Assessing Outcome in Interhospital Infant Transport: the Transport Risk Index of Physiologic Stability Score at Admission

Assessing Outcome in Interhospital Infant Transport: the Transport Risk Index of Physiologic Stability Score at Admission

Author Lucas da Silva, Paulo Sergio Google Scholar
Aguiar, Vania Euzebio de Google Scholar
Reis, Maria Eunice Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Hosp Maternidade Santa Joana
Abstract Objective To evaluate the performance of the Transport Risk Index of Physiologic Stability (TRIPS) score at admission for early mortality prediction.Methods the study included all consecutive outborn infants admitted to a single neonatal intensive care unit (NICU) over a 3-year period. the data collected included demographic variables, 7-day NICU mortality, and severe (>= grade 3) intraventricular hemorrhage (IVH), TRIPS score at admission, and Score for Neonatal Acute Physiology II (SNAP-II) and SNAP-Perinatal Extension-II (SNAPPE-II) scores.Results A total of 175 neonates were enrolled. TRIPS at admission discriminated 7-day mortality from survival with a receiver operating characteristic (ROC) area of 0.80, and predictive performance of TRIPS for severe IVH showed a ROC area of 0.67. the TRIPS had good calibration for all strata (p 0.49). for gestational age (GA) > 32 weeks, the area under the curve (AUC) for TRIPS was 0.71, whereas the AUC for GA <= 32 weeks was 0.99 for 7-day mortality. Predictive performance of TRIPS for 7-day mortality was similar to that of SNAP-II and SNAPPE-II.Conclusion TRIPS score at admission had a good performance to discriminate high-risk patients for 7-day mortality, mainly infants with GA <= 32 weeks. TRIPS might be a useful triage tool if applied at the time of first contact with a transport service.
Keywords illness severity
infants
neonatal mortality
risk assessment
transport
Language English
Date 2012-08-01
Published in American Journal of Perinatology. New York: Thieme Medical Publ Inc, v. 29, n. 7, p. 509-514, 2012.
ISSN 0735-1631 (Sherpa/Romeo, impact factor)
Publisher Thieme Medical Publ Inc
Extent 509-514
Origin http://dx.doi.org/10.1055/s-0032-1310521
Access rights Closed access
Type Article
Web of Science ID WOS:000306529400005
URI http://repositorio.unifesp.br/handle/11600/35147

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