부산대학교 도서관

Objective To test the non-inferiority of an alternative to the Apgar score. Study design The Neonatal Resuscitation and Adaptation Score (NRAS) was recorded in parallel to the Apgar score by a resuscitation team at deliveries. Correlation between the systems was assessed, as well as the predictive ability of NRAS and Apgar scores for mortality or short-term morbidities. Results A total of 340 infants were in the study group. The two scores correlated strongly (r = 0.87 and 0.83 at 1 and 5 min, respectively). Those needing ventilation at 48 h of life had a 5-min NRAS < 7 in 23/26 vs Apgar < 7 (23/36, p = 0.001). A low (0-3) 1-min NRAS score was more predictive of death, 53% vs 17%, p = 0.0065. Conclusions NRAS correlates with Apgar status assessment, and identifies newborns who die or may require further care better than the Apgar score.
Author(s): Teresa J. Witcher [sup.1] , Shadi Jurdi [sup.1] , Vidhya Kumar [sup.2] , Aditi Gupta [sup.3] , Russell R. Moores [sup.1] , Joseph Khoury [sup.1] , Henry J. Rozycki [...]