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Positive Changes Among Very Low Birth Weight Infant Apgar Scores That are Associated With the Neonatal Resuscitation Program in Illinois

Journal of Perinatology volume 22, pages 386–390 (2002)Cite this article

Abstract

OBJECTIVE: The American Academy of Pediatrics and American Heart Association sponsored Neonatal Resuscitation Program (NRP) was started in Illinois 1987 to standardize knowledge and skills for successful resuscitation to decrease newborn morbidity and mortality. This study evaluated the hypothesis that the statewide NRP in Illinois hospitals was associated with positive outcomes in the Apgar scores among very low birth weight newborns.

STUDY DESIGN: A retrospective design was used to compare the (a) different rates of lower (0–6) and higher (7–10) 1- and 5-minute Apgar scores and (b) positive change from a lower 1-minute to a higher 5-minute Apgar score before and after NRP was started. Analyses included maternal characteristics, birth weight groups (grams: 500–749, 750–999, 1000–1249, 1250–1499), and hospital levels (I, II, III).

RESULTS: A significantly higher proportion of infants had a higher 1-minute and a higher 5-minute Apgar score after NRP, overall, for Level II and II+ hospitals and for each weight group. Logistic regression indicated that newborns with low 1-minute Apgar scores were 81% more likely to have a higher 5-minute Apgar score after NRP.

CONCLUSION: Significant improvement in Apgar score occurred after NRP. Empirical support is demonstrated for the clinical effectiveness of NRP instruction in Illinois hospitals.

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Authors and Affiliations

  1. Saint Joseph Hospital, Resurrection Health Care, Chicago, IL, USA

    Daksha Patel MD

  2. Northwestern University Medical School, Chicago, IL, USA

    Daksha Patel MD

  3. West Suburban Hospital Medical Center, Oak Park, IL, USA

    Zdzislaw H Piotrowski MS

Authors
  1. Daksha Patel MD
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  2. Zdzislaw H Piotrowski MS
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Partial support provided by a grant from the Neonatal Resuscitation Program Steering Committee, American Academy of Pediatrics. Presented in part as a poster at the American Academy of Pediatrics Section on Perinatal Pediatrics, Annual Meeting in Chicago, Illinois, October 2000.

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Patel, D., Piotrowski, Z. Positive Changes Among Very Low Birth Weight Infant Apgar Scores That are Associated With the Neonatal Resuscitation Program in Illinois. J Perinatol 22, 386–390 (2002). https://doi.org/10.1038/sj.jp.7210751

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