C-reactive protein levels in the first days of life: a systematic statistical approach

J Matern Fetal Neonatal Med. 2012 Oct;25(Suppl 5):47-50. doi: 10.3109/14767058.2012.717464.

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.

MeSH terms

  • C-Reactive Protein / analysis*
  • Chi-Square Distribution
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Newborn, Diseases / blood*
  • Infant, Newborn, Diseases / diagnosis
  • Intensive Care Units, Neonatal*
  • Longitudinal Studies
  • Male
  • Poisson Distribution
  • Sepsis / blood
  • Sepsis / diagnosis
  • Severity of Illness Index

Substances

  • C-Reactive Protein