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Journal of the Korean Society of Neonatology 2003;10(1):39-46.
Published online May 1, 2003.
The Relationship between the Bronchopulmonary Dysplasia and Illness Severity (SNAP).
Hyung Youl Park, Hyo Soo Kim, Eun Kyung Lee, Wook Chang, Sehyun Kim, Young Jun Hwang, Kyu Hyung Lee
1Department of Pediatrics, Pochon CHA University, Sungnam, Korea. khlee45@yahoo.co.kr
2Department of Preventive Medicine, Pochon CHA University, Sungnam, Korea.
기관지 폐 이형성증과 SNAP의 상관관계
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The objective of this study was to evaluate differences of Scores for Neonatal Acute Physiology (SNAP) in between neonates with bronchopulmonay dysplasia (BPD) and control group, and to utilize SNAP as an early predictive tool for development of BPD. METHOD: A retrospective chart review was done for a total of 30 neonates who were admitted to Pochun CHA University neonatal intensive care unit between April, 1995 and May, 2001. A study group included 15 neonates with BPD and a control group included 15 neonates matched for gestational age and birth weight. SNAP and cumulative SNAP were obtained at 1st, 4th, 6th postnatal day for each group. A comparative analysis of cumulative SNAP scores of various parameters was done in two groups.
SNAP of 10.86 and 6.86 were obtained at 4th postnatal day for BPD and control group, respectively (P<0.05). Cumulative SNAP for 1st, 4th, 6th postnatal day were 30.40 and 21.93 in BPD and control group (P=0.059). A comparison of cumulative SNAP of various parameters between two groups showed that respiratory rate and apnea to be significant parameters as well as for blood pressure and arterial oxygen tension in neonates with BPD. CONCLUSION: Score for Neonatal Acute Physiology could be utilized as a tool to predict the development of BPD although larger study is needed to simplify its scoring system to be used easily and better predict the development of BPD.
Key Words: Scores for neonatal acute physiology (SNAP); Bronchopulmonary Dysplasia


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