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Research Letter |

Association of Newborn Apgar Score With Maternal Admission to the Intensive Care Unit

Joel G. Ray, MD, MSc, FRCPC1,2,3; Karyn E. Medcalf, HBSc4; Alison L. Park, MSc3
[+] Author Affiliations
1Department of Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
2Keenan Research Centre, Li Ka Shing Knowledge Institute, Toronto, Ontario, Canada
3Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
4School of Medicine, University of Toronto, Toronto, Ontario, Canada
JAMA Pediatr. 2016;170(1):88-89. doi:10.1001/jamapediatrics.2015.3035.
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This study examines the risk for maternal admission to the intensive care unit based on the infant’s 5-minute Apgar score.

The newborn Apgar score efficiently evaluates an infant’s condition at birth and the need for immediate attention.1 The risk of neonatal or infant death is greatest at a low 5-minute Apgar score of 0 to 3 and moderate at an intermediate score of 4 to 6 compared with a normal Apgar score of 7 to 10.13

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Figure.
Relative Risk for Postpartum Maternal Admission to the Intensive Care Unit (ICU) Associated With the Newborn’s 5-Minute Apgar Score

Crude (dark blue squares) and adjusted (orange squares) indicate relative risks for any maternal admission to the ICU, ICU admission with mechanical ventilation, and any maternal admission to the ICU stratified by timing of delivery, the hypertensive disorders of pregnancy, and time interval between the delivery and ICU admission. Relative risks (on a log scale) were adjusted for age, parity, income, prepregnancy diagnosis of diabetes mellitus, obesity, drug or tobacco use, and newborn sex. A low 5-minute Apgar score was defined as a score of 0 to 3; intermediate, 4 to 6; and normal (light blue squares), 7 to 10.

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