Neonatal Resuscitation and Adaptation Score vs Apgar: newborn assessment and predictive ability

Witcher, Teresa J.; Jurdi, Shadi; Kumar, Vidhya; Gupta, Aditi; Moores, Russell R.; Khoury, Joseph; Rozycki, Henry J.

doi:10.1038/s41372-018-0189-5

Cited by 11 publications

(27 citation statements)

References 21 publications

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“…In our study, there was a significant moderate positive correlation between Apgar and NRAS scores at 1st min (p=0.001) and a significant strong positive correlation between Apgar and NRAS scores at 5 th min (p=0.001). This comes in agreement with a study was done by Witcher et al, [5] on 340 newborns that detect strong correlation between the two scores. This implies that the ability of NRAS to assess the status of the infant during resuscitation is similar to that of the Apgar score.…”

Section: Discussionsupporting

confidence: 93%

“…Also, this is in agreement with a study done by Li et al, [8] who found that, preterm births had about 10 to 20-time higher incidence of low Apgar score at 5 minutes (<7) than term and post-term births. Also, this is in agreement with a study done by Witcher et al, [5] who showed that NRAS at 1 min was related to gestational age (p < 0.001).…”

Section: Discussionsupporting

confidence: 93%

“…The expired neonates represented 80.0%, 15.6%, and 0.6% from low, middle and high NRAS score, compared with 77.8%, 7.7% and 0.3% of those in Apgar score respectively. This is in agreement with a study conducted by Witcher et al, [5] as it showed that NRAS < 7 had higher positive predictive values compared with a similar Apgar score for predicting mortality. 34.6% vs 27.7% with 5-min Apgar scores < 7.…”

Section: Discussionsupporting

confidence: 93%

“…(p= 0.030*). This is in agreement with a study conducted by Witcher et al, [5] as it showed that NRAS was actually superior to Apgar for predicting mortality because it did not have as many false positive low scores. A low (0-3) 1-min NRAS score was more predictive of death, 53% vs 17%, p = 0.0065.…”

Section: Discussionsupporting

confidence: 93%

“…Moreover, the effect of prematurity on the score. Furthermore, there's no consider of any interventions during resuscitation which may affect and alter the score [4][5].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Study of the Neonatal Resuscitation and Adaptation Score (NRAS) Compared to the Apgar Score in Neonatal Resuscitation

Elglil

Ibrahim

Shihab

et al. 2020

JAMMR

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Introduction: The Neonatal Resuscitation and Adaptation Score (NRAS) was developed to address the concerns regarding how resuscitation impacts the Apgar score and how it can be accounted for in the scoring assessment. Aims: The objective of this work was to compare between the Neonatal Resuscitation and Adaptation Score (NRAS) and the Apgar score, to determine the correlation between the two scoring systems, and their predictive ability for mortality and short-term morbidities. Methodology: This study was a prospective cohort study. It was carried out on 410 neonates in Tanta University Hospital. Both Apgar and NRAS scores were recorded for all cases at 1st and 5th minutes of life. The scores were divided into three categories: Low (0-3), Middle (4-6), High (7-10). All neonates were followed up for 48 hours. Correlation between both scores and neonatal outcome were recorded. Results: There was a significant positive correlation between Apgar and NRAS scores at both 1st and 5th minutes. NRAS score was more précised in discriminating neonatal admissions, mortality, need for respiratory support and morbidities than Apgar score at both 1st and 5th minutes. The regression model revealed that Apgar 5th min and both of NRAS 1st and 5th minutes were significant predictors for neonatal mortality and morbidities. The most significant predictor was NRAS 1st min. Conclusion: Both scores can be used in assessing the neonatal condition. The most significant predictor for neonatal mortality and morbidities was NRAS 1st min.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 93%

“…Moreover, the effect of prematurity on the score. Furthermore, there's no consider of any interventions during resuscitation which may affect and alter the score [4][5].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Study of the Neonatal Resuscitation and Adaptation Score (NRAS) Compared to the Apgar Score in Neonatal Resuscitation

Elglil

Ibrahim

Shihab

et al. 2020

JAMMR

View full text Add to dashboard Cite

show abstract

Effects of different anesthesia methods on labor process and postpartum serum estrogen and progesterone levels in primiparas with painless labor

Liu,

Shi,

Wang

et al. 2024

Clinics

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The contribution of low Apgar scores in identifying neonates with short-term morbidities in a large single center cohort

Huang,

Yitayew,

Rozycki

2024

J Perinatol

Self Cite

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Objective To evaluate the association and utility of low 1- and 5-min Apgar scores to identify short-term morbidities in a large newborn cohort. Methods 15,542 infants >22 weeks gestation from a single center were included. Clinical data and low Apgar scores were analyzed for significance to ten short-term outcomes and were used to construct Receiver Operating Characteristic Curves and the AUC calculated for ten outcomes. Results A low Apgar score related to all (1-min) or most (5-min) outcomes by univariate and multivariate logistic regression analysis. Including any of the 4 low Apgar scores only improved the clinical factor AUC by 0.9% ± 2.7% (±SD) and was significant in just 5 of the 40 score/outcome scenarios. Conclusion The contribution of a low Apgar score for identifying risk of short-term morbidity does not appear to be clinically significant.

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Neonatal Resuscitation and Adaptation Score vs Apgar: newborn assessment and predictive ability

Abstract: NRAS correlates with Apgar status assessment, and identifies newborns who die or may require further care better than the Apgar score.

Cited by 11 publications

References 21 publications

Study of the Neonatal Resuscitation and Adaptation Score (NRAS) Compared to the Apgar Score in Neonatal Resuscitation

Study of the Neonatal Resuscitation and Adaptation Score (NRAS) Compared to the Apgar Score in Neonatal Resuscitation

Effects of different anesthesia methods on labor process and postpartum serum estrogen and progesterone levels in primiparas with painless labor

The contribution of low Apgar scores in identifying neonates with short-term morbidities in a large single center cohort

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