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

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

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT03166826
Enrollment
800
Registered
2017-05-25
Start date
2017-05-01
Completion date
2018-05-01
Last updated
2019-08-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Neonatal Respiratory Failure

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.

Interventions

OTHERModified Apgar Scoring System

Modified APGAR scoring system

Sponsors

Kanuni Sultan Suleyman Training and Research Hospital
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
No minimum to 2 Hours
Healthy volunteers
Yes

Inclusion criteria

Term neonates Preterm neonates Parental approval

Exclusion criteria

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

Design outcomes

Primary

MeasureTime frameDescription
Modified Combined Apgar scoring10 monthsThe predictive value of Modified Combined Apgar scoring for hospitalization of infants

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026