Goal: to study the value of disease severity scoring systems in emergency neonatology, the advantages and disadvantages of prognostic scales. Result: The analysis of a wide range of literature data on the use of scales in intensive neonatology, on the one hand, showed an acceptable predictive value for most of the disease severity scoring systems, on the other hand, showed the potential limitations of using such scales and the difficulty of interpreting the obtained values for a specific patient. The current scales do not take into account the level of medical care of the organization in which the patient is located, and also require laboratory data, which may be not available. Scales designed to assess the newborn at the pre-transport stage do not have acceptable accuracy in determining transportability and do not predict with certainty the death during transfer. In this regard, the comparison of decisions of the transport team, taken on the basis of clinical data, with the results of the assessment according to the most accessible prognostic scales, is of great interest.