apgar score
DESCRIPTION
sssTRANSCRIPT
RETROSPECTIVE COHORT STUDY OF THE APGAR SCORE AT ONE MINUTE OF INFANT BORN ON PREECLAMPTIC WOMEN IN CIPTO MANGUNKUSUMO HOSPITAL
Adly Nanda Al Fattah, Sulaeman Andrianto Susilo, Karina Niken PratiwiDepartment of Obstetrics & Gynecology, Faculty of Medicine Universitas IndonesiaCipto Mangunkusumo Hospital, Jakarta Indonesia
AbstractBackgroundPreeclampsia is one of the common condition of unknown etiology which increase the risk of maternal and perinatal morbidity and mortality. Preeclampsia has great implication on adverse neonatal outcome. Apgar score at 1 minute is one of the indicators of physiologyc maturity of the infant. Therefore, we aim to see the correlation of Apgar score at 1 minute in preeclamptic women. MethodsData were collected during January to December 2013 with all preeclamptic women with singleton live pregnancies who delivered their babies in Cipto Mangunkusumo Hospital. The primary outcome was Apgar score at 1 minute. Age of gestation, maternal age, IUGR, ecclampsia, anemia, low birth weight, MAP, early or late, parity, leucocyte, thrombocyte, ANC, and severity of preeclampsia, were the variable studied. Binary logistic was used as multivariate analysis to see the correlation between independent factors and apgar score as the outcome.ResultOut of 450 preeclamptic women, 446 of them met the inclusion criteria. Low Apgar score was found in ..%(N/NN) of neonates. IUGR (Adjusted OR .., 95%CI ..-...), Age of gestation (Adjusted OR.. , 95%CI ..-..), dan lain lain were independent risk factors for having infant with low apgar score at 1 minute. Conclusion
Background
Preeclampsia is one of the common conditions of unknown etiology which increase the risk of maternal and perinatal morbidity and mortality. The exact etiology of preeclampsia remains unknown, factors that are currently more accepted include abnormal trophoblast invasion of uterine blood vessels, increased vasopressor response and vasospasm, immunological intolerance to the fetus and genetic abnormlities.1 Preeclampsia affects 3 5% of pregnancies, it is an important factor in fetal growth retardation as it is commonly associated with placental insufficiency.2 Preeclampsia has great implication on adverse neonatal outcome.3 The various complication seen are low Apgar score, IUGR, low birth weight, and increased need for admission to Neonatal Intensive Care Unit (NICU).4
The Apgar score, devised in 1952 by Dr. Virginia Apgar, is a quick method of assessing the clinical status of the newborn infant.5 The Apgar score comprises five components : heart rate, respiratory effort, muscle tone, reflex irritability, and color, each of which is given a score of 0,1, 0r 2. 6 It is important to recognize that elements of the apgar score are partially dependent on the physiologic maturity of the infant. 7
Some studies found that preeclamptic women tend to have infant with low apgar score than healthy women. Proteinuria and increased blood pressure in preeclampsia are associated with a lower fetal birth weight and a lower apgar score and an increased risk of adverse perinatal outcome.8 Gawde et al found that in severe cases of preeclampsia, the apgar score at 1 minute is 2- fold worse than in mild preeclampsia.9
Preeclampsia is frequently seen in Indonesia population. This study was conducted to correlate preeclampsia with to see the apgar score as the fetal outcome. 1. Usia Grup Ibu2. Klasifikasi Usia Kehamilan3. Anemia4. ANC Teratur5. IUGR6. Eklampsia7. Klasifikasi MAP8. Low Birth Weight
IUGR Ecclampsia Low Birth Weight MAP Early or Late Leucocyte Thrombocyte Severity Week of Gestation
