Application of the TRIPS score in neonates requiring interhospital transfer

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.