The 5-minute Apgar score and childhood school outcomes.
Apgar
childhood
development
neonatal
school
Journal
Acta paediatrica (Oslo, Norway : 1992)
ISSN: 1651-2227
Titre abrégé: Acta Paediatr
Pays: Norway
ID NLM: 9205968
Informations de publication
Date de publication:
10 2022
10 2022
Historique:
revised:
27
05
2022
received:
26
02
2022
accepted:
02
06
2022
pubmed:
7
6
2022
medline:
14
9
2022
entrez:
6
6
2022
Statut:
ppublish
Résumé
To examine the association between Apgar score at 5 min and childhood developmental and educational outcome. A population-based data linkage study of births ≥37 weeks' gestation linked to developmental outcomes at preparatory school and educational outcomes at school grades 3, 5 and 7 in Victoria, Australia. Multivariable logistic regressions and generalised estimating equations were used. There were 167,126 singleton infants with developmental results and 392,933 singleton infants with at least one educational result. There was an inverse relationship between Apgar score at 5 min and poor developmental and educational outcomes, with the worst outcomes among Apgar scores of 0-3. Apgar scores of 7, 8 and 9 were all associated with poorer developmental outcomes (aOR = 1.31, 95% CI: 1.12-1.54; aOR = 1.17, 95% CI: 1.05-1.29; aOR = 1.08, 95% CI: 1.02-1.13 respectively), while Apgar scores of 7 and 8 were associated with poorer educational outcomes at grades 3, 5, and 7. With progression through grades 3, 5, and 7, the extent of the difference in educational outcomes diminished (e.g. for Apgar scores of 0-3: aOR = 3.33, 95% CI: 1.85-6.00 in grade 3 and aOR = 1.49, 95% CI: 0.75-2.96 in grade 7). Apgar scores below 10 at 5 min are associated with poorer developmental and educational outcomes in school.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1878-1884Subventions
Organisme : Norman Beischer Medical Research Foundation
ID : 211104
Informations de copyright
© 2022 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.
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