Snappe II as a predictor of neonatal morbidity and mortality in a neonatal intensive care unit at a hospital in Soweto, South Africa

dc.contributor.authorMabaso, Nokukhanya Mbalenhle
dc.contributor.supervisorNakwa, F. L.
dc.date.accessioned2025-09-26T09:30:36Z
dc.date.issued2024
dc.descriptionA research report submitted in fulfillment of the requirements for the Master of Medicine, In the Faculty of Health Sciences, School of Clinical Medicine, University of the Witwatersrand, Johannesburg, 2024
dc.description.abstractObjective: To assess the use of the SNAPPE II score in predicting morbidity and mortality in a NICU in a resource limited setting. Methods This was a prospective, cohort study conducted in the NICU at Chris Hani Baragwanath Academic Hospital (CHBAH) from 1 November 2020 to 28 February 2021. A score > 30 was associated with severe illness. Data was analysed comparing the two groups (SNAPPE II < 30 and > 30). Results One hundred and twenty five neonates were included: 78 (62.4%) and 46 (36.8%) had a SNAPPE II score <30 and >30, respectively. Neonates with scores >30 had lower 5 minute Apgar scores (p<0.001), metabolic acidosis (p<0.001), higher lactate (p<0.001), and demised (p=0.005). High SNAPPE II score was associated with mortality (OR 1.04, p<0.001). Conclusion SNAPPE II is a predictor of neonatal mortality in NICU and may be a useful tool to prognosticate and rationalize resources.
dc.description.submitterMM2025
dc.facultyFaculty of Health Sciences
dc.identifier.citationMabaso, Nokukhanya. (2024). Snappe II as a predictor of neonatal morbidity and mortality in a neonatal intensive care unit at a hospital in Soweto, South Africa [Master`s dissertation, University of the Witwatersrand, Johannesburg]. WIReDSpace.
dc.identifier.urihttps://hdl.handle.net/10539/46666
dc.language.isoen
dc.publisherUniversity of the Witwatersrand, Johannesburg
dc.rights© 2024 University of the Witwatersrand, Johannesburg. All rights reserved. The copyright in this work vests in the University of the Witwatersrand, Johannesburg. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of University of the Witwatersrand, Johannesburg.
dc.rights.holderUniversity of the Witwatersrand, Johannesburg
dc.schoolSchool of Clinical Medicine
dc.subjectUCTD
dc.subjectSnappe II
dc.subjectneonatal morbidity
dc.subject.primarysdgSDG-3: Good health and well-being
dc.titleSnappe II as a predictor of neonatal morbidity and mortality in a neonatal intensive care unit at a hospital in Soweto, South Africa
dc.typeDissertation

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