Coghe F, Orrù G, Ferraguti P, Accossu S, Faa R, Erriu M, Coni P, Piras V, Denotti G, Pautasso M, Mussap M, Fanos V. C-reactive protein levels in the first days of life: a systematic statistical approach.
J Matern Fetal Neonatal Med 2012;
25:47-50. [PMID:
23025768 DOI:
10.3109/14767058.2012.717464]
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Abstract
OBJECTIVE
Microbial neonatal infections are responsible for considerable morbidity and mortality and for this reason there is a growing interest for new approaches in the clinical government of this human affection. Using an integrated statistical model, this work investigated the role of the C-reactive protein (CRP) in the diagnosis of sepsis and therapy assessment in newborns admitted in neonatal intensive care unit.
METHODS
386 newborns admitted in neonatal intensive care unit were enrolled in this work. Different clinical-laboratory parameters, such as: CRP level, blood culture, complete blood cell count, urine and other blood tests were assessed for the first 7 days after birth. Several statistical methods have been used to estimate the correlation CRP-septicaemia, using Chi-squared, Pearson, analysis of the variance and Poisson distribution.
RESULTS
a statistical positive correlation (CRP value vs. septicaemia status) was observed to integrate the analysis of the variance and Poisson distribution methods, especially in the first days after birth.
CONCLUSION
A correct statistical evaluation of CRP values could be significant for risk prediction and subsequent prompt therapy in neonatal sepsis.
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