APGAR Serial Research — PaedCare KGH

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Patient & Delivery Details

Baby ID / Name*

Mother's Name

Admission No.*

Sex

Gestational Age (weeks)*

Birth Weight (grams)*

Mode of Delivery

Place of Birth

Plurality

Ward / Location

Clinician*

Date & Time

Resuscitation Given (check all that apply)

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Do not delay neonatal resuscitation to assign the APGAR score.
Begin resuscitation immediately if needed — scoring is secondary.

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Serial APGAR Scoring

⚠️ 5-minute APGAR is below 7. Continue APGAR scoring every 5 minutes up to 20 minutes, as clinically indicated.

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Trend Summary & Final Interpretation

Complete at least two time points to see trend.

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Complete 1-minute and 5-minute scoring

Fill all five components at each required time point to see interpretation.

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Clinical Report

Please save the record first.

📱 Manual Copy Text (long-press to select on mobile)

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I confirm that informed consent has been obtained for research use of this data.

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Previous Reports (this session)

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Privacy: All data stored locally on this device only. No patient information is transmitted to any server.

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Clinical Disclaimer: This tool supports — but does not replace — clinical judgement. APGAR scores must be interpreted in context. Do not delay neonatal resuscitation. Ref: Apgar V. 1953; ACOG/AAP 2015; NRP/NSSK guidelines.

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Research Dataset

#	Timestamp	Study ID	GA (wk)	BWT (g)	APGAR 1m	APGAR 5m	Final APGAR	Trend	5m <7	Resuscitation	Clinician	Action
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Analytical Dashboard

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Dashboard Output

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Research Framework

1. Shared Variable Manifest — Pooled Analysis

Variable Name	Description	Type	Apps
baby_id	Baby identifier / name	String	Shared
admission_no	Hospital admission / IP number	String	Shared
sex	Male / Female / Ambiguous	Categorical	Shared
ga_weeks	Gestational age in completed weeks	Numeric	Shared
ga_category	extreme_preterm / very_preterm / moderate_late_preterm / term	Categorical	Shared
birth_weight_g	Birth weight in grams	Numeric	Shared
birth_weight_category	ELBW / VLBW / LBW / normal_birth_weight	Categorical	Shared
delivery_mode	Vaginal / LSCS / Assisted	Categorical	Shared
place_of_birth	Inborn / Outborn	Categorical	Shared
plurality	Singleton / Twin / Multiple	Categorical	Shared
resuscitation_given	Comma-separated list of interventions	String	Shared
any_resuscitation	1 if any resuscitation beyond None; else 0	Binary	Shared
advanced_resuscitation	1 if PPV / intubation / compressions / drugs; else 0	Binary	Shared
clinician	Assessing clinician name / designation	String	Shared
ward_location	Ward or delivery suite location	String	Shared
timestamp	ISO 8601 date-time of assessment	DateTime	Shared
apgar_1min	APGAR score at 1 minute	Integer 0–10	Shared
apgar_5min	APGAR score at 5 minutes	Integer 0–10	Shared
final_completed_apgar	Score at the last completed time point	Integer 0–10	Shared
final_completed_timepoint	Label of last completed time point	String	Shared
severity_category	normal / moderate / severe (based on final score)	Categorical	Shared
trend_category	improving / static / worsening / not_calculable	Categorical	Shared
apgar_change_1_to_5	apgar_5min − apgar_1min	Integer	Serial only
apgar_change_5_to_final	final_completed_apgar − apgar_5min	Integer	Serial only
lowest_apgar	Minimum score across all completed time points	Integer	Serial only
highest_apgar	Maximum score across all completed time points	Integer	Serial only
five_min_below_7	1 if apgar_5min < 7; else 0	Binary	Serial only
persistent_low_apgar_5min_or_later	1 if any score at 5 min or later <7; else 0	Binary	Serial only
recovery_eligible	1 if initial (1-min) APGAR <7, i.e. eligible for recovery assessment; else 0	Binary	Serial only
recovery_to_7_or_more	Among eligible cases only: 1 if final score ≥7 after initial score <7; else 0. Not meaningful when recovery_eligible = 0.	Binary	Serial only

2. Research Potential

#	Research Question	Variables of Interest
1	Frequency of low 5-minute APGAR in inborn deliveries	five_min_below_7, place_of_birth
2	APGAR recovery pattern: who recovers to ≥7?	recovery_to_7_or_more, trend_category, ga_category
3	Association of prematurity with APGAR depression	ga_weeks, ga_category, apgar_1min, apgar_5min, severity_category
4	Association of low birth weight with APGAR scores	birth_weight_g, birth_weight_category, apgar_1min, apgar_5min
5	Inborn vs outborn comparison of APGAR outcomes	place_of_birth, apgar_5min, five_min_below_7, trend_category
6	Mode of delivery and APGAR at 1 and 5 minutes	delivery_mode, apgar_1min, apgar_5min
7	Resuscitation burden and APGAR severity	any_resuscitation, advanced_resuscitation, severity_category
8	Persistent low APGAR ≥5 minutes as a neonatal risk marker	persistent_low_apgar_5min_or_later, advanced_resuscitation
9	Serial APGAR change (1→5 min) and final outcome severity	apgar_change_1_to_5, final_completed_apgar, severity_category
10	Pooled comparison with CRIB-II and SNAPPE-II if linked	All shared variables + CRIB-II / SNAPPE-II scores via common admission_no

3. Clinical Safety Note

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The APGAR score is a tool for documentation and outcome description of the neonate's condition at birth. It must never delay initiation of neonatal resuscitation. Resuscitation decisions must follow NRP/NSSK clinical judgement, not APGAR scoring. In research settings, APGAR data should be recorded retrospectively or concurrently by a second observer to avoid any compromise to timely resuscitation.

4. Dataset Export Instructions

5. Privacy & IEC Compliance

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Dr B.S. Chakravarthy

Professor & Head, Department of Paediatrics
Andhra Medical College & King George Hospital, Visakhapatnam

✉️ bhimisetti@gmail.com 🟢 9848253535