Assistant de documentation de l’indice d’Apgar conventionnel

État

clinical-review-pending

Version de la méthode

Conventional Apgar documentation arithmetic, engine apgar-conventional-v1953__acog644-r2025__aha-aap-2025 reviewed 2026-08-13: at each supported completed minute after complete birth, independently observed appearance, pulse, grimace/reflex response, activity/muscle tone, and respiration each contribute 0, 1, or 2 and sum to one integer total from 0 through 10. Heart rate contributes 0 when absent, 1 at 1–99 beats/min, and 2 at >=100 beats/min; exact 100 therefore contributes 2. Every complete row requires all five observations from that same minute, with no inference, imputation, total-only entry, interpolation, or carry-forward. Explicit not-obtained rows receive no points or total. Complete one- and five-minute rows are expected for every newborn; when the complete five-minute total is below 7, complete rows at 10, 15, and 20 minutes remain reported as required missing minutes until supplied. An optional descriptive five-minute category is returned only with documented gestational age from 34 weeks 0 days through 41 weeks 6 days: total 0–3 low, 4–6 moderately abnormal, and 7–10 reassuring. Six exact confirmations cover qualified-clinician assessment, immediate-newborn context, the conventional source definitions, timing from completed birth, complete same-minute observations without carry-forward or imputation, and documentation-only use without care, asphyxia, or prognosis. Output is limited to version, review date, entered context, same-minute rows, five component-point audits, totals, the bounded five-minute descriptor when eligible, required missing minutes, and fixed warnings. It does not select, start, stop, or delay resuscitation or other care; establish asphyxia or hypoxic-ischemic encephalopathy; predict an individual outcome; or provide diagnosis, prognosis, treatment, disposition, management, or recommendation.

Population

Qualified clinicians documenting the conventional five-component condition of one newborn at completed 1, 5, 10, 15, or 20 minutes after complete birth. Complete one- and five-minute observations are expected for every newborn; complete 10-, 15-, and 20-minute observations are additionally expected when the complete five-minute total is below 7. Gestational age and resuscitation context are entered only as separate documentation context and never alter component points. The optional five-minute descriptor is deliberately restricted to documented gestational age 34+0 through 41+6 and is descriptive only. The 1953 source reported condition after birth, while the current ACOG/AAP and 2025 neonatal-resuscitation sources define the documentation and safety context; the helper is not a resuscitation workflow.

Limites et exclusions

A missing, unknown, inferred, imputed, carried-forward, interpolated, total-only, mixed-minute, later-substituted, or incomplete component; a duplicate or unsupported minute; an assessment after 20 minutes; or treating a not-obtained row as five zero-point observations. · Antenatal or fetal assessment; use for an older infant or child; live-birth or death determination; patient, parent, or caregiver self-assessment; an expanded, specified, assisted, intervention-adjusted, or locally modified Apgar variant; or silently changing points because resuscitation was underway. · Use to choose, begin, stop, withhold, or delay resuscitation, ventilation, oxygen, medications, transfer, cooling, monitoring, or any other care; use as a timer, alarm, triage rule, disposition rule, stopping rule, or substitute for current neonatal assessment and protocol. · Birth-asphyxia or hypoxic-ischemic-encephalopathy diagnosis; individual mortality, neurologic, developmental, or other outcome prediction; prognosis; treatment eligibility; severity traffic light; reassurance; recommendation; management; or any inference from a total or five-minute descriptor beyond the bounded documentation output. · Verbatim or adapted reproduction, translation, layout, table, figure, form, interface, logo, seal, or branding from ACOG, AAP, AHA, NRP, or a cited journal source, or any implication of endorsement. The implementation uses independently expressed factual arithmetic and original English/French interface wording; clinical, professional French, title, and legal review remain pending.

• https://digirepo.nlm.nih.gov/ext/document/101584647X152/PDF/101584647X152.pdf
• https://pubmed.ncbi.nlm.nih.gov/25899272/
• https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2015/10/the-apgar-score
• https://publications.aap.org/pediatrics/article/136/4/819/73821/The-Apgar-Score
• https://cpr.heart.org/en/resuscitation-science/cpr-and-ecc-guidelines/neonatal-resuscitation
• https://publications.aap.org/pediatrics/article/151/2/e2022059631/190463/Recommended-Guideline-for-Uniform-Reporting-of

Outil importé de la bibliothèque PharmaTek de MDose. Aucune date de révision clinique indépendante n’est documentée dans cette version.

Bibliothèque source

PharmaTek · MDose

Version importée

4b66536936ed

État de publication

Révision clinique en cours