Neonatal Resuscitation and Adaptation Score vs Apgar: newborn assessment and predictive ability

Objectiveto test the non-inferiority of an alternative to the apgar score.study designthe neonatal resuscitation and adaptation score (nras) was recorded in parallel to the apgar score by a resuscitation team at deliveries. correlation between the systems was assessed, as well as the predictive ability of nras and apgar scores for mortality or short-term morbidities.resultsa total of 340 infants were in the study group. the two scores correlated strongly (r = 0.87 and 0.83 at 1 and 5 min, respectively). those needing ventilation at 48 h of life had a 5-min nras < 7 in 23/26 vs apgar < 7 (23/36, p = 0.001). a low (0–3) 1-min nras score was more predictive of death, 53% vs 17%, p = 0.0065.conclusionsnras correlates with apgar status assessment, and identifies newborns who die or may require further care better than the apgar score.