%0 Journal Article %1 Haddad2000 %A Haddad, B. %A Mercer, B. M. %A Livingston, J. C. %A Talati, A. %A Sibai, B. M. %D 2000 %J Am J Obstet Gynecol %K Adult; Apgar Score; Birth Weight; Cause of Death; Cerebral Palsy; Female; Gestational Age; Humans; Hydrogen-Ion Concentration; Hypoxia-Ischemia, Brain; Infant Mortality; Infant, Newborn; Leukomalacia, Periventricular; Mental Retardation; Pregnancy; Resuscitation; Treatment Outcome; Umbilical Arteries %N 5 %P 1210--1214 %T Outcome after successful resuscitation of babies born with apgar scores of 0 at both 1 and 5 minutes. %V 182 %X OBJECTIVE: Our purpose was to evaluate the outcome of infants who underwent successful resuscitation after initial Apgar scores of 0 at both 1 and 5 minutes.Study Design: Eligible infants were identified through the perinatal database at the University of Tennessee, Memphis. Hospital records and long-term outcomes, where available, of babies who met the above criteria occurring between January 1986 and February 1999 were reviewed. RESULTS: Thirty-three of 81,603 infants (0.4/1000 births) met our study criteria. Twenty-two (67\%) babies died during hospitalization. Mortality decreased significantly from 100\% for babies with a birth weight of <750 g to 38\% for those weighing > or =2500 g at birth (P =.03). All 6 babies delivered before 26 weeks' gestation died. The incidence of 10-minute Apgar scores >0 was significantly higher among survivors than among those who subsequently died (82\% vs 33\%, P <.05). Nine survivors had hypoxic-ischemic encephalopathy diagnosed before discharge. Of the 7 infants with available follow-up, 4 had significant persisting morbidity. Two infants had normal neurologic examinations at follow-up. CONCLUSION: Survival in babies born with 1- and 5-minute Apgar scores of 0 is predicted by birth weight, gestational age, and 10-minute Apgar score. Long-term sequelae are common but not ensured.

@article{Haddad2000, abstract = {OBJECTIVE: Our purpose was to evaluate the outcome of infants who underwent successful resuscitation after initial Apgar scores of 0 at both 1 and 5 minutes.Study Design: Eligible infants were identified through the perinatal database at the University of Tennessee, Memphis. Hospital records and long-term outcomes, where available, of babies who met the above criteria occurring between January 1986 and February 1999 were reviewed. RESULTS: Thirty-three of 81,603 infants (0.4/1000 births) met our study criteria. Twenty-two (67\%) babies died during hospitalization. Mortality decreased significantly from 100\% for babies with a birth weight of <750 g to 38\% for those weighing > or =2500 g at birth (P =.03). All 6 babies delivered before 26 weeks' gestation died. The incidence of 10-minute Apgar scores >0 was significantly higher among survivors than among those who subsequently died (82\% vs 33\%, P <.05). Nine survivors had hypoxic-ischemic encephalopathy diagnosed before discharge. Of the 7 infants with available follow-up, 4 had significant persisting morbidity. Two infants had normal neurologic examinations at follow-up. CONCLUSION: Survival in babies born with 1- and 5-minute Apgar scores of 0 is predicted by birth weight, gestational age, and 10-minute Apgar score. Long-term sequelae are common but not ensured.}, added-at = {2014-07-19T20:22:15.000+0200}, author = {Haddad, B. and Mercer, B. M. and Livingston, J. C. and Talati, A. and Sibai, B. M.}, biburl = {https://www.bibsonomy.org/bibtex/2f20ee9e8092639d8fafc00cc6944defa/ar0berts}, groups = {public}, interhash = {a8c6a1effc522f228cbe752eecaf7a8e}, intrahash = {f20ee9e8092639d8fafc00cc6944defa}, journal = {Am J Obstet Gynecol}, keywords = {Adult; Apgar Score; Birth Weight; Cause of Death; Cerebral Palsy; Female; Gestational Age; Humans; Hydrogen-Ion Concentration; Hypoxia-Ischemia, Brain; Infant Mortality; Infant, Newborn; Leukomalacia, Periventricular; Mental Retardation; Pregnancy; Resuscitation; Treatment Outcome; Umbilical Arteries}, month = May, number = 5, pages = {1210--1214}, pii = {S0002937800678444}, pmid = {10819860}, timestamp = {2014-07-19T20:22:15.000+0200}, title = {Outcome after successful resuscitation of babies born with apgar scores of 0 at both 1 and 5 minutes.}, username = {ar0berts}, volume = 182, year = 2000 }