9/14/2023 0 Comments Apgar score practiceAs discussed in the Video Abstract, researchers need to address and improve the score's weaknesses or consider developing a new tool better suited to today's research needs.Ĭopyright © 2021 by The National Association of Neonatal Nurses. The use of the Apgar score in research may introduce bias into outcomes. The Apgar score is no longer used to determine neonatal management in the delivery room. Overall, the identified concerns can introduce bias into outcomes obtained via the use of the Apgar score in both clinical practice and research. Some facets needed to evaluate reliability and validity do not seem to have been addressed in the literature. Multiple positive and negative aspects of the Apgar score's reliability and validity were identified. The score is used to help indicate how likely it is that the newborn will need medical intervention. The 505 identified articles build the basis for this discussion of the Apgar score's reliability and validity. What Is a Normal, Healthy Apgar Score Apgar score is a number assigned to a baby right after birth to help the medical team quickly assess the baby’s health. This was followed by a hand search using the same criteria. Full-text articles were obtained if they addressed the Apgar score's use, reliability, and validity, or if the score was a primary outcome measure. The Apgar score provides a convenient shorthand for reporting the status of the newborn infant and the response to resuscitation. PubMed was searched using the term "Apgar." Just over 22,000 titles were identified. To assess the Apgar score's reliability and validity in the context of today's clinical and research environments. However, since its introduction there have been significant changes in peripartum and neonatal management, our understanding of neonatal physiology, and changes in data analysis capabilities. APGAR Score Assesses neonates 1 and 5 minutes after birth. It is routinely used in clinical practice and research. About 90 of infants have Apgar scores of 7 to 10. Very few newborns score a perfect 10 because it takes a while for their hands and feet to warm up and turn pink. A score of 7 or higher is considered a good Apgar score. Most newborns score 7, 8 or 9 on the Apgar test. The Apgar score is the most common score used to quantify neonatal status after birth. The higher your baby’s Apgar score, the better they’re doing after birth.
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