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

Introduction: Neonatal transport is a key component of care for neonates 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 observational study was conducted of 200 extra mural neonates for period of 1 year from August 2012 to September 2013 at general hospital, Ahmadabad. 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 complication (32%), Septicemia (15.5%) and respiratory distress (14%) were commonest morbidity among 200 neonates. Highest referred from private hospital 97(%) and 48(%) neonate 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 parameter of TOPS score was temperature. 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 implementation of referral sheet and TOPS score will definitely improve outcome of newborns.