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Apgar Score

 

Strength and regularity of heart rate
		100 beats/minute or more (2 points)
		Less than 100 (1 point)
		None (0 points)
Lung maturity
		Regular breathing (2 points)
		Irregular (1 point)
		None (0 points)
Muscle tone and movement
		Active (2 points)
		Moderate (1 point)
		Limp (0 points)
Skin color / oxygenation
		Pink (2 points)
		Bluish extremities (1 point)
		Totally blue (0 points)
Reflex response to irritable stimuli
		Crying (2 points)
		Whimpering (1 point)
		Silence (0 points)

 
Important: Inputs must be complete to perform calculation.

 

Total Criteria Point Count:
 
     
 
Include literature references: Yes   No
 

Apgar Score

 

7 to 10 Points:	Normal
0 to 6 Points:	Distress

 

 

References

1. Apgar V. A proposal of a New Method of Evaluation of the Newborn Infant. Current Researches in Anesthesia and Analgesia. 1953, 32: 260-267. PubMed ID: 13083014
2. Apgar V, Holaday DA, James LS, et al. Evaluation of the newborn infant. JAMA. 1958, 168: 1985-1988. PubMed ID: 13598635
3. Casey BM, McIntire DD, Leveno KJ. The continuing value of the Apgar score for the assessment of newborn infants. N Engl J Med. 2001 Feb 15;344(7):467-71. PubMed ID: 11172187

 

Associated Medical Subject Headings [MeSH]
 

Apgar Score,   Carbon Dioxide,   Cohort Studies,   Fetal Blood,   Gestational Age,   Humans,   Hydrogen-Ion Concentration,   Infant,   Infant Mortality,   Newborn,   Oxygen,   Premature,   Prognosis,   Retrospective Studies,   Risk

 

Associated ICD10-CM Codes
 

	P28.5	Respiratory failure of newborn
	P28.3	Primary sleep apnea of newborn
	P28.4	Other apnea of newborn
	P28.2	Cyanotic attacks of newborn
	P29.11	Neonatal tachycardia
	P29.12	Neonatal bradycardia

 

Associated ICD9-CM Codes
 

	779.81	Neonatal bradycardia
	779.82	Neonatal tachycardia
	770.83	Cyanotic attack, newborn
	770.82	Other apnea of newborn
	770.81	Primary apnea of newborn
	770.84	Resp failure of newborn