ArticleActa paediatrica (Oslo, Norway : 1992)2010
Low Apgar score and mortality in extremely preterm neonates born in the United States.
Article in Acta paediatrica (Oslo, Norway : 1992), 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Development of a hybrid manikin for extra-uterine life support technology innovation.BMC biomedical engineering · 2026Article
- Risk factors for 30-day mortality following major neonatal surgery: insights from a 10-year cohort in southern Tunisia.Surgery today · 2026Article
- Survival and Short-Term Morbidities Among Extremely Preterm Infants: A Prospective Cohort Study.Cureus · 2025Article
- Exercise during pregnancy Dose: Influence on preterm birth outcomes.European journal of obstetrics, gynecology, and reproductive biology · 2024Article
- Benefits and Risks of Preprepared Parenteral Nutrition for Early Amino Acid Administration in Premature Infants with Very Low Birth Weight.Pediatric gastroenterology, hepatology & nutrition · 2024Article
- Pre-term labour: A study on evaluation of causes and outcome.Journal of family medicine and primary care · 2024Article
- Delivery room intubation and severe intraventricular hemorrhage in extremely preterm infants without low Apgar scores: A Japanese retrospective cohort study.Scientific reports · 2023Article
- Perinatal outcomes in anemic pregnant women in public hospitals of eastern Ethiopia.International health · 2023Article
- Prediction of low Apgar score at five minutes following labor induction intervention in vaginal deliveries: machine learning approach for imbalanced data at a tertiary hospital in North Tanzania.BMC pregnancy and childbirth · 2022Article
- Apgar scores correlate with survival rate at discharge in extremely preterm infants with gestational age of 25-27 weeks.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2022Article
- The single pregnancy predicting model of 1 minute Apgar score less than 7 after preterm birth: A retrospective study.PloS one · 2022Article
- Partial vs. complete course of antenatal corticosteroid prophylaxis: An Italian single center retrospective study.Frontiers in pediatrics · 2022Article
- Feto-Maternal Outcomes of Obstructed Labor and Associated Factors among Mothers Who Gave Birth in Public Hospitals of West Shoa Zone, Central Ethiopia: Cross-Sectional Study.Ethiopian journal of health sciences · 2021Article
- Apgar score and neonatal mortality in China: an observational study from a national surveillance system.BMC pregnancy and childbirth · 2021Observational
- Determinants of Low Fifth Minute Apgar Score among Newborn Delivered in Jimma University Medical Center, Southwest Ethiopia.International journal of pediatrics · 2020Article
- Delivery room asphyxia in neonates with ductal-dependent congenital heart disease: a retrospective cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2019Article
- Utility of the 5-Minute Apgar Score as a Research Endpoint.American journal of epidemiology · 2019Article
- Outcomes of Medically Indicated Preterm Births Differ by Indication.American journal of perinatology · 2018Article
- The Perinatal Risk Index: Early Risks Experienced by Domestic Adoptees in the United States.PloS one · 2016Article
- Perinatal factors associated with early neonatal deaths in very low birth weight preterm infants in Northeast Brazil.BMC pediatrics · 2014Article
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3 authors.
Funding
Abstract
aimTo investigate the relationship between low Apgar score and neonatal mortality in preterm neonates.
methodsInfant birth and death certificate data from the US National Center for Health Statistics for 2001-2002 were analysed. Primary outcome was 28-day mortality for 690, 933 neonates at gestational ages 24-36 weeks. Mortality rates were calculated for each combination of gestational age and 5-min Apgar score. Relative risks of mortality, by high vs. low Apgar score, were calculated for each age.
resultsDistribution of Apgar scores depended on gestational age, the youngest gestational ages having higher proportions of low Apgar scores. Median Apgar score ranged from 6 at 24 weeks, to 9 at 30-36 weeks gestation. The relative risk of death was significantly higher at Apgar scores 0-3 vs. 7-10, including at the youngest gestational ages, ranging from 3.1 (95% confidence interval 2.9, 3.4) at 24 weeks to 18.5 (95% confidence interval 15.7, 21.8) at 28 weeks.
conclusionLow Apgar score was associated with increased mortality in premature neonates, including those at 24-28 weeks gestational age, and may be a useful tool for clinicians in assessing prognosis and for researchers as a risk prediction variable.
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