The Apgar Score: A Predictor of Clinical Adverse Outcomes during the Neonatal Period.
| Autor: | Asadollahi, Khairollah, Karimi, Arezoo, Rezaei, Nazanin, Mussavi, MirHadi, Azizi, Monireh, Daliri, Salman |
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| Předmět: |
RISK assessment
STATISTICAL correlation INFANT mortality CRONBACH'S alpha HEALTH PATIENT readmissions NEONATAL intensive care units QUESTIONNAIRES RESEARCH evaluation PREGNANCY outcomes RETROSPECTIVE studies DESCRIPTIVE statistics RESUSCITATION RELATIVE medical risk NEONATAL intensive care LONGITUDINAL method APGAR score RESEARCH COMPARATIVE studies DATA analysis software PREGNANCY complications CONFIDENCE intervals |
| Zdroj: | Journal of Basic Research in Medical Sciences; 2024, Vol. 11 Issue 2, p22-32, 11p |
| Abstrakt: | Introduction: The Apgar score, assessing newborns' health at birth, indicates adverse conditions and the need for medical attention. This study investigates its predictive value for neonatal outcomes. Material & Methods: This retrospective cohort study involved 207 neonates in Ilam city hospitals (2015-2016). It compared two groups: 69 neonates with Apgar scores <7 (exposed) and 138 with scores =7 (unexposed) at birth. Neonates were followed through the neonatal period, and outcomes were compared. Statistical analysis used SPSS Statistics software. Results: At the fifth minute, the exposed group had higher rates of resuscitation need (51% vs. 26.7%, p=0.01), re-admission (51% vs. 31.1%), and mortality (60% vs. 12.2%, p=0.03) compared to the unexposed group. Relative risks for the exposed group were 3.8 (resuscitation), 6.1 (NICU admission), 2.94 (re-admission), and 2.5 (mortality) at the first minute, and 2.9, 2.7, 2.3, and 19.9, respectively, at the fifth minute. Conclusion: Apgar scores <7 increase the risk of adverse neonatal outcomes including NICU admission, resuscitation, and higher mortality rates. The Apgar score serves as a valuable predictor of adverse neonatal outcomes. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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