Abstract

LUNA-HERNANDEZ, Gerardo; VARELA-CARDOSO, Miguel  and  PALACIOS-BLANCO, José Carlos. Utility of a physiologic stability index based on Transport Risk Index of Physiologic Stability (TRIPS) for the evaluation of infants transferred to a specialized hospital. Bol. Med. Hosp. Infant. Mex. [online]. 2015, vol.72, n.1, pp.45-54. ISSN 1665-1146.  https://doi.org/10.1016/j.bmhimx.2015.01.008.

Background: Neonatal mortality is a public health priority. We review the physiological instability of the newborn after a transfer, which contributes to increased neonatal mortality. The objective of this work was to determine whether the Transport Risk Index of Physiologic Stability (TRIPS) in newborns transferred to the Neonatal Intensive Care Unit of a secondary hospital serves as a predictor of early neonatal mortality. Methods: We use the TRIPS to predict neonatal death in the first 7 days after patients' admission. Results: Neonatal mortality at 7 days after admission is related to the TRIPS rating. The score of the survivors and neonatal deaths show a significant difference (p: 0.009). For a score of 16, a sensitivity of 62% and a specificity of 84%; area under the curve of 0.757 was determined. Conclusions: Physiological index weighting using TRIPS is a good predictor of neonatal mortality. It is important to establish measures to improve physiological stability of the newborn before, during and after the transfer in order to reduce neonatal mortality.

Keywords : TRIPS; Neonatal mortality; Transfer.