Mathur and Arora reported the TOPS criteria for evaluating a neonate undergoing transport. This can help to identify a neonate at increased risk for mortality. The authors are from Maulana Azad Medical College in New Delhi.
Patient: neonate undergoing transport
TOPS is an acronym for the 4 parameters involved.
Parameters:
(1) skin temperature in °C (T)
(2) SpO2 in percent on room air (O)
(3) capillary filling time (CFT) in seconds (P, for perfusion)
(4) blood sugar in mg/dL (S)
Parameter
Finding
Points
skin temperature
>= 36.5°C
0
< 36.5°C
1
SpO2 in percent
>= 90%
0
< 90%
1
capillary filling time
< 3 seconds
0
>= 3 seconds
1
blood sugar
>= 40 mg/dL
0
< 40 mg/dL
1
total number of criteria present =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 4
Score
Mortality Rate
0
8%
1 (hypothermia)
9%
1 (hypoglycemia)
14%
1 (hypoxia)
30%
2
41%
3
79%
4
100%
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