APGAR v.0.1.0

Apgar is an acronym for Appearance, Pulse, Grimace, Activity, Respiration. The Apgar score is used as a simple, repeatable method to document the physical condition of every live newborn infant at 1 and 5 minutes after birth. The clinical score is derived from assessment of skin colour (Appearance), heart rate (Pulse), reflex irritability (Grimace), muscle tone (Activity) and respiratory effort (Respiration). Each of these 5 components has 3 grades- 0, 1, 2 with descriptions. 0 is the worst outcome and 2 is the best outcome for each component. The clinical score is further classified into 3 categories to give the final result of the Apgar assessment.

Oskar Nielsen

models@cambiocds.com

© Cambio CDS

To calculate APGAR score and make assessment.

The Apgar score is used to assess the physical state of a neonate immediately after birth. It can be used in preterm and full term newborns. The score also allows the assessment of the response of a neonate to resuscitation. Per Neonatal Resuscitation Program, scoring continues at 5 minute intervals until reaching a score of 7 or until 20 minutes of life is encountered. Fill in all the 5 input fields which are- appearance/colour, pulse, grimace, activity/muscle tone, respirations- to receive a total score and interpretation. The interpretation is as follows: >= 7 normal >= 4 to <= 6 moderately abnormal <= 3 critically low

Not to be used to predict individual risk of mortality and adverse neurologic outcome.

Apgar V. A proposal of a new method of evaluation of the newborn infant. Curr Res Anesth Analg. 1953 Jul-Aug;32(4):260-7. Apgar V, Holaday DA, James LS, Weisbrod IM, Berrien C. Evaluation of the newborn infant; second report. JAMA. 1958 Dec 13;168(15):1985-8. Apgar V. The newborn (Apgar) scoring system. Pediatr Clin North Am. 1966 Aug;13(3):645-50. Whaley LF, Wong DL. Nursing care of infants and children. St. Louis, Toronto, London: The C.V. Mosby Company; 1979.

openEHR-EHR-OBSERVATION.apgar, openEHR-EHR-EVALUATION.apgar_score_assessment