ISSN - 0973-0958
   
 
Downes Score vs Silverman Anderson Score for Assessment of Respiratory Distress in Preterm Newborns
Shashidhar A, Suman Rao PN, Joe Jose.
Department of Neonatology, St John’s Medical College, Bangalore, India.
 
Abstract

Background: Downes` Score (DS) and Silverman Anderson Score (SAS) are widely used for the categorization of respiratory distress in neonates. However there are no comparative studies between them.
Aim: This observational study in a tertiary care neonatal intensive care unit (NICU) was conducted to compare the DS and SAS in preterm neonates with respiratory distress as assessed by interns and nurses.
Methods: After initial training, the subjects were made to assess newborns with respiratory distress using both the scores sequentially under observation of an expert. The scores given were compared for accuracy and correlated using Spearman rho test.
Results: The inter rater reliability was higher in DS (alpha=0.69- acceptable) as compared to SAS (alpha=0.33- questionable). DS showed fair agreement (ICC-0.51) while that of SAS was poor. (ICC-0.19). Mean score for ease was 3 for DS compared to 5.5 in SAS.(p=0.011). Conclusion: DS was found to have better accuracy, reliability and easier to use by primary health personnel.
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