The 5-minute Apgar score: survival and short-term outcomes in extremely low-birth-weight infants

The Journal of Perinatal & Neonatal Nursing
Ann Gibbons PhalenKevin Dysart

Abstract

The Apgar score is a standardized tool for evaluating newborns in the delivery room. Despite its long history and widespread use, debate remains over its reliability of predicting neonatal outcomes, especially in extremely low-birth-weight premature infants. The aim of the study was to examine the relationship between the 5-minute Apgar score of extremely low-birth-weight infants, as it relates to survival and morbidities associated with prematurity and length of hospital stay. A retrospective query of the Alere neonatal database from 2001 to 2011 examined all infants less than 32 weeks' gestation and less than 1000-g birth weight. The 5-minute Apgar score was divided into 2 groups, score of 4 or greater or less than 4. The study compared results of the 5-minute Apgar score and associated morbidities in surviving infants. Statistical analyses included chi-square, Fisher exact test, t test, and multivariate regression. The sample consisted of 3898 infants with an 86.4% (n = 3366) survival rate. Controlling for gestational age and birth weight, surviving infants with a 5-minute Apgar score of less than 4 were more likely to demonstrate nonintact survival. Infants with a low 5-minute Apgar score have greater risk for mortality and...Continue Reading

References

Jan 1, 1989·Skeletal Radiology·D Stoker
Nov 1, 1986·The Journal of Pediatrics·E A CatlinW Oh
Jan 17, 1998·Pediatrics·T HegyiN Paneth
Feb 15, 2001·The New England Journal of Medicine·B M CaseyK J Leveno
Apr 23, 2002·American Journal of Obstetrics and Gynecology·Seetha ShankaranLu-Ann Papile
Jun 3, 2004·Pediatrics·Jerold F Lucey
May 19, 2005·Archives of Disease in Childhood. Fetal and Neonatal Edition·L W DoyleUNKNOWN Victorian Infant Collaborative Study Group
Oct 26, 2005·Archives of Disease in Childhood. Fetal and Neonatal Edition·J Craske, M Cunliffe
Apr 6, 2006·Pediatrics·UNKNOWN American Academy of Pediatrics, Committee on Fetus and Newborn, UNKNOWN American College of Obstetricians and Gynecologists and Committee on Obstetric Practice
Dec 14, 2006·Journal of Developmental and Behavioral Pediatrics : JDBP·H Gerry TaylorMaureen Hack
Apr 19, 2008·The New England Journal of Medicine·Jon E TysonUNKNOWN National Institute of Child Health and Human Development Neonatal Research Network
Apr 19, 2008·The New England Journal of Medicine·Eric C Eichenwald, Ann R Stark
Nov 27, 2009·Neonatology·Charles E MercierUNKNOWN Vermont Oxford Network ELBW Infant Follow-Up Study Group
Dec 2, 2009·Pediatrics·Abbot R LaptookUNKNOWN Hypothermia Subcommittee of the NICHD Neonatal Research Network
Mar 31, 2010·Pediatrics·David BaderUNKNOWN Israel Neonatal Network
Jul 16, 2010·Acta Paediatrica·Henry Chong LeeJeffrey B Gould
Aug 11, 2010·Pediatrics·Robert M Reece
Aug 18, 2010·Pediatrics·Henry Chong LeeJeffrey B Gould
Aug 25, 2010·Pediatrics·Barbara J StollUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network
Sep 22, 2011·JAMA : the Journal of the American Medical Association·Casey CrumpMarilyn A Winkleby

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Citations

May 31, 2019·American Journal of Epidemiology·Marit L BovbjergJonathan M Snowden
Aug 8, 2021·Journal of Immigrant and Minority Health·Lina Garnica-RosasHector Lamadrid-Figueroa

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