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Apgar score
Introduced in 1952 to evaluate the well-being of newborns.
The 5-minute Appgar score predicts neonatal mortality.
60 second or 5 minute Apgar score:
sign assessment score
heart rate absent 0
heart rate < 100 1
heart rate > 100 2
respiratory rate absent 0
respiratory rate slow,irregular 1
respiratory rate good, screams 2
muscle tone limp 0
muscle tone good in limbs 1
muscle tone active movement 2
reaction to none 0
nasal catheter makes grimaces 1
- cough or sneeze 2
skin color pale 0
skin color rosy trunk, blue 1
skin color rosy 2
score: total points 8-10 is normal
Clinical significance:
- Apgar scores <3 associated with anoxia-related death [3]
General
numerical rating scale (NRS)
clinical procedure
References
- Stedman's Medical Dictionary 27th ed, Williams &
Wilkins, Baltimore, 1999
- Journal Watch 21(6):52, 2001
Casey BM, McIntire DD, Leveno KJ.
The continuing value of the Apgar score for the assessment of
newborn infants.
N Engl J Med. 2001 Feb 15;344(7):467-71
PMID: 11172187
- Iliodromiti S et al.
Apgar score and the risk of cause-specific infant mortality:
A population-based cohort study.
Lancet 2014 Sep 16
PMID: 25236409
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2814%2961135-1/fulltext