College of Nursing, University of Colorado Denver, Denver.
Adv Neonatal Care. 2022 Feb 1;22(1):28-34. doi: 10.1097/ANC.0000000000000859.
The Apgar score is the most common score used to quantify neonatal status after birth. It is routinely used in clinical practice and research. However, since its introduction there have been significant changes in peripartum and neonatal management, our understanding of neonatal physiology, and changes in data analysis capabilities.
To assess the Apgar score's reliability and validity in the context of today's clinical and research environments.
PubMed was searched using the term "Apgar." Just over 22,000 titles were identified. Full-text articles were obtained if they addressed the Apgar score's use, reliability, and validity, or if the score was a primary outcome measure. This was followed by a hand search using the same criteria. The 505 identified articles build the basis for this discussion of the Apgar score's reliability and validity.
Multiple positive and negative aspects of the Apgar score's reliability and validity were identified. Some facets needed to evaluate reliability and validity do not seem to have been addressed in the literature. Overall, the identified concerns can introduce bias into outcomes obtained via the use of the Apgar score in both clinical practice and research.
The Apgar score is no longer used to determine neonatal management in the delivery room.
The use of the Apgar score in research may introduce bias into outcomes. As discussed in the Video Abstract, researchers need to address and improve the score's weaknesses or consider developing a new tool better suited to today's research needs.
https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx?autoPlay=false&videoId=45.
阿普加评分是目前用于量化新生儿出生后状况的最常用评分方法。它在临床实践和研究中被广泛应用。然而，自引入以来，围产期和新生儿管理、我们对新生儿生理学的理解以及数据分析能力都发生了重大变化。
评估阿普加评分在当前临床和研究环境下的可靠性和有效性。
使用术语“Apgar”在 PubMed 上进行检索，共检索到 22000 多个标题。如果文章涉及阿普加评分的使用、可靠性和有效性，或者评分是主要的结果测量指标，则获取全文。然后使用相同的标准进行手动检索。这 505 篇确定的文章为本文讨论阿普加评分的可靠性和有效性提供了依据。
确定了阿普加评分可靠性和有效性的多个积极和消极方面。一些评估可靠性和有效性的方面似乎并未在文献中得到解决。总的来说，所确定的问题可能会在临床实践和研究中使用阿普加评分时引入偏倚。
阿普加评分不再用于决定产房内新生儿的管理。
在研究中使用阿普加评分可能会使研究结果产生偏差。正如视频摘要中讨论的那样，研究人员需要解决和改进评分的弱点，或者考虑开发一个更适合当前研究需求的新工具。
https://journals.lww.com/advancesinneonatalcare/Pages/videogallery.aspx?autoPlay=false&videoId=45.
