Valoración del recién nacido. Correlación del test de Apgar con la gasometría arterial al nacimiento.

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Bibliographic Details
Title:	Valoración del recién nacido. Correlación del test de Apgar con la gasometría arterial al nacimiento.
Alternate Title:	Assessment of the newborn. Correlation of the Apgar test with arterial blood gas at birth.
Authors:	Mayol-Pérez, María Luisa¹ (NURSE), Hernández-Garre, José Manuel^2,3 (NURSE) jmhernandez@um.es, Echevarría-Pérez, Paloma⁴ (NURSE)
Source:	Matronas Profesion. 2021, Vol. 22 Issue 2, p95-99. 5p.
Subjects:	NEWBORN screening, RESEARCH, MATHEMATICAL statistics, BLOOD gases analysis, SCIENTIFIC observation, PARAMETERS (Statistics), CROSS-sectional method, MIDWIFERY, RETROSPECTIVE studies, T-test (Statistics), DESCRIPTIVE statistics, CHI-squared test, APGAR score, STATISTICAL correlation, ODDS ratio, ASPHYXIA neonatorum, RESPIRATORY acidosis, NEONATOLOGY, CHILDREN
Geographic Terms:	SPAIN
Abstract (English):	Objective: To evaluate the degree of correlation between the Apgar test scores and the arterial blood gas values at birth. Methodology: Observational, analytical, retrospective and prevalence study carried out at the Hospital Universitario Rafael Méndez (Spain) on a sample of 312 neonates. The data were obtained from the computerized registry of clinical data, analyzing the Apgar test scores at one minute of life as a dependent variable, and pH, pC02 and base deficits collected by means of umbilical artery blood gases at birth as independent variables. Statistical analysis adopted a significance level of p <0.05 through the application of parametric tests such as Pearson's correlation coefficient, Student's t-test for independent samples and χ²- Results: A significant correlation is observed between pathological Apgar test scores and fetal acidosis (p= 0.006; Odds ratio [OR]= 2.555), hypercap-nia (p= 0.004; OR= 2.675), base deficit (p= 0.001; OR= 4.758) and metabolic acidosis (p= 0.018; OR= 3.556) at birth. Conclusions: A correlation can be established between the Apgar test at minute of life and arterial blood gas at birth, observing a professional underestimation in the scores of respiratory acidosis. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Objetivo: Evaluar la correlación entre las puntuaciones del test de Apgar y los valores de la gasometría arterial al nacimiento. Metodología: Estudio descriptivo transversal de prevalencia realizado en el Hospital Universitario Rafael Méndez de Lorca (España). Los datos se obtuvieron del registro informático de datos clínicos, analizando como variable dependiente las puntuaciones del test de Apgar al minuto de vida, y como variables independientes el pH, la presión parcial de dióxido de carbono y el déficit de base, recogidos mediante gasometría de la arteria umbilical al nacimiento. El análisis estadístico adoptó un nivel de significación estadística de p <0,05 mediante la aplicación de pruebas paramétricas, como el coeficiente de correlación de Pearson, la t de Student para muestras independientes y la χ²- Resultados: La muestra fue de 312 neonatos. Se observa una correlación significativa entre las puntuaciones del test de Apgar patológicas y la acidosis fetal (p= 0,006; odds ratio [0R]= 2,555), la hipercapnia (p= 0,004; 0R= 2,675), el déficit de bases (p= 0,001; OR= 4,758) y la acidosis metabólica (p= 0,018; 0R= 3,556) al nacimiento. Conclusiones: Se puede establecer una correlación entre el test de Apgar al minuto de vida y la gasometría arterial al nacimiento. Se observa una subestimación profesional en las puntuaciones de las acidosis respiratorias. [ABSTRACT FROM AUTHOR]
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Database:	MedicLatina

Description
Abstract:	Objective: To evaluate the degree of correlation between the Apgar test scores and the arterial blood gas values at birth. Methodology: Observational, analytical, retrospective and prevalence study carried out at the Hospital Universitario Rafael Méndez (Spain) on a sample of 312 neonates. The data were obtained from the computerized registry of clinical data, analyzing the Apgar test scores at one minute of life as a dependent variable, and pH, pC02 and base deficits collected by means of umbilical artery blood gases at birth as independent variables. Statistical analysis adopted a significance level of p <0.05 through the application of parametric tests such as Pearson's correlation coefficient, Student's t-test for independent samples and χ²- Results: A significant correlation is observed between pathological Apgar test scores and fetal acidosis (p= 0.006; Odds ratio [OR]= 2.555), hypercap-nia (p= 0.004; OR= 2.675), base deficit (p= 0.001; OR= 4.758) and metabolic acidosis (p= 0.018; OR= 3.556) at birth. Conclusions: A correlation can be established between the Apgar test at minute of life and arterial blood gas at birth, observing a professional underestimation in the scores of respiratory acidosis. [ABSTRACT FROM AUTHOR]
ISSN:	15780740