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. 2022 Nov 23;51(4):580-585.
doi: 10.1515/jpm-2022-0340. Print 2023 May 25.

The Apgar score in clinical research: for what, how and by whom it is used

Henry J Rozycki  1 , Miheret Yitayew  1
Affiliations
Free article

The Apgar score in clinical research: for what, how and by whom it is used

Henry J Rozycki et al. J Perinat Med. .
Free article

Abstract

Objectives: To review how the Apgar score is used in published clinical research as well as who uses it, and how this may have changed between 1989-90 and 2018-19.

Methods: Pubmed search for English publications using MeSH Terms "apgar score" OR "apgar" AND "score" AND "humans" for epochs 1989-90 & 2018-19. The location and specialty of first author, primary purpose and how the Apgar score was used was recorded.

Results: There was a 61% increase in number of publications in 2018-19 compared to 1989-90, from all regions except North America. The most common purpose for using the Apgar was to assess newborn status after pregnancy/delivery interventions. There were 50 different definitions of a significant score. Definition of significance was influenced by specialty in 2018-19 and by study purpose in both epochs.

Conclusions: Most studies using the Apgar score are focused on the mother. There is no consistent definition of a significant score. Development of any future newborn assessment tools should account for the multiple purposes for which the Apgar score is used.

Keywords: Apgar score; newborn assessment; outcome measurements; research publications.

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References

    1. Apgar, V. A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg 1953;32:260–7. https://doi.org/10.1213/00000539-195301000-00041 . - DOI
    1. O’Donnell, CP, Kamlin, CO, Davis, PG, Carlin, JB, Morley, CJ. Interobserver variability of the 5-minute Apgar score. J Pediatr 2006;149:486–9. https://doi.org/10.1016/j.jpeds.2006.05.040 . - DOI
    1. Jurdi, SR, Jayaram, A, Sima, AP, Hendricks Muñoz, KD. Evaluation of a comprehensive delivery room neonatal resuscitation and adaptation score (nras) compared to the apgar score: a pilot study. Glob Pediatr Health 2015;2:2333794X15598293. https://doi.org/10.1177/2333794X15598293 . - DOI
    1. Siddiqui, A, Cuttini, M, Wood, R, Velebil, P, Delnord, M, Zile, I, et al.. Can the apgar score be used for international comparisons of newborn health? Paediatr Perinat Epidemiol 2017;31:338–45. https://doi.org/10.1111/ppe.12368 . - DOI
    1. Nelson, KB, Ellenberg, JH. Apgar scores as predictors of chronic neurologic disability. Pediatrics 1981;68:36–44. https://doi.org/10.1542/peds.68.1.36 . - DOI

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