Clinical Pediatrics: Open Access
Open Access
ISSN: 2572-0775
ISSN: 2572-0775
Department of Community Medicine, Government Medical College, Kannauj, India
Research Article
Developing a New Scoring System for Diagnosing Shock in Critically-Ill Neonates Admitted in NICU in a Resource Poor Country
Author(s): Sunisha Arora, Yashwant Kumar Rao*, Tanu Midha and Neeraj Kumar Rao
Objective: To determine the clinical predictors of shock in critically ill neonates and design a shock score to diagnose
neonatal shock.
Materials and methods: This was a cross-sectional study conducted from Dec 2015-July 2017 in Sick Newborn Care
Unit, GSVM medical college, Kanpur. All sick neonates requiring intensive hemodynamic monitoring having
umbilical venous catheter in-situ were enrolled in the study. Central Venous Pressure (CVP) was measured through
the umbilical venous catheter. Clinical parameters including gestational age, birth weight, cyanosis, pallor, core to
peripheral temperature difference, heart rate, capillary refill time, blood pressure and lactate levels were recorded.
Shock was defined as central venous pressure less than 5 cm H2O or more than 8 cm H2O.
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DOI:
10.35248/2572-0775.23.8.249