for infants less than 32 weeks gestational age at birth 15.…”

Section: Discussionmentioning

confidence: 85%

The prognostic value of initial blood lactate concentration measurements in very low birthweight infants and their use in development of a new disease severity scoring system

Phillips

Dewhurst

Yoxall

2010

Archives of Disease in Childhood - Fetal and Neonatal Edition

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Section: Discussionmentioning

confidence: 85%

The prognostic value of initial blood lactate concentration measurements in very low birthweight infants and their use in development of a new disease severity scoring system

Phillips

Dewhurst

Yoxall

2010

Archives of Disease in Childhood - Fetal and Neonatal Edition

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“…16 Even although the CRIB score was developed for use in the first 12 hours after birth, it has been used successfully in studies of infants in the first 12 hours after admission to NICU. 21 In our study, inborn infants typically were admitted to the NICU within 15 minutes after birth. The few outborn infants usually were admitted within 24 hours after birth.…”

Section: Crib Scorementioning

confidence: 99%

Race, Gender, and Clinical Risk Index for Babies (CRIB) Score as Predictors of Severe Retinopathy of Prematurity

Yang

Donovan

Wagge

2006

Journal of American Association for Pediatric Ophthalmology and

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“…Local SONAR managers identified the acuity score for each neonate hospitalised in their own NICU. The acuity score is a tool developed by the Vermont-Oxford Network to define the type of patients admitted to the NICU, and includes five categories of increasing severity and care commitment [31,32]. The lowest level of complexity indicates an infant who requires minimal care, while level 5 indicates an unstable infant who requires complex intensive care.…”

Section: Mf1 Complexity Of Casementioning

confidence: 99%

Managerial features and outcome in neonatal intensive care units: results from a cluster analysis

Fanelli

Bellù

Zangrandi

et al. 2020

BMC Health Serv Res

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Background Healthcare organisations differ in performance even if they are located in the same country or region. Suitable managerial practices and organisational processes can lead to better health outcomes. As a result, hospitals are constantly looking for managerial arrangements that can improve outcomes and keep costs down. This study aims to identify different managerial models in neonatal intensive care units (NICUs) and their impact on a large number of outcomes. Methods The research was conducted in Italy, within the SONAR project. SONAR’s aim was to identify the characteristics of NICUs, monitor outcomes and promote best practices. This study includes 51 of the 63 NICUs that took part in the SONAR project. Questionnaires on the activities and managerial features were administered to doctors and nurses working in NICUs. A total of 643 questionnaires were analysed from doctors and a total of 1601 from nurses. A cluster analysis was performed to identify managerial models of NICUs. Results Three managerial models emerged from cluster analysis: traditional, collaborative and individualistic. In the “traditional” model the doctor is above the nurse in the hierarchy, and the nurse therefore has exclusively operational autonomy. The “collaborative” model has as key elements professional specialisation and functional coordination. The “individualistic” model considers only individual professional skills and does not concern the organisational conditions necessary to generate organisational effectiveness. The results also showed that there is an association between managerial model and neonatal outcomes. The collaborative model shows best results in almost all outcomes considered, and the traditional model has the worst. The individualistic model is in the middle, although its values are very close to those of traditional model. Conclusions Health management needs to assess NICU strategically in order to develop models to improve outcomes. This study provides insights for management useful for designing managerial characteristics of NICUs in order to achieve better results. NICUs characterised by a collaborative model in fact show better neonatal outcomes.

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New CRIB Score: One score for all NICU admissions † 957

Cited by 10 publications

References 0 publications

The prognostic value of initial blood lactate concentration measurements in very low birthweight infants and their use in development of a new disease severity scoring system

The prognostic value of initial blood lactate concentration measurements in very low birthweight infants and their use in development of a new disease severity scoring system

Race, Gender, and Clinical Risk Index for Babies (CRIB) Score as Predictors of Severe Retinopathy of Prematurity

Managerial features and outcome in neonatal intensive care units: results from a cluster analysis

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