Índice de riesgo de estabilidad fisiológica de transporte (TRIPS) como predictor de mortalidad en neonatos ingresados en el área de UCIN del Hospital Dr. Roberto Gilbert Elizalde durante mayo a octubre del 2020.

Abstract

Neonatal mortality associated with physiological instability caused by transport is common and little known, for this reason it is essential to adopt measures such as measurement of the TRIPS scale that help in timely decision-making. Objective: Test the Risk Index for Physiological Transport Stability (TRIPS) as a predictor of mortality in neonates admitted to the NICU area at the Dr. Roberto Gilbert Elizalde Hospital during may to october 2020. Materials and Methods: Analytical, Explanatory, Prospective, and Longitudinal study, carried out in 374 neonates admitted to the NICU at the Dr. Roberto Gilbert Elizalde Hospital from May to October 2020, in whom Mortality was related to the TRIPS score upon admission and 24 hours; a contingency table was prepared to obtain Sensitivity, Specificity, Youden's Index and ROC Curve. Results: Of the 374 patients, 20 (5.34%) died in the first 7 days, 60% were classified as very high risk of mortality, 30% as High Risk and 5% as Moderate Risk. None at low risk died. Using the Youden index, an area under the ROC curve of approximately 0.80 was reported, which represents a good level in determining the utility of this test. Conclusions: Test the Risk Index for Physiological Transport Stability (TRIPS) applied to study population to have a good representation in the ROC Curve and to be useful in the prediction of neonatal mortality; finding a higher TRIPS Score, higher death. Being necessary to adopt organized measures for physiological stability, to and the from the institution of transfer of neonates.