Talk:Apgar score

This article was the subject of a Wiki Education Foundation-supported course assignment, between 1 July 2019 and 23 August 2019. Further details are available on the course page. Student editor(s): Jhum4993, Gabidriller, Tnguyen26, Allydiiorio (article contribs). This article was the subject of a Wiki Education Foundation-supported course assignment, between 30 August 2021 and 21 September 2021. Further details are available on the course page. Student editor(s): Mmehari, Jeremyccwang (article contribs).

Thanx, Lupo, you can see that I'm not a native speaker/writer. We do seem to share the wolf bit Jfdwolff 20:36, 13 Mar 2004 (UTC)

How is "How Ready Is This Child" a Mnemonic for APGAR (which has its own separate mnemonic)?--64.241.37.140 21:38, 18 April 2007 (UTC)

Please add a note about common usage currently. The article provides an environment of the 1950's with the date the score was created & a black/white photo. Nothing is said about 2009 and if this score is commonly used today or not.

Oh, snap! I'll see if the relevant wikiproject can be bugged. Ubiquitously, by the way. --Kizor 17:10, 6 July 2009 (UTC)

Current Usage

I don't know if this helps, but my son was born in December, 2005. The APGAR score was still in use here in Palm Beach County, Florida at that time.

Some discussion on the actual mathematics of the scoring might be in order. My son's score was a 9.9. Presumably, each aspect of APGAR is scored from 0-2 in 1 decimal place accuracy. Are they all equally weighted? If not, how are they weighted, and why? —Preceding unsigned comment added by Sciottos (talk • contribs) 12:29, 21 October 2009 (UTC)

There is no weighting in the score, it gives integer values ,I presume they just meant a 9 at 1 minute and a 9 at 5 minutes (it is usually recorded twice), medics are very good at over-abbreviating things or recording things in ways that you would only know if you are "in the club" (trust me I'm a doctor!) .Arfgab (talk) 09:57, 27 March 2010 (UTC)

Who?

Does anybody know who Jared Barnhill is? Maybe that was a random name insertion? 165.214.12.77 (talk) 07:24, 1 March 2015 (UTC)

Good catch. A vandal. Reverted. Anastrophe (talk) 07:28, 1 March 2015 (UTC)

Suggestions to improve accuracy

I noticed that a couple details in this article are inaccurate.

1. "A low score on the one-minute test may show that the neonate requires medical attention..."

• This statement is misleading at best. Resuscitation, if required, should already be underway by the first minute of life.<ref>{{cite book|last1=Weiner|first1=Gary M|title=Textbook of Neonatal Resuscitation|date=2011|publisher=American Academy of Pediatrics|location=Elk Grove Village, Chicago, United States|isbn=1610020243|edition=7th}}</ref>

2. "An Apgar score that remains below 3 at later times—such as 10, 15, or 30 minutes—may indicate longer-term neurological damage..."

• A low apgar score at the fifth minute of life is NOT predictive of future neurologic dysfunction.<ref>{{cite journal|last1=Nelson|first1=Karin B|title=Apgar Scores as Predictors of Chronic Neurologic Disability|journal=PEDIATRICS|date=July 01, 1981|volume=Vol. 68|issue=No. 1|pmid=7243507}}</ref>

I recommend that the information in this Wikipedia page be compared with the information in the article, The Apgar Score, by the American Academy of Pediatrics. As well, I will also note that there is a discrepancy between the mind map and the information in the page. The mind map indicates that a pulse between 0 and 60 is awarded 0 points, while the Wikipedia page would give one point for the same heart rate.

So fix it. Esrever ^(klaT) 18:29, 18 February 2017 (UTC)

Foundations 2 2019, Group 6b goals

Group goals: (1) Determine who Jared Barnhill is (rescinded). (2) Determine how commonly the Apgar score is used - is it used in every hospital? What proportion of hospitals? (3) Compare the information between this article and the article "The Apgar Score" by the American Academy of Pediatrics. — Preceding unsigned comment added by Gabidriller (talk • contribs) 21:46, July 29, 2019 (UTC) Gabidriller (talk) 20:13, 30 July 2019 (UTC)

