Yafteh

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Background: The survival rate of premature newborns depends on gestational age, birth weight and condition when they are hospitalized. Different scoring systems to predict mortality in newborns has been designed. The purpose of this study was to evaluate value of CRIB II scoring system in predicting mortality rate of infants with birth weights less than 1500 grams. Material and Methods: In this 8 month cross - sectional study (September 2010 to April 2010) which was conducted in the NICU of Imam Reza hospital in Kermanshah, preterm newborns with birth weight less than 1500 gr and gestational age less than 32 weeks who were admitted within 12 hours after birth in the NICU ,were evaluated based on CRIB II scoring system . Results: 50 neonates out of 1360 (36.8%) survived and 86 neonates(63.2%) died. Average CRIB II score in newborn survived was 5.8±2.9 and in infants died was 9.8±2.9 (p <0.0001). Based on the AUC, the CRIB II score could predict about 0.85 (CI: 0.77-0.92) of mortality. Also based on the ROC curve cut-off point for scoring CRIB II, was 6.5. Conclusion: Our study showed that CRIB II has a high value( about %85) in predicting mortality in newborns with birth weights less than 1500 grams.

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Background: To provide, maintain and promote the health of children as a vulnerable group in the health service has a special place. So, the first step in reducing mortality and improve their health, identify causes of morbidity and mortality.

Materials and Methods: In this retrospective study, the main causes of neonate death in the case of neonatal who died in Aboozar hospital in 1390  were extracted, then based on the new international coding of diseases (International Coding Of Disease version 10) were categorized and the information on gestational age, type of delivery, birth weight, sex and age after birth .

Results: Five main causes of death were generally: prematurity, respiratory distress syndrome, sepsis, asphyxia and intracranial hemorrhage. It was also revealed that the causes of death in neonatal with low birth weight premature neonatal are similar and include: respiratory distress syndrome, sepsis, asphyxia and intracranial hemorrhage. In this study, between death and gestational age, mode of delivery, age after birth and birth weight there were a significant relationship   , but no significant relationship between the death and age.

Conclusion: While in this study infection as the primary cause of death in neonatal   , but important cause of mortality in preterm and low birth weight had no major difference with other studies.According to its ease and efficiency ICD10 and determine the underlying causes of neonatal mortality, neonatal death certificates this classification is recommended.