The contribution of low Apgar scores in identifying neonates with short-term morbidities in a large single center cohort.

Autor: Huang S; School of Medicine, Virginia Commonwealth University, Children's Hospital of Richmond at VCU, Richmond, VA, USA., Yitayew M; School of Medicine, Virginia Commonwealth University, Children's Hospital of Richmond at VCU, Richmond, VA, USA.; Division of Neonatal Medicine, Children's Hospital of Richmond at VCU, Richmond, VA, USA., Rozycki HJ; School of Medicine, Virginia Commonwealth University, Children's Hospital of Richmond at VCU, Richmond, VA, USA. henry.rozycki@vcuhealth.org.; 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] 2024 Jun; Vol. 44 (6), pp. 865-872. Date of Electronic Publication: 2024 Mar 28.
DOI: 10.1038/s41372-024-01944-0
Abstrakt: Objective: To evaluate the association and utility of low 1- and 5-min Apgar scores to identify short-term morbidities in a large newborn cohort.
Methods: 15,542 infants >22 weeks gestation from a single center were included. Clinical data and low Apgar scores were analyzed for significance to ten short-term outcomes and were used to construct Receiver Operating Characteristic Curves and the AUC calculated for ten outcomes.
Results: A low Apgar score related to all (1-min) or most (5-min) outcomes by univariate and multivariate logistic regression analysis. Including any of the 4 low Apgar scores only improved the clinical factor AUC by 0.9% ± 2.7% (±SD) and was significant in just 5 of the 40 score/outcome scenarios.
Conclusion: The contribution of a low Apgar score for identifying risk of short-term morbidity does not appear to be clinically significant.
(© 2024. The Author(s).)
Databáze: MEDLINE
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