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Development of Modified Combined Apgar Scoring System for Evaluation of Infants in the Delivery Room

Completed
Conditions
Neonatal Respiratory Failure
Registration Number
NCT03166826
Lead Sponsor
Kanuni Sultan Suleyman Training and Research Hospital
Brief Summary

Apgar scoring system has been widely used for the evaluation of the infant's postnatal condition. As conventional Apgar scoring system is affected by gestational age and resuscitative efforts, there is a need for development of new scoring systems for the assessment in the delivery room. Herein, Modified Combined Apgar scoring system which includes two new parameters (cord blood pH and targeted oxygen saturation level) has been developed and the utility of this modified system was compared with Conventional and Combined Apgar scoring systems for prediction of hospitalization.

Detailed Description

This is a prospective cohort study. Conventional, Combined and Modified Combined Apgar scores at minutes 1 and 5 are all recorded. For Modified scoring system, blood sample is obtained from the umbilical artery and pulse oximetry is used for measurement of oxygen saturation. Prediction of NICU hospitalization is used as a surrogate parameter to compare the scores.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
800
Inclusion Criteria

Term neonates Preterm neonates Parental approval

Exclusion Criteria :

Major congenital/chromosomal abnormalities Lack of informed consent Stillbirth Outborn infants

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Exclusion Criteria

Not provided

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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Modified Combined Apgar scoring10 months

The predictive value of Modified Combined Apgar scoring for hospitalization of infants

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Kanuni Sultan Suleyman Training and Research Hospital

🇹🇷

Istanbul, Kucukcekmece, Turkey

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