Apgar score predicts short-term outcome in infants born at 25 gestational weeks
(2007) In Acta paediatrica 96(2). p.166-171- Abstract
- Aim: To identify early predictors of outcome in infants born at 25 gestational weeks. Material and Methods: Data from a regional perinatal database (time-period 1995-2001, total n = 108 000 births) were used. Apgar scores were available in 92 preterm infants, born at 25 + 0 to 25 + 6 gestational weeks, and analyzed in relation to short-term outcome (180-day survival with, or without, severe brain damage defined as intraventricular hemorrhage grade 3-4 or cystic periventricular leukomalacia). Based on multiple logistic regression analyses we constructed graphs of the estimated chance of survival. Results: Apgar scores at 1, 5 and 10 min correlated with survival without severe brain damage (p = 0.02, 0.006 and 0.006, respectively). Survival... (More)
- Aim: To identify early predictors of outcome in infants born at 25 gestational weeks. Material and Methods: Data from a regional perinatal database (time-period 1995-2001, total n = 108 000 births) were used. Apgar scores were available in 92 preterm infants, born at 25 + 0 to 25 + 6 gestational weeks, and analyzed in relation to short-term outcome (180-day survival with, or without, severe brain damage defined as intraventricular hemorrhage grade 3-4 or cystic periventricular leukomalacia). Based on multiple logistic regression analyses we constructed graphs of the estimated chance of survival. Results: Apgar scores at 1, 5 and 10 min correlated with survival without severe brain damage (p = 0.02, 0.006 and 0.006, respectively). Survival without severe brain damage was higher in singleton than in multiple births (p = 0.03); there was no association with infant gender or mode of delivery. The strongest model for prediction of survival without severe brain damage was based on 5-min Apgar score and the Clinical Risk Index for Babies (CRIB), (p < 0.001). Conclusion: Apgar score predicts short-term outcome in extremely preterm infants at 25 gestational weeks. The precision for prediction of outcome increases when Apgar score is combined with CRIB. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/675376
- author
- Forsblad, Kristina LU ; Källén, Karin LU ; Marsal, Karel LU and Hellström-Westas, Lena LU
- organization
- publishing date
- 2007
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- preterm, outcome, apgar score, newborn, prognosis
- in
- Acta paediatrica
- volume
- 96
- issue
- 2
- pages
- 166 - 171
- publisher
- Wiley-Blackwell
- external identifiers
-
- wos:000243993800006
- scopus:33847184927
- ISSN
- 0803-5253
- DOI
- 10.1111/j.1651-2227.2007.00099.x
- language
- English
- LU publication?
- yes
- id
- c580fdd9-5aee-4178-8d67-57a8837c2725 (old id 675376)
- date added to LUP
- 2016-04-01 15:39:59
- date last changed
- 2022-02-05 02:21:55
@article{c580fdd9-5aee-4178-8d67-57a8837c2725, abstract = {{Aim: To identify early predictors of outcome in infants born at 25 gestational weeks. Material and Methods: Data from a regional perinatal database (time-period 1995-2001, total n = 108 000 births) were used. Apgar scores were available in 92 preterm infants, born at 25 + 0 to 25 + 6 gestational weeks, and analyzed in relation to short-term outcome (180-day survival with, or without, severe brain damage defined as intraventricular hemorrhage grade 3-4 or cystic periventricular leukomalacia). Based on multiple logistic regression analyses we constructed graphs of the estimated chance of survival. Results: Apgar scores at 1, 5 and 10 min correlated with survival without severe brain damage (p = 0.02, 0.006 and 0.006, respectively). Survival without severe brain damage was higher in singleton than in multiple births (p = 0.03); there was no association with infant gender or mode of delivery. The strongest model for prediction of survival without severe brain damage was based on 5-min Apgar score and the Clinical Risk Index for Babies (CRIB), (p < 0.001). Conclusion: Apgar score predicts short-term outcome in extremely preterm infants at 25 gestational weeks. The precision for prediction of outcome increases when Apgar score is combined with CRIB.}}, author = {{Forsblad, Kristina and Källén, Karin and Marsal, Karel and Hellström-Westas, Lena}}, issn = {{0803-5253}}, keywords = {{preterm; outcome; apgar score; newborn; prognosis}}, language = {{eng}}, number = {{2}}, pages = {{166--171}}, publisher = {{Wiley-Blackwell}}, series = {{Acta paediatrica}}, title = {{Apgar score predicts short-term outcome in infants born at 25 gestational weeks}}, url = {{http://dx.doi.org/10.1111/j.1651-2227.2007.00099.x}}, doi = {{10.1111/j.1651-2227.2007.00099.x}}, volume = {{96}}, year = {{2007}}, }