:: Volume 11, Issue 2 (4-2024) ::
2024, 11(2): 22-32 Back to browse issues page
The Apgar Score: A Predictor of Clinical Adverse Outcomes during the Neonatal Period
Khairollah Asadollahi , Arezoo Karimi , Nazanin Rezaei , MirHadi Mussavi , Monireh Azizi , Salman Daliri
Department of Social Medicine, Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran , masoud_1241@yahoo.co.uk
Abstract:   (273 Views)
Introduction: The Apgar score, assessing newborns' health at birth, indicates adverse conditions and the need for medical attention. This study investigates its predictive value for neonatal outcomes.
Material & Methods: This retrospective cohort study involved 207 neonates in Ilam city hospitals (2015-2016). It compared two groups: 69 neonates with Apgar scores <7 (exposed) and 138 with scores ≥7 (unexposed) at birth. Neonates were followed through the neonatal period, and outcomes were compared. Statistical analysis used SPSS Statistics software.
Results: At the fifth minute, the exposed group had higher rates of resuscitation need (51% vs. 26.7%, p=0.01), re-admission (51% vs. 31.1%), and mortality (60% vs. 12.2%, p=0.03) compared to the unexposed group. Relative risks for the exposed group were 3.8 (resuscitation), 6.1 (NICU admission), 2.94 (re-admission), and 2.5 (mortality) at the first minute, and 2.9, 2.7, 2.3, and 19.9, respectively, at the fifth minute.
Conclusion:  Apgar scores <7 increase the risk of adverse neonatal outcomes including NICU admission, resuscitation, and higher mortality rates. The Apgar score serves as a valuable predictor of adverse neonatal outcomes.
Keywords: Apgar Score, Neonatal Complications, Cohort Study
Full-Text [PDF 867 kb]   (61 Downloads)    
Type of Study: Research | Subject: Pediatrics
Received: 2023/12/9 | Accepted: 2024/04/7 | Published: 2024/04/22
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