Abstract:
OBJECTIVE:The Apgar score has been shown to have utility in predicting mortality in the extremely preterm infant in delivery hospital populations, where most mortality occurs within 12 hours of birth. We tested the hypothesis that the 5 minute Apgar score would remain associated with mortality in extremely preterm infants after transfer from the delivery hospital to an all referral neonatal intensive care unit at an average age of 10 days. STUDY DESIGN:A retrospective analysis of 454 infants born at < 27 weeks gestation. RESULTS:The median Apgar score was 3 at 1 minute (interquartile range [IQR] 2-6) and 6 at 5 minutes (IQR 4-7). The Apgar score increased from 1 to 5 minutes by 2.0 ± 1.7 (p < 0.001). In logistic regression modeling, an Apgar score of < 5 at 5 minutes was associated with an increased mortality (odds ratio 1.76 [95% confidence interval 1.06-2.94], p < 0.05), but not morbidities. CONCLUSION:Infants born at < 27 weeks gestation admitted to an all referral children's hospital at a mean age of 10 days with a 5 minute Apgar < 5 are at an increased risk of mortality. Our findings continue to support the importance of the Apgar score given at delivery even in the extremely preterm infant referred to a nondelivery children's hospital.
journal_name
Am J Perinatoljournal_title
American journal of perinatologyauthors
Bartman T,Bapat R,Martin EM,Shepherd EG,Nelin LD,Reber KMdoi
10.1055/s-0035-1554803subject
Has Abstractpub_date
2015-11-01 00:00:00pages
1268-72issue
13eissn
0735-1631issn
1098-8785journal_volume
32pub_type
杂志文章abstract:OBJECTIVE:The objective of this study was to investigate whether maternal bronchial asthma increases the risk for long-term respiratory morbidity of the offspring. STUDY DESIGN:A population-based cohort study compared the incidence of long-term pediatric hospitalizations due to respiratory disease of the offspring of ...
journal_title:American journal of perinatology
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journal_title:American journal of perinatology
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journal_title:American journal of perinatology
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journal_title:American journal of perinatology
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doi:10.1055/s-0035-1552942
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journal_title:American journal of perinatology
pub_type: 杂志文章
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更新日期:2006-04-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
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