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Neonatology

APGAR Score

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Formula

Sum of five items scored 0-2 at 1 and 5 minutes. 7-10 reassuring, 4-6 moderately abnormal, 0-3 low.

Limitations

  • Each item is a clinician observation; scores are recorded separately at 1, 5 (and 10) minutes.
  • Not a predictor of long-term outcome for an individual infant.
  • The score is not a tool to guide resuscitation or subsequent treatment and does not determine the prognosis of an individual patient; resuscitation decisions follow neonatal resuscitation guidance and must not wait for the score.

References

  1. A proposal for a new method of evaluation of the newborn infant. Apgar V. Curr Res Anesth Analg. 1953;32(4):260-267. PMID 13083014