Outcomes of infants with Apgar score of zero at 10â
min: the West Australian experience.
Arch Dis Child Fetal Neonatal Ed
; 100(6): F492-4, 2015 Nov.
Article
em En
| MEDLINE
| ID: mdl-25877289
ABSTRACT
BACKGROUND:
Infants who have an Apgar score of zero at 10â min of age are known to have poor long-term prognosis. Expert committee guidelines suggest that it is reasonable to cease resuscitation efforts if the asphyxiated infant does not demonstrate a heart beat by 10â min of life. These guidelines are based on data from the era when therapeutic hypothermia was not the standard of care for hypoxic ischaemic encephalopathy (HIE). Hence, we aimed to review our unit data from the era of therapeutic hypothermia to evaluate the outcomes of infants who had an Apgar score of zero at 10â min and had survived to reach the neonatal intensive care unit.METHODS:
Retrospective chart review. STUDY PERIOD 2007-2013.RESULTS:
13 infants (gestational age ≥35â weeks) with Apgar scores of zero at 10â min were admitted to the neonatal intensive care unit. All were born outside the tertiary perinatal centre. Of them, eight died before discharge. The type and duration of follow-up varied. Of the five survivors, three had normal cognitive scores (100, 100 and 110) on Bayley III assessment at 2â years of age and one had normal Griffiths score (general quotient (GQ) 103) at 1â year. Only one infant developed severe spastic quadriplegia.CONCLUSIONS:
4 out of 13 (30.7%) infants with 10â min Apgar scores of zero who survived to reach the neonatal intensive care unit had normal scores on formal developmental assessments. Information from large databases (preferably population based) is necessary to review recommendations regarding stopping delivery room resuscitation in term infants.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Índice de Apgar
/
Asfixia Neonatal
/
Ressuscitação
/
Hipóxia-Isquemia Encefálica
/
Hipotermia Induzida
Tipo de estudo:
Etiology_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Female
/
Humans
/
Male
/
Newborn
/
Pregnancy
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Arch Dis Child Fetal Neonatal Ed
Assunto da revista:
PEDIATRIA
/
PERINATOLOGIA
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
Austrália