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Assessment of a score’s performance in predicting positive culture studies in preterm neonates with clinical suspicion of sepsis Cover

Assessment of a score’s performance in predicting positive culture studies in preterm neonates with clinical suspicion of sepsis

Open Access
|Apr 2022

Figures & Tables

Score comparison between groups and Receiver Operator Characteristics (ROC) Curve results for significant parameters_ *Mann-Whitney U test; †χ2 test; ‡Fisher exact test; GA – gestational age, WBC – white blood count, PLT – platelet, CRP – C-reactive protein, AUC – area under the curve

ParametersCultural Study (CS)ROC curve
Negative (n=15)Positive (n=18)p valueAUC (95% CI)p value
GA, median weeks, [inter-quartile range (IQR)] Birthweight, median grams [IQR]27.6 [26.6-29.4] 1030 [855-1400]28.2 [27.6-30.3] 1043 [940-1360]---
Median 1st Minute Apgar Score67
Median 5th Minute Apgar Score78
Median 10th Minute Apgar Score88
Post Menstrual Age at Sepsis Suspicion, Median weeks [IQR]29.3 [28.1-31.6]30.6 [29.4-32.1]
WBC count at suspicion, median x 10^9/L [IQR]21.3 [10.5-23.9]16.3 [9-25.1]0.391*--
PLT count at suspicion, median x 10^9/L [IQR]420 [301-549]230 [170-325]0.024*0.767 (0.60-0.94)0.011
CRP at suspicion, median mg/L [IQR]9.5 [2.2-18.4]17.5 [4.9-39.9]0.215*--
WBC at 2nd timing, median x 10^9/L [IQR]17.1 [8.8-23-3]14 [10.2-20.3]0.862*--
PTL at 2nd timing, median x 10^9/L [IQR]395 [222-529]153 [99-288]0.02*0.892 (0.78-1)<0.001
CPR at 2nd timing, median mg/L [IQR]5.8 [1.1-14.5]40.8 [14.9-82.4]0.009*0.807 (0.64-0.98)0.005
Score at suspicion, median2.003.001.000*--
Score at second timing, median2.005.00.021*0.798 (0.63-0.97)0.007
Higher score in the second measure, n (%)3 (21.4%)10 (66.7%)0.014†--
Lower PLT count in the second measure, n (%)9 (60%)13 (81.3%)0.252†--
Higher CRP value in the second measure, n (%)4 (28.6%)12 (75%)0.011†--
Intubation between both measures, n (%)07 (41.2%)0.008‡--
Respiratory score at suspicion, median1.001.000.798*--
Analytical score at suspicion, median1.001.000.266*--
Respiratory score at 2nd timing, median1.002.000.296*--
Analytical score at 2nd timing, median1.003.000.001*0.800 (0.62-0.98).006
DOI: https://doi.org/10.34763/jmotherandchild.20212502.d-21-00019 | Journal eISSN: 2719-535X | Journal ISSN: 2719-6488
Language: English
Page range: 119 - 122
Submitted on: Aug 14, 2021
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Accepted on: Oct 8, 2021
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Published on: Apr 1, 2022
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Ricardo Barreto Mota, Paulo Soares, Hercília Guimarães, published by Institute of Mother and Child
This work is licensed under the Creative Commons Attribution 4.0 License.