This preprint is under consideration at BMC Pediatrics. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
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Research article
Emerson Rocha
Universidade Federal do Pará: Universidade Federal do Para
Corresponding Author
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Apgar Score (AS) < 7 is a predictor of mortality. Survival is shorter in newborns, with AS5min < 7 and the use of invasive mechanical ventilation (IMV). Thus, the objective of this study was to analyze whether maternal, obstetric, anthropometric, and postnatal variables of newborns admitted to the neonatal intensive care unit (NICU) may be associated with AS5min < 7. If this score is a predictor of morbidity and mortality, and if factors most associated with the worse AS interfere with survival. This observational, retrospective, and quantitative study used a descriptive and inferential approach to analyze the medical records of patients of both sexes treated in the NICU of a tertiary hospital which is a recognized reference center of maternal and child health, during 2017. Data were collected to verify the relationship between AS values (AS5min < 7 and AS5min ≥ 7).
AS5min < 7 was associated with hypertensive disorders of pregnancy (HDP), premature rupture of the amniotic membrane, vaginal delivery, fetal trauma at birth, abdominal perimeter, and ventilatory support. Among these, HDP and the use of IMV were predictors of lower survival.
Conclusion: AS5min was associated with maternal, obstetric, anthropometric, and postnatal variables of neonates admitted to the NICU. Specific maternal and postnatal variables interfered with the survival of these newborns.
Keywords
Apgar Score, Child Health Services, Intensive Care Units, Neonatal
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CURRENT STATUS: Under Review
Version 1
Posted 16 Mar, 2021
No community comments so far
Editorial decision: Reject after review
On 21 Mar, 2021
Review #3 received
Received 20 Mar, 2021
Review #2 received
Received 18 Mar, 2021
Review #1 received
Received 16 Mar, 2021
Review #4 received
Received 12 Mar, 2021
Reviewer #4 agreed
On 08 Mar, 2021
Reviewer #3 agreed
On 06 Mar, 2021
Reviewer #2 agreed
On 04 Mar, 2021
Reviewers invited
Invitations sent on 03 Mar, 2021
Reviewer #1 agreed
On 03 Mar, 2021
Editor assigned
On 01 Mar, 2021
Submission checks complete
On 01 Mar, 2021
Editor invited
On 01 Mar, 2021
First submitted
On 27 Feb, 2021
Metrics
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PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
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This preprint is under consideration at BMC Pediatrics. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Emerson Rocha
Universidade Federal do Pará: Universidade Federal do Para
Corresponding Author
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 16 Mar, 2021
No community comments so far
Editorial decision: Reject after review
On 21 Mar, 2021
Review #3 received
Received 20 Mar, 2021
Review #2 received
Received 18 Mar, 2021
Review #1 received
Received 16 Mar, 2021
Review #4 received
Received 12 Mar, 2021
Reviewer #4 agreed
On 08 Mar, 2021
Reviewer #3 agreed
On 06 Mar, 2021
Reviewer #2 agreed
On 04 Mar, 2021
Reviewers invited
Invitations sent on 03 Mar, 2021
Reviewer #1 agreed
On 03 Mar, 2021
Editor assigned
On 01 Mar, 2021
Submission checks complete
On 01 Mar, 2021
Editor invited
On 01 Mar, 2021
First submitted
On 27 Feb, 2021
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Apgar Score (AS) < 7 is a predictor of mortality. Survival is shorter in newborns, with AS5min < 7 and the use of invasive mechanical ventilation (IMV). Thus, the objective of this study was to analyze whether maternal, obstetric, anthropometric, and postnatal variables of newborns admitted to the neonatal intensive care unit (NICU) may be associated with AS5min < 7. If this score is a predictor of morbidity and mortality, and if factors most associated with the worse AS interfere with survival. This observational, retrospective, and quantitative study used a descriptive and inferential approach to analyze the medical records of patients of both sexes treated in the NICU of a tertiary hospital which is a recognized reference center of maternal and child health, during 2017. Data were collected to verify the relationship between AS values (AS5min < 7 and AS5min ≥ 7).
AS5min < 7 was associated with hypertensive disorders of pregnancy (HDP), premature rupture of the amniotic membrane, vaginal delivery, fetal trauma at birth, abdominal perimeter, and ventilatory support. Among these, HDP and the use of IMV were predictors of lower survival.
Conclusion: AS5min was associated with maternal, obstetric, anthropometric, and postnatal variables of neonates admitted to the NICU. Specific maternal and postnatal variables interfered with the survival of these newborns.
Figure 1
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