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Multicenter Study
. 2025 Mar 19;25(1):214.
doi: 10.1186/s12887-025-05565-0.

Assessing the postnatal condition: the predictive value of single items of the Apgar score

Lars Mense  1   2 , Sara Nögel  3 , Maxi Kaufmann  3   4 , Helmut Küster  5 , Nicole Braun  6 , Burkhard Simma  7 , Mario Rüdiger  3   4
Affiliations
Multicenter Study

Assessing the postnatal condition: the predictive value of single items of the Apgar score

Lars Mense et al. BMC Pediatr. .

Abstract

Background: The assessment of the newborn after birth is fundamental for identifying those requiring resuscitation. Certain components of the Apgar score are used to assess neonatal condition, but their value is insufficiently validated. We aimed to identify the components of the Apgar score that predict neonatal resuscitation.

Methods: Individual patient data from two multicenter trials were analyzed. Preterm newborns under 32 weeks of gestation and term newborns with perinatal acidosis and/or resuscitation were included. The extent of resuscitation was quantified by a standardized scoring system, and the clinical condition was quantified by a specified Apgar score. Correlation, linear regression and ROC analyses were used to address the study question.

Results: A total of 2093 newborns were included. Newborns in poor clinical condition at 1 min received more interventions at 5 and 10 min. Heart rate, muscle tone, reflexes and breathing quality, but not skin color, were moderately strong correlated with the extent of resuscitation at 5 (r = 0.44 to 0.52) and 10 min (r = 0.38 to 0.42). Heart rate, reflexes and chest movement at 1 min best predicted the subsequent need for resuscitation (R2 = 0.31). The rare interventions of intubation, chest compressions and epinephrine administration can be predicted by the newborn's condition at one minute, with a high sensitivity of 84% (cutoff ≤ 4 Apgar points) or a high specificity of 86% (cutoff ≤ 7 Apgar points).

Conclusions: The clinical impression at 1 min can help to predict the need for medical interventions. Contrary to recent guidelines, heart rate, reflexes and chest movement seem to have the highest values.

Trial registration: The Test APGAR study was registered at clinicaltrials.gov (NCT00623038, 14/08/2008).

Keywords: Apgar score; Newborn assessment; Resuscitation.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: The ethics committee of Technical University Dresden, Germany, approved both observational trials (EK104052008 and EK 285092010). Informed consent was obtained as requested by the ethics committee: Written informed consent was obtained from the infant’s parents in the TEST-Apgar study. The need for consent was waived for the study including term newborns. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Association of the clinical condition at 1 min and the extent of neonatal resuscitation at 5 (A) and 10 (B) minutes (measured as the number of interventions). The colors and sizes of the bubbles indicate the frequency
Fig. 2
Fig. 2
Number of resuscitative interventions at 5 min in relation to single items of infant’s condition at 1 min. * p < 0.05, ** p < 0.01, *** p < 0.001
See this image and copyright information in PMC

References

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