%0 Journal Article %1 Moster2001 %A Moster, D. %A Lie, R. T. %A Irgens, L. M. %A Bjerkedal, T. %A Markestad, T. %D 2001 %J J Pediatr %K Apgar Score; Cerebral Palsy; Child; Child, Preschool; Humans; Infant; Infant, Newborn; Newborn, Diseases; Predictive Value of Tests; Risk %N 6 %P 798--803 %R 10.1067/mpd.2001.114694 %T The association of Apgar score with subsequent death and cerebral palsy: A population-based study in term infants. %U http://dx.doi.org/10.1067/mpd.2001.114694 %V 138 %X OBJECTIVE: To estimate the risk of adverse outcomes for newborns with a low Apgar score.Study design: Population-based cohort study. All 235,165 children born between 1983 and 1987 in Norway with a birth weight of at least 2500 g and no registered birth defects were followed up from birth to age 8 to 12 years by linkage of 3 national registries. Outcomes were death and cerebral palsy (CP). RESULTS: Five-minute Apgar scores of 0 to 3 were recorded for 0.1\%, and scores of 4 to 6 were recorded for 0.6\% of the children. Compared with children who had 5-minute Apgar scores of 7 to 10, children who had scores of 0 to 3 had a 386-fold increased risk for neonatal death (95\% CI: 270-552) and an 81-fold (48-138) increased risk for CP. If Apgar scores at both 1 and 5 minutes were 0 to 3, the risks for neonatal death and CP were increased 642-fold (442-934) and 145-fold (85-248), respectively, compared with scores of 7 to 10. CONCLUSION: The strong association of low Apgar scores with death and CP in this population with a low occurrence of low scores shows that the Apgar score remains important for the early identification of infants at increased risk for serious and fatal conditions.

@article{Moster2001, abstract = {OBJECTIVE: To estimate the risk of adverse outcomes for newborns with a low Apgar score.Study design: Population-based cohort study. All 235,165 children born between 1983 and 1987 in Norway with a birth weight of at least 2500 g and no registered birth defects were followed up from birth to age 8 to 12 years by linkage of 3 national registries. Outcomes were death and cerebral palsy (CP). RESULTS: Five-minute Apgar scores of 0 to 3 were recorded for 0.1\%, and scores of 4 to 6 were recorded for 0.6\% of the children. Compared with children who had 5-minute Apgar scores of 7 to 10, children who had scores of 0 to 3 had a 386-fold increased risk for neonatal death (95\% CI: 270-552) and an 81-fold (48-138) increased risk for CP. If Apgar scores at both 1 and 5 minutes were 0 to 3, the risks for neonatal death and CP were increased 642-fold (442-934) and 145-fold (85-248), respectively, compared with scores of 7 to 10. CONCLUSION: The strong association of low Apgar scores with death and CP in this population with a low occurrence of low scores shows that the Apgar score remains important for the early identification of infants at increased risk for serious and fatal conditions.}, added-at = {2014-07-19T20:49:05.000+0200}, author = {Moster, D. and Lie, R. T. and Irgens, L. M. and Bjerkedal, T. and Markestad, T.}, biburl = {https://www.bibsonomy.org/bibtex/262cf3d880398fc6465ff0331c87fc77f/ar0berts}, doi = {10.1067/mpd.2001.114694}, groups = {public}, interhash = {7481d9cf981d8a398b09d7d3fc7941df}, intrahash = {62cf3d880398fc6465ff0331c87fc77f}, journal = {J Pediatr}, keywords = {Apgar Score; Cerebral Palsy; Child; Child, Preschool; Humans; Infant; Infant, Newborn; Newborn, Diseases; Predictive Value of Tests; Risk}, month = Jun, number = 6, pages = {798--803}, pii = {S0022-3476(01)51106-3}, pmid = {11391319}, timestamp = {2014-07-19T20:49:05.000+0200}, title = {The association of Apgar score with subsequent death and cerebral palsy: A population-based study in term infants.}, url = {http://dx.doi.org/10.1067/mpd.2001.114694}, username = {ar0berts}, volume = 138, year = 2001 }