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	新生児急性生理学的スコア-II（SNAP-II）	Neonatal Pain, Agitation and Sedation Scale (N-PASS)
分野	新生児学	新生児学
系統	Process / pipeline	Process / pipeline
提唱年	2001	2008
提唱者	David K. Richardson	Pam Hummel
種類	Clinician-rated	Clinician-rated
原典	Richardson, D. K., Gray, J. E., Gortmaker, S. L., Goldmann, D. A., Purohit, D. M., & Paige, D. (2001). Declining Severity Adjusted Mortality: Evidence of Improving Neonatal Intensive Care. Pediatrics, 108(2), 331-337.	Hummel, P., Puchalski, M., Creech, S. D., & Weiss, M. G. (2008). Clinical Reliability and Validity of the N-PASS: Neonatal Pain, Agitation and Sedation Scale with Prolonged Ventilation Patients. Journal of Perinatology, 28(1), 55-60.
別名	SNAP-II, SNAP	N-PASS
関連	3	3
概要	SNAP-II is a six-variable physiological scoring system designed to quantify acute illness severity in very low birth weight (VLBW) neonates and predict mortality risk. Developed by Richardson and colleagues in 2001 as a refinement of the original SNAP, it incorporates readily available bedside physiological variables (mean blood pressure, lowest body temperature, hypoxemia, seizures, urine output, and sepsis indicators) measured within the first 12 hours of life. SNAP-II is widely used in neonatal quality improvement, clinical research, and benchmarking of NICU outcomes.	The N-PASS is a five-item behavioral and physiological assessment tool designed to measure pain, agitation, and sedation in neonates across the full spectrum from profound sedation to severe pain. Developed by Hummel et al. in 2008, it is validated for both ventilated and non-ventilated infants in NICU settings and provides a rapid bedside assessment combining facial expression, extremity tone, vital sign changes, state of consciousness, and cry characteristics.