Status of Transported Neonates and Evaluation of TOPS as a Survival Score
Journal Title: Indian Journal of Neonatal Medicine and Research - Year 2017, Vol 5, Issue 2
Abstract
Introduction: To achieve sustainable development goal -3, now we need to focus our attention more towards neonates being transported to higher centre in this very fragile period. We planned this study to assess clinical and demographic characteristics of referred neonates and to evaluate TOPS as a survival score in these babies. Aim: To study the morbidity and mortality pattern in out born neonates admitted in Umaid Hospital. To evaluate TOPS score to predict their outcome. Materials and Methods: This prospective observational study was carried out in a tertiary care teaching hospital. All neonates ≥ 1 kg, born outside of this hospital, and referred here for further management were included. All the data pertaining to clinical and demographic characteristics were recorded. TOPS score was applied at admission and was related with the final outcome; expired or survived. Outcomes were analyzed using chi square test, and ROC curve analysis was done to find out optimum TOPS score to predict mortality. Results: Seventy percent of neonates were referred via ambulance, but condition of these babies at admission was dismal; hypothermic (46.67%), hypoxic (39.23%), hypoglycaemic (21.28%), and poor perfusion (14.61%), the last group being the most fatal (63.16% mortality). TOPS score of ≥2 with AUC of 0.83 proved to be accurate in predicting mortality among these neonates. Conclusion: Though, condition of neonatal transport is gradually improving in the country, it needs further acceleration for desirable reductions in neonatal mortality. TOPS is a valid survival score.
Authors and Affiliations
Dr. Suresh Kumar Verma, Dr. Chandra Prakash Nagaura, Dr. Vishnu Kumar Goyal, Dr. Kapil Kumar Raheja, Dr. Anurag Singh, Dr. Pramod Sharma, Dr. Rama Kishan Bishnoi, Dr. Kirti Sachdev
Keywords
Related Articles
- EP ID EP322407
- DOI 10.7860/IJNMR/2017/26048.2201
- Views 106
- Downloads 0
Scabies in Neonates: A Rare Entity
Images in Medicine
Pre Feed Aspirates vs Abdominal Girth Monitoring for Detection of Feed Intolerance in VLBW Babies
ABSTRACT Introduction: Feed intolerance is well known in Neonatal Intensive Care Unit (NICU) and is linked to morbidity and mortality in Very Low Birth Weight (VLBW) babies. Most definitions of feed intolerance include o...
Impact of Recombinant Tissue Plasminogen Activator Therapy (rtPA) on The Short Term Outcome of Neonatal Thrombosis-A Retrospective Study
ABSTRACT Introduction: The incidence of clinically apparent neonatal thrombus varies from 5.1 per 1 lakh live births to 2.4 per thousand newborns admitted to neonatal intensive care unit. Well established protocols for t...
Correlation of Maternal BMI and Neonatal BMI with Placental Weight in Rural South Kerala-India
ABSTRACT Introduction: Birth weight and placental weight are good indicators of new born growth parameters. Maternal complications are seen in both lean and obese women. The available studies shows correlations of placen...
Incidence of Retinopathy of Prematurity in a Tertiary Care Center of Northeast India
Introduction: Retinopathy of Prematurity (ROP) is a blinding disease of premature and low birth weight babies with abnormal proliferation of the immature blood vessels at the junction of vascular and the avascular retina...