Apgar values lower than 7 associated with mortality in premature newborns

Abstract

Objectives: To determine the risk factors associated with mortality in premature newborns )PNB(. Methods: An observational, descriptive, and retrospective study, carried out at the General Hospital of San Juan del Rio, Queretaro, Mexico. The medical records of PNB admitted to the Neonatal Intensive Care Unit from January until December 2018 were studied.Results: A total of 136 PNB were included )74 males and 62 females( of whom 16 )11.7%( died )9 males and 7 females(. A correlation was observed between gestational age and birth weight with Apgar values at 1 and 5 minutes )r=0.37, p<0.001(. A lower birth weight was found in premature infants with infectious diseases, as well as a lower gestational age in relation to respiratory diseases )p<0.0001(. The PNB with Apgar values lower than 7 points at 1 and 5 minutes were Original Articlemore likely to die )p<0.0001(. The PNB with very low birth weight )1-1.49 kg(, with less than 28 weeks of gestation, and with infectious pathology showed more probabilities of dying )p<0.05(. Conclusion:Apgar values lower than 7 points in the PNB are associated with the presence of infectious diseases and mortality. Likewise, a lower gestational age represents a lower birth weight, with a higher risk for respiratory and infectious diseases, and consequently an elevated mortality.

Escala De Apgar Em Recém-Nascidos Prematuros: Revisão Sistemática

“…Apgar no 1º e 5º minutos relacionados à variáveis como peso ao nascer e idade gestacional refletindo essa imaturidade (REYES-SAAVEDRA et al, 2022).…”

“…Os partos prematuros são definidos pela OMS como o nascimento de um bebê vivo antes de 37 semanas de gestação, podendo ainda ser subdivididos em prematuridade extrema (<28 semanas), muito prematuro (28-31 semanas) e prematuro moderado (32-36 semanas de gestação). (BLENCOWE et al, 2013) O nascimento antecipado é um problema que atinge aproximadamente 15 milhões de crianças ao ano pelo mundo, número que permanece aumentando, mesmo com diminuição da taxa de fecundidade (REYES-SAAVEDRA et al, 2022). Estudo divulgado pela OMS relata que 13,4 milhões de bebês nasceram antes do tempo em 2020, sendo que, destes, quase 1 milhão morreu por complicações.…”

Correlation of Apgar score to birth weight in relation to gestational age, insulin resistance and irisin among 90 Egyptian neonates

“…The age of mothers whose neonates were included in this study ranged from (19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36) years old, while neonates of mothers aged less than 19 years or more than 36 years old were not included in this study, so there was no statistically significant difference between neonates with Apgar at 1 minute or Apgar at 5 minutes as regards maternal age. In agreement, a population-based cross-sectional Brazilian study, conducted on 11968227 records of neonates delivered at full-term for women aged (12-49) years, reported the significant association of low Apgar score at 5 minutes with maternal age less than 21 and more than 34 years old (OR 1.09-1.68; 95% confidence interval).…”