The Apgar score

Ann R. Stark, David H. Adamkin, Daniel G. Batton, Edward F. Bell, Vinod K. Bhutani, Susan E. Denson, William A. Engle, Gilbert I. Martin, Lillian R. Blackmon, Keith J. Barrington, Gary D.V. Hankins, Tonse N.K. Raju, Kay M. Tomashek, Carol Wallman, Laura E. Riley, Jim Couto, Sarah J. Kilpatrick, Angela L. Bell, Jeanne M. Coulehan, Susan HellersteinJack Ludmir, Carol A. Major, Sean McFadden, Susan M. Ramin, Russell R. Snyder, Hani K. Atrash, William Callaghan, Joshua A. Copel, Gary A. Dildy, William Herbert, Samuel C. Hughes, Bruce Patsner, Colin Pollard, Phill Price, Catherine Y. Spong, John S. Wachtel, Stanley Zinberg, Beth Steele, Debra Hawks

Research output: Contribution to journalReview article

136 Scopus citations

Abstract

The Apgar score provides a convenient shorthand for reporting the status of the newborn infant and the response to resuscitation. The Apgar score has been used inappropriately to predict specific neurologic outcome in the term infant. There are no consistent data on the significance of the Apgar score in preterm infants. The Apgar score has limitations, and it is inappropriate to use it alone to establish the diagnosis of asphyxia. An Apgar score assigned during resuscitation is not equivalent to a score assigned to a spontaneously breathing infant. An expanded Apgar score reporting form will account for concurrent resuscitative interventions and provide information to improve systems of perinatal and neonatal care.

Original languageEnglish (US)
Pages (from-to)1444-1447
Number of pages4
JournalPediatrics
Volume117
Issue number4
DOIs
StatePublished - 2006

Keywords

  • Apgar score
  • Asphyxia
  • Cerebral palsy
  • Neurologic outcome
  • Resuscitation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Stark, A. R., Adamkin, D. H., Batton, D. G., Bell, E. F., Bhutani, V. K., Denson, S. E., Engle, W. A., Martin, G. I., Blackmon, L. R., Barrington, K. J., Hankins, G. D. V., Raju, T. N. K., Tomashek, K. M., Wallman, C., Riley, L. E., Couto, J., Kilpatrick, S. J., Bell, A. L., Coulehan, J. M., ... Hawks, D. (2006). The Apgar score. Pediatrics, 117(4), 1444-1447. https://doi.org/10.1542/peds.2006-0325