Estimation of Physiological Stability Risk Score Change in Transport of Newborn Infants by Monte Carlo Simulation

Transportation of neonatal intensive care unit patients has high risk and mortality. Therefore, the transport process should be handled and evaluated carefully. There are transport scoring systems that evaluate the performance of this process. Among these, Transport Risk Index of Physiologic Stability (TRIPS) scoring, which measures the change in the patient's physiologic stability risk score, is widely used. The TRIPS score value is measured at least twice, in the first 15 minutes and at the end of transport. In this study, the initial TRIPS score and TRIPS score values measured just before delivery and the registered weight parameter value of the infants were obtained from 1117 patients between 2011 and 2022. In this retrospective study, the difference between the two TRIPS score values measured depending on the patient's weight was estimated with the Monte Carlo simulation model. By determining the average TRIPS score difference for each patient weight group separately, the transport process of different patient groups was compared with each other, the differences between the groups were determined and the process was analyzed. This analysis will contribute to the improvement of the process, planning and decision making.