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A TRIPS score ≥20 on admission to the NICU was significantly associated with mortality (adjusted odds ratio 2.71 [2.02-3.62]) and mortality or significant neurodevelopmental impairment (adjusted odds ratio 1.91 [1.52-2.41]) at 18-24 months of corrected age across all GA groups of extremely premature infants. Conclusion The TRIPS score on admission to the NICU can be used as an adjunctive, objective tool for counselling the parents of extremely premature infants early after their admission to the NICU.Objective To evaluate the rates of p