Neonatal Resuscitation and Adaptation Score vs Apgar: newborn assessment and predictive ability.

Autor: Witcher TJ; Division of Neonatal Medicine, Children's Hospital of Richmond at VCU, Richmond, VA, USA., Jurdi S; Division of Neonatal Medicine, Children's Hospital of Richmond at VCU, Richmond, VA, USA., Kumar V; School of Medicine, Virginia Commonwealth University, Richmond, VA, USA., Gupta A; Department of Pediatrics, Virginia Commonwealth University, Richmond, VA, USA., Moores RR Jr; Division of Neonatal Medicine, Children's Hospital of Richmond at VCU, Richmond, VA, USA., Khoury J; Division of Neonatal Medicine, Children's Hospital of Richmond at VCU, Richmond, VA, USA., Rozycki HJ; Division of Neonatal Medicine, Children's Hospital of Richmond at VCU, Richmond, VA, USA. henry.rozycki@vcuhealth.org.
Jazyk: angličtina
Zdroj: Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2018 Nov; Vol. 38 (11), pp. 1476-1482. Date of Electronic Publication: 2018 Aug 09.
DOI: 10.1038/s41372-018-0189-5
Abstrakt: Objective: To test the non-inferiority of an alternative to the Apgar score.
Study Design: The Neonatal Resuscitation and Adaptation Score (NRAS) was recorded in parallel to the Apgar score by a resuscitation team at deliveries. Correlation between the systems was assessed, as well as the predictive ability of NRAS and Apgar scores for mortality or short-term morbidities.
Results: A total of 340 infants were in the study group. The two scores correlated strongly (r = 0.87 and 0.83 at 1 and 5 min, respectively). Those needing ventilation at 48 h of life had a 5-min NRAS < 7 in 23/26 vs Apgar < 7 (23/36, p = 0.001). A low (0-3) 1-min NRAS score was more predictive of death, 53% vs 17%, p = 0.0065.
Conclusions: NRAS correlates with Apgar status assessment, and identifies newborns who die or may require further care better than the Apgar score.
Databáze: MEDLINE
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