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Apgar score of 0 at 10 min and survival to 1 year of age: a retrospective cohort study in Washington state

Journal of Perinatology volume 39, pages 1620–1626 (2019)Cite this article

Subjects

Abstract

Objective

To determine 1-year survival in a cohort of newborns with an Apgar score of 0 at 5 and 10 min of age.

Study design

A retrospective cohort study of the Washington State Comprehensive Hospital Abstract Reporting System from 2005 to 2014.

Results

Of 879,340 births, 199 (0.02%) had an Apgar score of 0 at 5 min, and 109 (0.01%) also had a score of 0 at 10 min. One-year survival was 46% for newborns with Apgar score of 0 at 5 and 10 min. One-year survival by gestational age was 4% for newborns <30 weeks, 38% for 30–35 weeks, and 67% for ≥36 weeks.

Conclusion

Survival at 1 year of age for newborns with an Apgar score of 0 at 5 and 10 min has improved, as compared with historic cohorts. Cautious optimism is warranted since morbidity-free survival could not be assessed.

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Acknowledgements

The authors would like to thank the Washington Department of Health for granting us access to the CHARS data.

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Authors and Affiliations

  1. Department of Pediatrics, Division of Neonatology, University of Washington School of Medicine and Seattle Children’s Hospital, Seattle, WA, USA

    Zeenia Billimoria, Shilpi Chabra, Megan M. Gray, Rachel Umoren & Taylor Sawyer

  2. Department of Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA

    Achint Patel

Authors
  1. Zeenia Billimoria
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  2. Shilpi Chabra
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  3. Achint Patel
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  4. Megan M. Gray
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  5. Rachel Umoren
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Correspondence to Zeenia Billimoria.

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Billimoria, Z., Chabra, S., Patel, A. et al. Apgar score of 0 at 10 min and survival to 1 year of age: a retrospective cohort study in Washington state. J Perinatol 39, 1620–1626 (2019). https://doi.org/10.1038/s41372-019-0454-2

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