Dataset Information

Apgar score and neonatal mortality in China: an observational study from a national surveillance system.

ABSTRACT:

Background

To examine the association between the Apgar score and neonatal mortality over gestational age in China and to explore whether this association changed when Apgar scores were combined at 1 and 5 min.

Methods

Data for all singleton live births collected from 438 hospitals between 2012 and 2016 were used in this study. Poisson regression with a robust variance estimator adjusted for a complete set of confounders was used to describe the strength of the association between the Apgar score and neonatal mortality.

Results

The relative risks of neonatal death-associated intermediate Apgar score at 5 min peaked at 39-40 weeks of gestation and subsequently decreased if the gestational age increased to 42 weeks or above, in contrast to the low Apgar score. Among both preterm and term new-borns with Apgar scores at 5 min, new-borns that were not small for gestational age had a lower mortality rate than those that were small for gestational age. The association between Apgar score and the neonatal mortality was even stronger when scores at 1 and 5 min were combined.

Conclusions

Apgar score is not only meaningful for preterm new-borns but also useful for term new-borns, especially term new-borns that are not small for gestational age. Once the baby's Apgar score worsens, timely intervention is needed. There is still a gap between China and high-income countries in terms of sustained treatment of new-borns with low Apgar scores.

SUBMITTER: Mu Y

PROVIDER: S-EPMC7802282 | biostudies-literature | 2021 Jan

REPOSITORIES: biostudies-literature

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Publications

Apgar score and neonatal mortality in China: an observational study from a national surveillance system.

Mu Yi Y Li Mingrong M Zhu Jun J Wang Yanping Y Xing Aiyun A Liu Zheng Z Xie Yanxia Y Wang Xiaodong X Liang Juan J

BMC pregnancy and childbirth 20210112 1

<h4>Background</h4>To examine the association between the Apgar score and neonatal mortality over gestational age in China and to explore whether this association changed when Apgar scores were combined at 1 and 5 min.<h4>Methods</h4>Data for all singleton live births collected from 438 hospitals between 2012 and 2016 were used in this study. Poisson regression with a robust variance estimator adjusted for a complete set of confounders was used to describe the strength of the association between ...[more]

PMID: 33430809

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Dataset Information

Apgar score and neonatal mortality in China: an observational study from a national surveillance system.

Background

Methods

Results

Conclusions

Publications

Apgar score and neonatal mortality in China: an observational study from a national surveillance system.

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