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dc.contributor.authorRüdiger, Mario
dc.contributor.authorBraun, Nicole
dc.contributor.authorAranda, Jacob
dc.contributor.authorAguar, Marta
dc.contributor.authorBergert, Renate
dc.contributor.authorBystricka, Alica
dc.contributor.authorDimitriou, Gabriel
dc.contributor.authorEl-Atawi, Khaled
dc.contributor.authorIfflaender, Sascha
dc.contributor.authorJung, Philipp
dc.contributor.authorMatasova, Katarina
dc.contributor.authorOjinaga, Violeta
dc.contributor.authorPetruskeviciene, Zita
dc.contributor.authorRoll, Claudia
dc.contributor.authorSchwindt, Jens
dc.contributor.authorSimma, Burkhard
dc.contributor.authorStaal, Nanette
dc.contributor.authorValencia, Gloria
dc.contributor.authorVasconcellos, Maria Gabriela
dc.contributor.authorVeinla, Maie
dc.contributor.authorVento, Máximo
dc.contributor.authorWeber, Benedikt
dc.contributor.authorWendt, Anke
dc.contributor.authorYigit, Sule
dc.contributor.authorZotter, Heinz
dc.contributor.authorKüster, Helmut
dc.date.accessioned2019-12-10T10:49:47Z
dc.date.available2019-12-10T10:49:47Z
dc.date.issued2015
dc.identifier.issn1471-2431
dc.identifier.urihttps://doi.org/10.1186/s12887-015-0334-7
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4374498/
dc.identifier.urihttp://hdl.handle.net/11655/14267
dc.description.abstractBackground 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. Trial registration clinicaltrials.gov Protocol Registration System (NCT00623038). Registered 14 February 2008. Electronic supplementary material The online version of this article (doi:10.1186/s12887-015-0334-7) contains supplementary material, which is available to authorized users.
dc.relation.isversionof10.1186/s12887-015-0334-7
dc.rightsinfo:eu-repo/semantics/openAccess
dc.titleNeonatal Assessment In The Delivery Room – Trial To Evaluate A Specified Type Of Apgar (Test-Apgar)
dc.typeinfo:eu-repo/semantics/article
dc.relation.journalBMC Pediatrics
dc.contributor.departmentÇocuk Sağlığı ve Hastalıkları
dc.identifier.volume15
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus


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