The Journal of Pediatrics
Volume 149, Issue 4 , Pages 486-489 , October 2006

Interobserver variability of the 5-minute Apgar score

Received 15 January 2006 ,Revised 23 March 2006 ,Accepted 24 May 2006.

References 

  1. Apgar V. A proposal for a new method of evaluation of the newborn infant. Anesth Analg. 1953;32:260–267
  2. Apgar V. The newborn (Apgar) scoring system: reflections and advice. Pediatr Clin North Am. 1966;13:645–650
  3. Drage JS, Kennedy C, Schwarz BK. The Apgar score as an index of neonatal mortality (A report from the Collaborative Study of Cerebral Palsy). Obstet Gynecol. 1964;24:222–230
  4. Casey BM, McIntire DD, Leveno KJ. The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med. 2001;344:467–471
  5. Moster D, Lie RT, Irgens LM, Bjerkedal T, Markestad T. The association of Apgar score with subsequent death and cerebral palsy: a population-based study in term infants. J Pediatr. 2001;138:798–803
  6. Nelson KB, Ellenberg JH. Apgar scores as predictors of chronic neurologic disability. Pediatrics. 1981;68:36–44
  7. Thorngren-Jerneck K, Herbst A. Low 5-minute Apgar score: a population-based register study of 1 million term births. Obstet Gynecol. 2001;98:65–70
  8. Weinberger B, Anwar M, Hegyi T, Hiatt M, Koons A, Paneth N. Antecedents and neonatal consequences of low Apgar scores in preterm newborns: a population study. Arch Pediatr Adolesc Med. 2000;154:294–300
  9. Drage JS, Kennedy C, Berendes H, Schwarz BK, Weiss W. The Apgar score as an index of infant morbidity (A report from the collaborative study of cerebral palsy). Dev Med Child Neurol. 1966;8:141–148
  10. Ramji S, Ahuja S, Thirupuram S, Rootwelt T, Rooth G, Saugstad OD. Resuscitation of asphyxic newborn infants with room air or 100% oxygen. Pediatr Res. 1993;34:809–812
  11. Ramji S, Rasaily R, Mishra PK, Narang A, Jayam S, Kapoor AN, et al. Resuscitation of asphyxiated newborns with room air or 100% oxygen at birth: a multicentric clinical trial. Indian Pediatr. 2003;40:510–517
  12. Saugstad OD, Rootwelt T, Aalen O. Resuscitation of asphyxiated newborn infants with room air or oxygen: an international controlled trial: the Resair 2 study. Pediatrics. 1998;102:e1
  13. Wiswell TE, Gannon CM, Jacob J, Goldsmith L, Szyld E, Weiss K, et al. Delivery room management of the apparently vigorous meconium-stained neonate: results of the multicenter, international collaborative trial. Pediatrics. 2000;105:1–7
  14. Apgar V, Holaday DA, Weisbrot IM. Evaluation of the newborn infant—second report. J Am Med Assoc. 1958;168:1985–1988
  15. Clark DA, Hakanson DO. The inaccuracy of Apgar scoring. J Perinatol. 1988;8:203–205
  16. Hesser J, Bhola M, Muraskas J. Evaluator variability in Apgar scoring of premature newborns. Pediatr Res. 2004;55:521A;[abstract]
  17. Lopriore E, van Burk GF, Walther FJ, de Beaufort AJ. Correct use of the Apgar score for resuscitated and intubated newborn babies: questionnaire study. BMJ. 2004;329:143–144
  18. Apgar V, James LS. Further observations on the newborn scoring system. Am J Dis Child. 1962;104:419–428
  19. Soll R. Consensus and controversy over resuscitation of the newborn infant. Lancet. 1999;354:4–5

 Supported by Royal Women’s Hospital Postgraduate Degree Scholarships and an Australian National Health and Medical Research Council Practitioner Fellowship.

PII: S0022-3476(06)00485-9

doi: 10.1016/j.jpeds.2006.05.040

The Journal of Pediatrics
Volume 149, Issue 4 , Pages 486-489 , October 2006