Apgar Score
Interpretation
Apgar Score
- Devised by Virginia Apgar in 1952[1]
- Used widely to quickly assess the health of newborns immediately after birth
- Not useful to predict specific neurologic outcomes in term infants[4]
- No consistent data exists on the significance of the Apgar score in preterm infants[4]
Score interpretation
Score | Interpretation |
---|---|
≥ 7 | Normal |
3–6 | Moderate neurologic/cardiorespiratory depression |
< 3 | Severe neurologic/cardiorespiratory depression |
Formula
Apgar Score = A + P + G + A + R
Score of 0 | Score of 1 | Score of 2 | |
---|---|---|---|
Appearance | Blue or pale all over | Extremities blue; body pink | Extremities and body pink |
Pulse | Absent | < 100 | ≥ 100 |
Grimace to nose cath | No reaction | Grimace | Sneeze, cough |
Activity | None; limp | Some flexion | Flexed arms and legs that resist extension |
Respiration | Absent | Weak, irregular, gasping | Strong cry |
References
- APGAR V: A proposal for a new method of evaluation of the newborn infant. Curr Res Anesth Analg 32:260, 1953 Jul-Aug [PMID:13083014]
- Committee on Obstetric Practice, ACOG, American Academy of Pediatrics, Committee on Fetus and Newborn, ACOG: ACOG Committee Opinion. Number 333, May 2006 (replaces No. 174, July 1996): The Apgar score. Obstet Gynecol 107:1209, 2006 [PMID:16648434]
- Casey BM, McIntire DD, Leveno KJ: The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med 344:467, 2001 [PMID:11172187]
- Finster M, Wood M: The Apgar score has survived the test of time. Anesthesiology 102:855, 2005 [PMID:15791116]
Citation
"Apgar Score." Calculators, 2020. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/calculators/134016/all/Apgar_Score.
Apgar Score. Calculators. 2020. https://peds.unboundmedicine.com/pedscentral/view/calculators/134016/all/Apgar_Score. Accessed December 18, 2024.
Apgar Score. (2020). In Calculators https://peds.unboundmedicine.com/pedscentral/view/calculators/134016/all/Apgar_Score
Apgar Score [Internet]. In: Calculators. ; 2020. [cited 2024 December 18]. Available from: https://peds.unboundmedicine.com/pedscentral/view/calculators/134016/all/Apgar_Score.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Apgar Score
ID - 134016
BT - Calculators
UR - https://peds.unboundmedicine.com/pedscentral/view/calculators/134016/all/Apgar_Score
DB - Pediatrics Central
DP - Unbound Medicine
ER -