OBJECTIVES To confirm the utility of a 10-point Surgical Apgar Score to rate surgical outcomes in a large cohort of patients. DESIGN Using electronic intraoperative records, we calculated Surgical Apgar Scores during a period of 2 years (July 1, 2003, through June 30, 2005). SETTING Major academic medical center. PATIENTS Systematic sample of 4119 general and vascular surgery patients enr...

OBJECTIVE The mode of delivery in breech presentation (BP) is controversial. Several studies have reported the advantages and disadvantages of delivery mode in BP. The aim of this study was to compare the Apgar scores in BPs between vaginal and cesarean delivery. MATERIALS AND METHODS A retrospective study was conducted at Dr. Zainoel Abidin General Hospital from January 2010 to December 2012...

BACKGROUND The aetiology of molar incisor hypomineralisation (MIH) is unclear. The asymmetric distribution of MIH in the dentition may indicate that an insult of short duration that affects ameloblasts at a vulnerable stage could be a causative factor. Apgar ≤ 5 at 5 min may indicate asphyxia (hypoxic-ischemic insult) during birth. It was hypnotised that low Apgar score during birth may cause M...

OBJECTIVE To evaluate the relationship between an Apgar score of three or less at one minute of life and the subsequent risk of developing neonatal encephalopathy (NE). DESIGN Prospective. SETTING The principal maternity hospital of Kathmandu, Nepal, a low income country, where over 50% of the local population deliver. METHODS All liveborn infants over a 12 month period with a birthweight...

AIM The purpose of this study was to assess the relation of perinatal risk factors with later development of specific language impairment (SLI). METHOD In a case-control study, 179 children attending special needs schools for SLI were matched with non-affected children attending mainstream schools. Both groups consisted of 134 males and 45 females (age range 4-13 y; mean age 9 y, SD 2 y 4 mo)...

A recent study by Grunebaum et al examined the relationship between place of birth and adverse neonatal outcomes (Apgar of 0 at 5 minutes, and neonatal seizures or serious neurologic dysfunction—hereafter referred to as neonatal seizures) as reported in birth certificate data from 2007 to 2010 for term newborns (n = 13,891,274) (1). Outcomes were analyzed by four practitioner types: hospital ph...

INTRODUCTION Preterm birth is the most important univariant risk factor of neonatal mortality. Assessment of risk factors affecting mortality in preterm infants with very low birth weight is important for the treatment of this highly vulnerable population. OBJECTIVE Detection of risk factors for neonatal mortality in very low birth weight premature infants. METHODS The current study was con...

To provide consistently low incidence of major complications for patient undergoing any operation, recognizing patients at high risk of developing a complication will contribute substantially to quality of operation and of cost reduction in surgery. Marked variability of post-operative outcomes is usually found due to difference in patient’s preoperative co-morbid and risk factors [1]. The card...