Apgar scores after hypoxic-ischaemic encephalopathy

Abstract

Journal of Paediatrics and Child HealthVolume 50, Issue 3 p. 242-242 Heads UpFree Access Apgar scores after hypoxic-ischaemic encephalopathy First published: 27 March 2014 https://doi.org/10.1111/jpc.12527 edited by Craig Mellis ([email protected]) AboutSectionsPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Children enrolled in a US randomised controlled trial of whole body cooling for neonatal hypoxic-ischaemic encephalopathy were evaluated at 6–7 years of age by Wechsler Preschool and Primary Scale of Intelligence or Wechsler Intelligence Scale for Children IV, depending on age.1 A secondary analysis examined the relationship between 10-min Apgar scores and a combined outcome of death or severe disability by logistic regression after adjusting for birth weight, gestation, gender, place of birth (inborn or outborn), and hypothermia treatment and centre. Of the 85 children evaluated who had a 10-min Apgar score of 0–3, 64 (75%) had death or severe disability compared with 40 (45%) of 89 with Apgar score of 4 or greater. Each point increase in 10-min Apgar score was associated with a decreased risk of death and/or disability, including cerebral palsy or IQ < 70. An Apgar score of 0 at 10 min did not always indicate a poor prognosis: five (20.8%) of 24 such children survived without demonstrable disability. This study shows an important correlation between 10-min Apgar score and performance at primary school age but also suggests that resuscitation should be continued beyond 10 min even for infants with an Apgar score of 0. Reference 1 Natarajan G et al. Arch. Dis. Child. Fetal Neonatal Ed. 2013; 98: F473– 479. Reviewer: David Isaacs, [email protected] Volume50, Issue3March 2014Pages 242-242 ReferencesRelatedInformation