Document Detail

Predictive value of Apgar score in infants with very low birth weight.
MedLine Citation:
PMID:  18397348     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Accurate prediction of the prognosis of infants with very low birth weight is beneficial both for their parents and for healthcare professionals. METHODS: This was a population-based study of all low-birth-weight infants admitted to neonatal units in one region in Japan. The Apgar score at 1 and 5 min and neonatal mortality were retrospectively analyzed to obtain the predictive values of the scores. The results were stratified into two categories by birth weight and three time periods (1980-1986, 1987-1993 and 1994-2000). RESULTS: The predictive values improved in the later years, and therefore only the data obtained in the period 1994-2000 were used. A score of less than 5 at 5 min appears to be a good predictor of neonatal mortality in infants with a birth weight between 1500 g and 2499 g (positive likelihood ratio, 17.59 [95% confidence interval (CI) 12.68-24.40]); however, there is no evidence that the score is a good predictor of neonatal mortality in infants with very low birth weight. CONCLUSION: In infants with a low birth weight between 1500 g and 2499 g, an Apgar score at 5 min of less than 5 is a good predictor of neonatal mortality. The score is not useful in predicting the short-term prognosis of very low-birth-weight infants.
Rintaro Mori; Jun Shiraishi; Hirokuni Negishi; Masanori Fujimura
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Publication Detail:
Type:  Journal Article     Date:  2008-04-07
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  97     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-05-07     Completed Date:  2008-10-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  720-3     Citation Subset:  IM    
Osaka Medical Center and Research Institute for Maternal and Child Health, Osaka, Japan.
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MeSH Terms
Apgar Score*
Cohort Studies
Infant Mortality*
Infant Welfare
Infant, Newborn
Infant, Very Low Birth Weight*
Predictive Value of Tests
ROC Curve
Risk Factors
Sensitivity and Specificity

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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