ABSTRACT
Emergency transport of critically ill neonates is an important means to reduce neonatal mortality and improve prognosis.Neonatal transport score is used to evaluate the safety of transport, mainly including transport risk index of physiologic stability, mortality index for neonatal transportation, transport related mortality score and intrauterine transport score.Evaluating the severity of disease of critically ill newborns before, during and after transport can reduce the occurrence of transport complications, reduce neonatal mortality, improve prognosis and increase the success rate of treatment.This paper reviews the research progress of critical neonatal transport scoring at home and abroad to help clinicians choose appropriate scoring methods according to specific conditions, in order to provide a basis for continuous quality improvement in this field.
ABSTRACT
Objective To compare the value of three neonatal referal scoring systems in predicting the risk of mortality in preterm and low birth weight infants. Methods Six hundred and fourty-nine prema-ture neonates-fetal age <37 weeks and birth weight <2 500g infants were transported to the neonatal inten-sive care unit of Hunan Children′s Hospital from January 1 to December 31,2016. The score of transport risk index of physiologic stability(TRIPS),mortality index for neonatal transportation(MINT)score and transport related mortality score(TREMS)were conducted for them. Results TRIPS,MINT and TREMS scoring sys-tems of the death group were significantly higher than those of the survival group(P<0. 001). In the multi-variate Logistic regression analysis,systolic blood pressure,reaction of foot hit and the intubation of respirato-ry in the TRIPS entered the regression equation. The birth weight,blood pH value and whether intubation when contacted in the MINT score were included in the equation. Hypotension,hypoxemia and hypercapnia of TREMS were entered the regression equation,indicating these factors were the independent risk factors for death in preterm and low birth weight infants. The area under the receiver operating characteristic and 95%CI of TRIPS,MINT and TREMS were 0. 843(0. 796,0. 889),0. 796(0. 722,0. 871)and 0. 712(0. 639,0. 786), respectively. Conclusion The TRIPS is more accurate than MINT and TREMS in predicting the risk of ref-erral mortality in referaling preterm and low birth weight infants.