While pursuing your group goals, please be sure that any changes to the article conform to Wikipedia policies and guidelines, especially the policies on Verifiability and Neutral point of view. Thanks, Mathglot (talk) 05:29, 30 July 2019 (UTC)

@Allydiiorio, Jhum4993, Gabidriller, and Mvirk422:

While posting on this page (or any Talk page) make sure you sign your posts using WP:4TILDES and use indentation to separate replies, as explained at WP:THREAD. Pinging @Shalor (Wiki Ed): Thanks, Mathglot (talk) 05:39, 30 July 2019 (UTC)

• Thanks Mathglot! I'll make sure to keep an eye on them! Shalor (Wiki Ed) (talk) 15:01, 30 July 2019 (UTC)

@Gabidriller:, would you please explain your "who is" comment in point 1 above? Of what relevance is this to the article, and where did you get that name from? Thanks Mathglot (talk) 20:27, 30 July 2019 (UTC)

@Mathglot: That goal was posted in regards to a question posted above under "Who?". Since Jared Barnhill's name was removed from the article, I will remove that goal. Gabidriller (talk) 20:52, 30 July 2019 (UTC)

@Gabidriller:, thanks, that's the right approach. By the way, you can remove it from your personal goals or external lists, but don't actually delete the words from your post above. According to Wikipedia Talk page guidelines, items that are no longer valid in earlier comments you have made, should not be deleted per WP:TPO, because it could lead to confusing conversations, with people appearing to respond to points that aren't there anymore. However, you can strike your comment in point 1, if you wish, per WP:REDACT. But you don't have to; it's up to you. From the subsequent comments, it's clear you have abandoned that goal. If you wish to strike it, the way to do that is using the <s> tag, like this: <s>strike me out</s>, which generates this: strike me out. Thanks for the quick reply. Mathglot (talk) 21:01, 30 July 2019 (UTC)

Ah, I see you added 'rescinded'; that's just fine; good instincts. You could be a good editor here; hope you stick around after the class. Mathglot (talk) 21:02, 30 July 2019 (UTC)

You may wish to consider including the updated clinical guidelines. Health policy (talk) 02:55, 31 July 2019 (UTC)

I added a section about limitations to the Apgar Score from the ACOG guidelines. Hoping to expand more on other factors and limitations / misuse of the apgar score. Allydiiorio (talk) 21:42, 1 August 2019 (UTC)

Sources

Hopefully, this may help you find additional sources for your editing:

Search for Apgar score in: Google · Google Books · Google Scholar · JSTOR · Archive.org · Bing · New York Times · Wikipedia Reference Search · Google Newspapers

Good luck, Mathglot (talk) 20:14, 30 July 2019 (UTC)

Apgar Score guidelines were updated by acog in 2015-- Tnguyen26 (talk) 20:46, 1 August 2019 (UTC)

Apgar Score guidelines were updated by acog in 2015 --Jhum4993 (talk) 20:51, 1 August 2019 (UTC)

The Apgar Score Guidelines were updated by ACOG in 2015 Allydiiorio (talk) 20:52, 1 August 2019 (UTC)

References

Sabrina's Peer Review (Group 6A)

1. A) Do the group’s edits improve the article as described in the Wikipedia peer review “Guiding framework”? The lead section was clear, there was no edits made to this section (And I do not think any are needed). There is a clear structure of the article with the implementation of scores being followed by limitations of the scores. This is a logical outline to follow along with giving balanced coverage by showing data for and against the score. The sources are reliable and drawn such as the American College of Obstetricians and Gynecologists.

B) Has the group achieved its overall goals for improvement? The group may have determined who Jared Barnhill is but did not write about Jared in the article. The group discussed when the Apgar score is used, but did not report any statistics regarding the proportion it is used in hospitals. The group used reliable sources for the articles, but the American Academy of Pediatrics is not cited.

2. Is there any evidence of plagiarism or copyright violation? There is some similarities to guidelines regarding resuscitation information in "Implementation of Scores" section. The limitation section also closely mimics the citation. However, these information in these section would be hard to not adhere to closely to the citation.

