Title

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

Publication Title

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.

DOI

10.1093/aje/kwz132

Persistent Identifier

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

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