Utility of the 5-minute Apgar Score as a Research Endpoint

Authors

Marit L. Bovbjerg, Oregon State University
Mekhala V. Dissanayake, Oregon Health & Science UniversityFollow
Melissa Cheyney, Oregon State University
Jennifer Brown, University of Washington
Jonathan Snowden, Portland State UniversityFollow

Published In

American Journal Of Epidemiology

Document Type

Citation

Publication Date

5-30-2019

Abstract

Although Apgar scores are commonly used as proxy outcomes, little evidence exists in support of the most common cutpoints (n= 52,877; 2012–2016), and the other contained hospital births from California (n = 428,877; 2010). We treated 5-minute Apgars as clinical “tests,” compared against 18 known outcomes; we calculated sensitivity, specificity, positive and negative predictive values, and the area under the receiver operating characteristic curve for each. We used 3 different criteria to determine optimal cutpoints. Results were very consistent across data sets, outcomes, and all subgroups: The cutpoint that maximizes the trade-off between sensitivity and specificity is universally

Description

© The Author(s) 2019.

Locate the Document

https://doi.org/10.1093/aje/kwz132

DOI

10.1093/aje/kwz132

Persistent Identifier

https://archives.pdx.edu/ds/psu/29478

Citation Details

Bovbjerg, M. L., Dissanayake, M. V., Cheyney, M., Brown, J., & Snowden, J. M. (2019). Utility of the 5-minute Apgar Score as a Research Endpoint. American Journal Of Epidemiology.