Sabrinabulla (talk) 21:19, 5 August 2019 (UTC)

Amanda's Peer Review - Group 6a

1a. Do the group’s edits improve the article as described in the Wikipedia peer review “Guiding framework”? The lead section of the article was well written. There were no edits made to this section. There is a clear structure and it is written in an order that is easy to follow (i.e. defining apgar score, criteria, interpretation of the score, and limitations for its use). All sections of the article are given an appropriate amount of space and there is a good distribution of information throughout. The content added to the article is neutral and they did a good job citing the articles and using systematic reviews as reliable sources.

1b. Has the group achieved its overall goals for improvement? This article has definitely been improved although all the goals stated on the talk page were not achieved.

2. Are the points included verifiable with cited secondary sources that are freely available? If not, specify… Yes, all the points that are included are cited and with sources that are freely available.

Amandabair (talk) 21:46, 5 August 2019 (UTC)

Nora's Peer Review (Group 6a)

1. a. Do the group’s edits improve the article as described in the Wikipedia peer review “Guiding framework”? The lead section was easy to understand. It begins with the definition of Apgar Score, which is helpful in introducing the topic. No edits were made to this section. The article is divided into sections (for example: “Implementation of scores” and “Limitations”) that are clearly labeled according to the subject. These sections were not there before. The group added this new information, which gives the reader more information about when and how the Apgar Score is used. The content is worded to sound neutral. It simply provides the reader with information about how the score is used and interpreted. The article also uses systematic reviews to provide information about the limitations and implementation of Apgar score. However, the sentence:“A systematic review that analyzed the relationship between umbilical cord pH and neonatal outcomes found that low cord pH is strongly correlated with mortality,morbidity and cerebral palsy in childhood.[7]” appears to begin abruptly as it begins with “umbilical cord pH” without any introduction.

b. Has the group achieved its overall goals for improvement? The group did not determine who Jared Barnhill is. They also did not specifically provided statistics on how often the Apgar Score is used, but they provided extensive information on the scenarios when the scores are implemented and the limitations of using the Apgar Score.

2. Person C. Are the edits formatted consistent with Wikipedia’s manual of style? If not, specify… The edits are formatted with a clear structure. They divided the information into sections with information that is consistent with the title of the section. The writing style is conducted in a neutral manner. The sources consist of review articles and .org websites dedicated specifically to Apgar score.

NoraCortez (talk) 02:16, 6 August 2019 (UTC)

UCSF Foundations 2 2019, Group 6a: Kim Chi's Peer Review

1a: Do the group’s edits improve the article as described in the Wikipedia peer review “Guiding framework”?

• Sections are organized well and flow in a logical manner (introduction of Apgar score, to criteria, interpretation, implementation, limitations). Each section seems equal in length and importance.

1b: Has the group achieved its overall goals for improvement?

• The first goal was "rescinded", and although the second goal is slightly addressed under interpretation of scores, that section discusses frequency of use, but not how commonly it is used in hospitals overall. Third goal was difficult to find, and as aforementioned in another peer review, the American Academy of Pediatrics is not cited.

2a: Does the draft submission reflect a neutral point of view? If not, specify…

• Draft submission has a neutral point of view

Knguyen525 (talk) 17:23, 6 August 2019 (UTC)

2021 CIC MS2 edit

Article Chosen: Apgar Score

Why this one? Include WP rating scale? How fit with your interests. Other details as desired: Apgar score gets 5 views a day. All newborns are assigned to Apgar scores at birth, so new parents should be informed what their child’s Apgar score means. WP rating: Mid importance, Start class medicine

You WP editing team (up to 3): MM, KR, JW

Initial Analysis:Irrelevant information, repeat information

Overall organization, what changes:

1. Introduction
2. Criteria - minor edits to make sure information is correct
3. Interpretation - minor edits to make sure information is correct
4. Change/ remove implementation -> utilization : provide a more in depth step by step about how the Apgar score is used in practice

What will you add?

1. Who determines the Apgar score?
2. More languages
3. Provide a more in depth step by step about how the Apgar score is used in practice
4. Pictures!!!

What will you remove?

1. Implementation section
2. Random statistic about Peru
3. Random information about skin to skin contact
4. Random information about umbilical pH

What will you augment?

1. In-depth step by step of resuscitation done on newborn if Apgar score does not improve
2. The order in which information is presented

What will you decrease coverage of? Extraneous information related to pH

Team Coordination Plan: Google Drive Email Slack