- AutorIn
- Mario Rüdiger
- Nicole Braun
- Jacob Aranda
- Marta Aguar
- Renate Bergert
- Alica Bystricka
- Gabriel Dimitriou
- Khaled El-Atawi
- Sascha Ifflaender
- Philipp Jung
- Katarina Matasova
- Violeta Ojinaga
- Zita Petruskeviciene
- Claudia Roll
- Jens Schwindt
- Burkhard Simma
- Nanette Staal
- Gloria Valencia
- Maria Gabriela Vasconcellos
- Maie Veinla
- Titel
- Neonatal assessment in the delivery room – Trial to Evaluate a Specified Type of Apgar (TEST-Apgar)
- Zitierfähige Url:
- https://nbn-resolving.org/urn:nbn:de:bsz:14-qucosa-173501
- Quellenangabe
- BMC Pediatrics , 2015 Volume 15, Article 18, ISSN: 1471-2431
- Erstveröffentlichung
- 2015
- Abstract (EN)
- Background: Since an objective description is essential to determine infant’s postnatal condition and efficacy of interventions, two scores were suggested in the past but weren’t tested yet: The Specified-Apgar uses the 5 items of the conventional Apgar score; however describes the condition regardless of gestational age (GA) or resuscitative interventions. The Expanded-Apgar measures interventions needed to achieve this condition. We hypothesized that the combination of both (Combined-Apgar) describes postnatal condition of preterm infants better than either of the scores alone. Methods: Scores were assessed in preterm infants below 32 completed weeks of gestation. Data were prospectively collected in 20 NICU in 12 countries. Prediction of poor outcome (death, severe/moderate BPD, IVH, CPL and ROP) was used as a surrogate parameter to compare the scores. To compare predictive value the AUC for the ROC was calculated. Results: Of 2150 eligible newborns, data on 1855 infants with a mean GA of 286/7± 23/7 weeks were analyzed. At 1 minute, the Combined-Apgar was significantly better in predicting poor outcome than the Specified- or Expanded-Apgar alone. Of infants with a very low score at 5 or 10 minutes 81% or 100% had a poor outcome, respectively. In these infants the relative risk (RR) for perinatal mortality was 24.93 (13.16-47.20) and 31.34 (15.91-61.71), respectively. Conclusion: The Combined-Apgar allows a more appropriate description of infant’s condition under conditions of modern neonatal care. It should be used as a tool for better comparison of group of infants and postnatal interventions.
- Andere Ausgabe
- DOI: 10.1186/s12887-015-0334-7
- Link zur Originalpublikation in der Zeitschrift BMC Pediatrics.
Link: http://dx.doi.org/10.1186/s12887-015-0334-7 - Freie Schlagwörter (DE)
- Apgar-Score, Postnataler Zustand, neonatale Beurteilung, TU Dresden, Publikationsfonds
- Freie Schlagwörter (EN)
- Apgar score, Expanded-Apgar, Specified-Apgar, Postnatal condition, Neonatal assessment, Delivery room management, Preterm resuscitation, Technical University Dresden, Publication funds
- Verlag
- BioMed Central, London
- Sonstige beteiligte Institution
- TEST-Apgar study-group, London
- URN Qucosa
- urn:nbn:de:bsz:14-qucosa-173501
- Veröffentlichungsdatum Qucosa
- 23.07.2015
- Dokumenttyp
- Artikel
- Sprache des Dokumentes
- Englisch
- Lizenz / Rechtehinweis
- CC BY 4.0