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Practical Epigram of the Apgar Score

Joseph Butterfield, M.D.; Mervyn J. Covey, M.D.
JAMA. 1962;181(4):353. doi:10.1001/jama.1962.03050300073025.
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To the Editor:—  As concern about neonatal mortality increases, it becomes apparent that techniques for the objective and uniform recording of pertinent data are necessary.1 The Apgar Score, a method of evaluating the newborn infant,2,3 has gained widespread recognition,4-6 as it has been shown to reflect the immediate status7 as well as the prognosis3,8 of the newborn infant.Despite the value of the scoring system, experience has shown that it may be difficult to memorize the categories that make up the score and that many medical personnel are not familiar with it. The purpose of this communication is to describe an epigram (see figure) which embodies the basic components of the scoring system and implements its application.The epigram has not altered the essence of the Apgar scoring system, and it does afford a means of remembering it easily. This has been an effective adjunct


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