Neonatal stabilization score: A quantitative method of auditing medical care in transported newborns weighing less than 1,000 G at birth

Angelo Ferrara, Yucel Atakent

Research output: Contribution to journalArticlepeer-review

13 Scopus citations

Abstract

A reduction in newborn (NB) mortality is contingent on efforts of NB stabilization. The authors attempted to quantify stabilization into a score, the neonatal stabilization score (NSS) that correlates with outcome. The population for the study comprised 192 transported NBs who weighed less than 1,000 g at birth moved from level 1 hospitals in New York City during 5 years, 1977-1981. The NSS score was based on five components: vital signs, laboratory investigations, respiratory support, I.V. fluid administration, and specific managements. Each was rated 0, 1, or 2. A maximum score of 10 indicated excellent stabilization. Analyses for the validity and reliability of the NSS included the Mantel-Haenszel test (which controlled for birth weight and Apgar) and measurement of interrater agreement “k” (kappa statistic). Mortality rates were lower in those with higher NSS and odds of death were 2.39 times greater in NB with low NSS (x2 = 5.16; P < 0.025). The calculated index of agreement k on 16 charts represented an excellent agreement beyond chance (k = 0.76, P < 0.01).

Original languageEnglish
Pages (from-to)179-187
Number of pages9
JournalMedical Care
Volume24
Issue number2
DOIs
StatePublished - Feb 1986
Externally publishedYes

Keywords

  • Audit
  • Newborns
  • Stabilization score
  • Transport

Fingerprint

Dive into the research topics of 'Neonatal stabilization score: A quantitative method of auditing medical care in transported newborns weighing less than 1,000 G at birth'. Together they form a unique fingerprint.

Cite this