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This study evaluates the efficiency of TRIPS and MINT scores compared to SNAPPE-II in predicting mortality in newborns transported within 24 hours after birth.

March 12, 2026Open Access

The Relationship Between TRIPS, MINT, SNAPPE-II Scores, and Mortality in Newborns Transported Within the First 24 h of Birth

MTMehtap Durukan TosunMardin Artuklu University NENihan Ozel Ercel ICIstemi Han CelikUniversity of Health Science

Key Points

This study evaluates the efficiency of TRIPS and MINT scores compared to SNAPPE-II in predicting mortality in newborns transported within 24 hours after birth.
Retrospective study of neonates transported to NICU within 24 hours.
Analyzed perinatal data and scoring systems (TRIPS, MINT, SNAPPE-II).
Conducted group comparisons using Mann–Whitney U and chi-square tests.
Assessed predictive performance through receiver operating characteristic curve analysis.
Included 137 newborns, with 52.6% being preterm and 47.4% term.
10 patients (7.3%) died during the study period.
TRIPS, MINT, and SNAPPE-II scores had areas under the curve of 0.919, 0.907, and 0.973 for mortality prediction, respectively.
TRIPS score demonstrated the highest accuracy for predicting mortality in preterm infants.

Abstract

Background: The risk of morbidity and mortality increases in newborns requiring postpartum transport. Various scoring systems have been developed to determine mortality risk, such as the Transport Risk Index of Physiologic Stability (TRIPS) and Mortality Index for Neonatal Transportation (MINT) scores. This study aimed to evaluate the efficiency of MINT and TRIPS scores by comparing them with the Score for Neonatal Acute Physiology-Perinatal Extension (SNAPPE-II) scoring system in preterm and term infants transported within the first 24 h after birth. Methods: This retrospective study included neonates transported within the first 24 h of life to the NICU of Etlik Zübeyde Hanım Women’s Health Training and Research Hospital between 2016 and 2021, following ethics approval. Perinatal data, admission clinical and laboratory parameters, and TRIPS, MINT, and SNAPPE-II scores calculated within the were recorded. Mortality and short-term morbidities were analysed. Group comparisons were conducted using Mann–Whitney U and chi-square tests. Predictive performance and optimal cut-off values were determined by receiver operating characteristic curve analysis using the Youden index. p value 19, >4, and >35, respectively. The TRIPS score showed the best accuracy for prediction of mortality in preterm infants. Conclusions: Our data show that MINT and TRIPS scores are efficient beyond SNAPPE-II. They demonstrated high diagnostic effectiveness in predicting mortality in preterm and term infants. The TRIPS score exhibits superior mortality prediction in preterm infants.

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