CRIB (CLINICAL RISK INDEX FOR BABIES) SCORING SYSTEM IN PREDICTION OF MORTALITY IN PREMATURE BABIES

Newborn baby mortality rate, particularly associated with the Low Birth Weight (LBW) babies, are of leading problem in the newborn, through the entire globe. A number of resources have been designed to predict preliminary mortality risk among the LBW babies. Most notable is the scoring system Clinical Risk Index for Babies also known as CRIB II score. This particular study is performed to assess the application of CRIB II score as an effective resource to predict the risk for newborn mortality among the LBW babies and this refers to a prospective cohort study. An overall trial of 135 low birth weight babies had been followed up from admittance till release, the 28th day of life or death no matter which came first. The total number of 135 infants had been registered within the study. Birth weight ranged from 600 – 2500g, with a average of 1600g. Total CRIB II score varied from 1 – 15, with a median of 5.5. Gestational age varied through 26 – 38 weeks. Complete mortality was 45.9%. Birth weight 37.5 or 4 had been discovered to generally be considerably related to hospital newborn deathrate. Utilizing a cut-off point of 4, CRIB II score was discovered to create a sensitivity of 80.6%, uniqueness of 75.3%, and a prognostic value of 77.7% compared to 72.5, 71.2, and 71.8% respectively for birth weight. Gestational age was found to have even lower figures; 56, 75 and 66% for sensitivity, specificity and predictive values respectively. CRIB II score of > 4 was discovered to have improved prediction for mortality among the list of LBW babies as compared to the customarily applied predictors and can be employed to differentiate care for such neonates for better outcome. Keywords: CRIB Scoring System; Mortality Prediction; Premature Newborns