Assessment of the clinical condition and prediction of outcomes in newborns from the neonatal near miss group using the CАSPn, TRIPS and CRIB scales

Objective: to conduct a comparative characterization of neonatal scales used in assessing severity of condition and predicting outcomes in newborn infants.

Materials and methods: the study included 70 newborns born in 2021 until 2022 at the Federal State Budgetary Institution “Ural Scientific Research Institute for Maternal and Child Care”. Depending on gestational age, 3 groups were formed: group 1 included newborns gestational age 23–29.6 weeks (n=24); group 2 included children aged 30–36.6 weeks (n=29) and group 3 included full-term newborns aged 37–40 weeks (n=17).

Results: according to the clinical scale for assessing premature newborns, it was revealed that in group 1, in 45.8% of cases, the condition of newborns who scored the highest number of points was assessed as extremely severe and unstable. Mortality in this cohort of children was 36.3%. According to the Transport Index of Physiological Stability scale, the maximum number of points was recorded in 12.5% of premature newborns from group 1, whose condition was assessed as extremely severe and unstable, but no death was detected in this subgroup. According to the clinical risk index for young children, a lethal outcome was detected in 66.7% of cases in the 1st group in newborns with 7–9 points, while in the 3rd group, a lethal outcome was detected among newborns who scored 4–6 points.

Conclusions: currently, the task of creating a universal scale for assessing not only the severity and stability of the condition of newborns, but also predicting adverse outcomes remains urgent.