Abstract
Background: Heart frequency during resuscitation has shown a higher predictive value than colour regarding mortality in the neonatal period (1).
Population /Methods: 255 asphyxiated infants were enrolled. Response to resuscitation using either Apgar score at 1, 2 and 5 minutes, or a modified version, scoring heart rate <60 bpm: 0; 60–100 bpm: 1; > 100 bpm: 3; and colour: pale:0, and pink: 1. Other items remained unchanged. Mortality in the neonatal period was compared with both scores.
Results Heart rate < 60 bpm at 2 minutes of life had the greatest predictive value regarding mortality in the first week of life.
Conclusions Increased value for heart rate and diminished value for skin colour enhances predictive value of the Apgar score regarding mortality in neonatal period in asphyxiated neonates. (1) Saugstad OD, Ramji S, Rootwelt T, Vento M. Acta Paediatr 2005 (in press).
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Vento, M., Ramgi, S. & Saugstad, O. 399 Modified Apgar Score Predicts Better Mortality in Asphyxiated Newly Born Infants.. Pediatr Res 58, 422 (2005). https://doi.org/10.1203/00006450-200508000-00428
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DOI: https://doi.org/10.1203/00006450-200508000-00428