Published online June 1, 2007
PEDIATRICS Vol. 119 No. 6 June 2007, pp. 1246-1247 (doi:10.1542/peds.2007-0176)
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LETTER TO THE EDITOR

Score for Neonatal Acute Physiology (SNAP) or Vermont Oxford Risk-Adjustment Model for Very Low Birth Weight Infants?

Luigi Gagliardi, MD
Division of Neonatology and Pediatrics,
Ospedale Versilia,
I-55043 Lido di Camaiore, Italy
Italian Neonatal Network

Roberto Bellù, MD
Division of Neonatology and Neonatal Intensive Care Unit
Ospedale "A Manzoni"
23900 Lecco, Italy
Italian Neonatal Network

The first 20% of the full text of this article appears below.

To the Editor.—

We read with great interest the article by Zupancic et al,1 which compared the revised Score for Neonatal Acute Physiology (SNAP-II) and revised Score for Neonatal Acute Physiology Perinatal Extension (SNAPPE-II) scores with the Vermont Oxford Network risk-adjustment algorithm (VON-RA) in a large cohort of term and preterm infants from North America. In very low birth weight (VLBW) infants, both scores performed equally well, as judged by their receiver operating characteristic (ROC) analysis results, the area being 0.86 for the SNAPPE-II and 0.85 for the VON-RA.

Given that treatment policies of small preterm infants are . . . [Full Text of this Article]