Application of the TRIPS score in neonates requiring interhospital transfer

Authors

DOI:

https://doi.org/10.56294/ri20215

Keywords:

TRIPS Score, Neonatal Intensive Care Units

Abstract

With the implementation of neonatal intensive care units and new technologies for comprehensive neonatal care, neonatal survival has improved significantly. These results should always include the possibility of referral to another center, in order to provide or complete more appropriate treatments. Not all problems can be recognized in time to refer the pregnant mother, and many emergencies at birth may occur, making it necessary to transfer the child. A prospective, intervention and cross-sectional study was carried out from July 2020 to July 2021, the universe and sample consisted of 91 neonates who required referral to a more complex center, with the aim of assessing the effectiveness of applying the TRIPS Score (Transport risk index of physiology stability), data were obtained from the patient's medical history, The neonates who required transfer suffered a total loss of stability; this deterioration was greater the lower the weight and gestational age, the greater the distance, the presence of respiratory disorder and the poor transfer conditions. Finally, the research was completed with the creation of a uniform protocol for all the sending centers, in the hope that it will lead to improved transfer conditions and minimize the complications that this procedure entails.

References

1. Abdelmawla M, Hansen G, Narvey M, Whyte H, Ilodigwe D, Lee K-S, et al. Evaluation of transport-related outcomes for neonatal transport teams with and without physicians. Paediatr Child Health 2021;26:e290-6. https://doi.org/10.1093/pch/pxab019.

2. Lee SK, Aziz K, Dunn M, Clarke M, Kovacs L, Ojah C, et al. Transport Risk Index of Physiologic Stability, version II (TRIPS-II): a simple and practical neonatal illness severity score. Am J Perinatol 2013;30:395-400. https://doi.org/10.1055/s-0032-1326983.

3. Keulen MHF, de Joode SGCJ, Klemann-Harings SEJM, Samijo SK. Suspected traumatic posterior shoulder luxation. Ned Tijdschr Geneeskd 2019;163:D3963.

4. Panciera R, Khan A, Rizvi SJR, Ahmed S, Ahmed T, Islam R, et al. The influence of travel time on emergency obstetric care seeking behavior in the urban poor of Bangladesh: a GIS study. BMC Pregnancy Childbirth 2016;16:240. https://doi.org/10.1186/s12884-016-1032-7.

5. Woodhart L, Goldstone J, Hartz D. The stories of women who are transferred due to threat of preterm birth. Women Birth 2018;31:307-12. https://doi.org/10.1016/j.wombi.2017.10.015.

6. Liu J, Li Z, Zhang Q. Challenges in the pain assessment during neonatal transport: an update. Minerva Pediatr 2018;70:403-7. https://doi.org/10.23736/S0026-4946.16.04636-3.

7. Bellini C. Neonatal transport. A red snapshot. Acad Emerg Med 2022;29:391. https://doi.org/10.1111/acem.14381.

8. Goswami I, Redpath S, Langlois RG, Green JR, Lee KS, Whyte HEA. Whole-body vibration in neonatal transport: a review of current knowledge and future research challenges. Early Hum Dev 2020;146:105051. https://doi.org/10.1016/j.earlhumdev.2020.105051.

9. Lee SK, Zupancic JA, Pendray M, Thiessen P, Schmidt B, Whyte R, et al. Transport risk index of physiologic stability: a practical system for assessing infant transport care. J Pediatr 2001;139:220-6. https://doi.org/10.1067/mpd.2001.115576.

10. Ministerio de Salud Pública, Dirección de Registros Médicos y Estadísticas de Salud. Anuario Estadístico de Salud. La Habana, Cuba: Ministerio de Salud Pública; 2021.

11. Thébaud B, Lalu M, Renesme L, van Katwyk S, Presseau J, Thavorn K, et al. Benefits and obstacles to cell therapy in neonates: The INCuBAToR (Innovative Neonatal Cellular Therapy for Bronchopulmonary Dysplasia: Accelerating Translation of Research). Stem Cells Transl Med 2021;10:968-75. https://doi.org/10.1002/sctm.20-0508.

12. Zimmerman KO, Benjamin DK, Becker ML. Neonatal Therapeutics: Considerations for Dosing. Am J Perinatol 2019;36:S18-21. https://doi.org/10.1055/s-0039-1691772.

13. Lee SK, Zupancic JAF, Sale J, Pendray M, Whyte R, Brabyn D, et al. Cost-effectiveness and choice of infant transport systems. Med Care 2002;40:705-16. https://doi.org/10.1097/00005650-200208000-00010.

14. Lucas da Silva PS, Euzébio de Aguiar V, Reis ME. Assessing outcome in interhospital infant transport: the transport risk index of physiologic stability score at admission. Am J Perinatol 2012;29:509-14. https://doi.org/10.1055/s-0032-1310521.

15. Eliason SHY, Whyte H, Dow K, Cronin CM, Lee S, Canadian Neonatal Network. Variations in transport outcomes of outborn infants among Canadian neonatal intensive care units. Am J Perinatol 2013;30:377-82. https://doi.org/10.1055/s-0032-1324706.

16. Skarsgard ED, MacNab YC, Qiu Z, Little R, Lee SK, Canadian Neonatal Network. SNAP-II predicts mortality among infants with congenital diaphragmatic hernia. J Perinatol 2005;25:315-9. https://doi.org/10.1038/sj.jp.7211257.

17. Patrick SW, Schumacher RE, Davis MM. Methods of mortality risk adjustment in the NICU: a 20-year review. Pediatrics 2013;131 Suppl 1:S68-74. https://doi.org/10.1542/peds.2012-1427h.

Downloads

Published

2021-11-30

How to Cite

1.
Carballo Flores R. Application of the TRIPS score in neonates requiring interhospital transfer. Interdisciplinary Rehabilitation / Rehabilitacion Interdisciplinaria [Internet]. 2021 Nov. 30 [cited 2024 Dec. 26];1:5. Available from: https://ri.ageditor.ar/index.php/ri/article/view/42