Abstract
Abstract

National Journal of Community Medicine

Original Article

Year: 2020 | Volume: 11 | Issue: 5 | Page No: 211-215

A Study of Correlation of TOPS Score with Outcome of Referred Neonates

Author: Unnati S Asari1, Preeti A Shah2, Girima P Jagiwala3, Roshani M Patel4, Bhumika A Kolcha5, Pritesh B Patel6

Affiliation:

1Assistant Professor, Department of Pediatrics, AMC MET Medical College, Ahmedabad

2Assistant Professor, Department of Pediatrics, AMC MET Medical College, Ahmedabad

3Resident, Department of Pediatrics, AMC MET Medical College, Ahmedabad

4Resident, Department of Pediatrics, AMC MET Medical College, Ahmedabad

5Resident, Department of Pediatrics, AMC MET Medical College, Ahmedabad

6Resident, Department of Pediatrics, Smt. NHL medical college, Ahmedabad

Abstract:

Introduction: Neonatal transport is a key component of care for neo-nates who require referral to tertiary care. The aim of the study is to find out correlation of TOPS score with outcome of referred neonates. Method: A prospective observation-al study was conducted of 200 extra mural neonates for period of 1 year from August 2012 to September 2013 at general hospital, Ahmada-bad. They were assessed for pattern of referral and categorized as critical or stable & TOPS scoring was done by standard statistical method. Result: Prematurity and its compli-cation (32%), Septicemia (15.5%) and respiratory distress (14%) were commonest morbidity among 200 neonates. Highest referred from pri-vate hospital 97(%) and 48(%) neo-nate were come directly. Ambulance was used only by 38 (19%) and rest by other transport system. Among them 15 were critical. Only 39 (19.5%) newborn referred after prior intimation. Commonest affected pa-rameter of TOPS score was tempera-ture. Among 59 neonate expired, 42 (71.18%) were critical on admission. Conclusion: Sick newborns should be transferred in equipped vehicles and skilled personnel with pre transport stabilization. Proper im-plementation of referral sheet and TOPS score will definitely improve outcome of newborns.

Keywords: neonatal transport, TOPS score, neonatal mortality, hypothermia

DOI: 10.5455/njcm.20191219085358


.