Kornacka Maria K, Musialik-Swietlińska Ewa, Swietliński Janusz, Ksiazyk Janusz, Migdał Marek, Brozek Grzegorz, Zejda Jan
Neonatal and Intensive Care Department, Warsaw Medical University, Poland.
Ginekol Pol. 2011 Jan;82(1):39-43.
The paper discusses the reliability of the Apgar score for evaluating newborns, particularly its usefulness in assessing the state of preterm or full term newborns born with hypoxia.
The paper provides a sum-up of the opinions on usefulness and reliability of the Apgar score given by doctors from 255 NICUs.
Data for the analysis were gathered by means of a questionnaire opinion poll sent to 158 primary referral centers, 71 secondary referral centers and 26 tertiary referral centers. Respondents answered questions about value of the Apgar score assessment (highly valuable, limited value, always reliable), as well as overrating and underrating children born in good overall condition and children born with clinical and biochemical indicators of hypoxia. In the group of prematurely born babies, the data concerning newborns with very low (VLBW) and extremely low birth weight (ELBW) were analyzed separately
88.5% neonatologists claimed the use of the Apgar score in assessing newborn condition to be of little value and only 11.5% found this indicator useful and reliable.
According to the majority of Polish neonatologists, Apgar score is not reliable in the assessment of term and preterm hypoxic newborns.
本文讨论了阿氏评分在评估新生儿方面的可靠性，特别是其在评估出生时伴有缺氧的早产或足月儿状况时的实用性。
本文总结了来自255个新生儿重症监护病房的医生对阿氏评分的实用性和可靠性的看法。
分析数据是通过向158个一级转诊中心、71个二级转诊中心和26个三级转诊中心发送问卷意见调查收集的。受访者回答了有关阿氏评分评估价值（非常有价值、价值有限、始终可靠）的问题，以及对整体状况良好的新生儿和有缺氧临床及生化指标的新生儿的高估和低估情况。在早产婴儿组中，分别分析了极低出生体重（VLBW）和超低出生体重（ELBW）新生儿的数据。
88.5%的新生儿科医生声称使用阿氏评分评估新生儿状况价值不大，只有11.5%的人认为该指标有用且可靠。
根据大多数波兰新生儿科医生的观点，阿氏评分在评估足月儿和早产儿缺氧情况时不可靠。