ResultTable 1. All numeric variables were presented in median (range).GA,gestational age;BP,blood pressure;ANC,antenatal care; IUGR, intrauterine griwth restriction; SGA, small-for-gestational-age
VariablesNo.N= 446
Maternal age (yr)ParityWeeks of GA (weeks)Systolic BP (mmHg)Diastolic BP (mmHg)Thrombocyte count (x109/L )Type of Case Booked case, n(%) Non-Booked Case, n(%)ANC> 3 visits, n(%) 3 visit(s), n(%)Mode of Delivery Vaginal Delvery, n(%) Caesaran Delivery, n(%)IUGR Yes, n(%) No, n(%)Eclampsia Yes, n(%) No, n(%)Anemia (Hb < 11 g/dl) Yes, n(%) No, n(%)Preterm Delivery Yes, n(%) No, n(%)SGA Yes, n(%) Non, n(%)
31 (15-47)1 (0-6)37 (25-42)160 (90-270)100 (100-170)248
429 (96.2%)15 (3.4%)
361 (80.9%)85 (19.1%)
152 (34%)294 (65.9%)
29 (6.5%)417 (93.5%)
31 (7%)414 (92.8%)
58 (13%)367 (82.3%)
178 (39.9%)268 (60.1%)
86 (19.3%)360 (80.7%)
Table 2. VariablesSGA (n=86)Non-SGA (n=360)POR (95%CI)
Maternal Age (year)ParityWeeks of GA at birthBirtweight (gram)5th min Apgar ScoreSystolic Blood PressureDiastolic Blood PressureThrombocyte CountPrevious CD Yes No30 (16-42)1 (0-5)36 (25-41)1745 (500-2800)9 (00-10)160 (110-24)105 (100-140)217x109/L
10 (11.6%)76 (88.4%)31 (15-47)1 (0-6)28 (25-42)2850 (720-4935)9 (1-10)160 (90-270)100(60-270)256x109/L
43 (11.9%)317 (88.1 %)0.143*0.013*a0.007*a173500 / 3x)Count68293361
% within ANC teratur18.8%81.2%100.0%
% within ApgarNew79.1%81.4%80.9%
% of Total15.2%65.7%80.9%
tidak (1-3x)Count186785
% within ANC teratur21.2%78.8%100.0%
% within ApgarNew20.9%18.6%19.1%
% of Total4.0%15.0%19.1%
TotalCount86360446
% within ANC teratur19.3%80.7%100.0%
% within ApgarNew100.0%100.0%100.0%
% of Total19.3%80.7%100.0%
Chi-Square Tests
ValuedfAsymp. Sig. (2-sided)Exact Sig. (2-sided)Exact Sig. (1-sided)
Pearson Chi-Square.242a1.623
Continuity Correctionb.1151.734
Likelihood Ratio.2381.626
Fisher's Exact Test.647.361
Linear-by-Linear Association.2411.623
N of Valid Cases446
a. 0 cells (.0%) have expected count less than 5. The minimum expected count is 16.39.
b. Computed only for a 2x2 table
Risk Estimate
Value95% Confidence Interval
LowerUpper
Odds Ratio for ANC teratur (ya (>3x) / tidak (1-3x)).864.4821.548
For cohort ApgarNew = Low Apgar Score.890.5601.413
For cohort ApgarNew = Normal Apgar Score1.030.9121.162
N of Valid Cases446
CROSSTABS /TABLES=Severity BY ApgarNew /FORMAT=AVALUE TABLES /STATISTICS=CHISQ RISK /CELLS=COUNT ROW COLUMN TOTAL /COUNT ROUND CELL.
Crosstabs
Notes
Output Created09-JAN-2015 01:14:56
Comments
InputData/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Active DatasetDataSet1
Filter
Weight
Split File
N of Rows in Working Data File446
Missing Value HandlingDefinition of MissingUser-defined missing values are treated as missing.
Cases UsedStatistics for each table are based on all the cases with valid data in the specified range(s) for all variables in each table.
SyntaxCROSSTABS /TABLES=Severity BY ApgarNew /FORMAT=AVALUE TABLES /STATISTICS=CHISQ RISK /CELLS=COUNT ROW COLUMN TOTAL /COUNT ROUND CELL.
ResourcesProcessor Time00:00:00.01
Elapsed Time00:00:00.00
Dimensions Requested2
Cells Available131072
[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Case Processing Summary
Cases
ValidMissingTotal
NPercentNPercentNPercent
Severity * ApgarNew446100.0%00.0%446100.0%
Severity * ApgarNew Crosstabulation
ApgarNewTotal
Low Apgar ScoreNormal Apgar Score
SeveritySuperimposed PreeclampsiaCount6915
% within Severity40.0%60.0%100.0%
% within ApgarNew7.0%2.5%3.4%
% of Total1.3%2.0%3.4%
Mild PreeclampsiaCount44448
% within Severity8.3%91.7%100.0%
% within ApgarNew4.7%12.2%10.8%
% of Total0.9%9.9%10.8%
Severe PreeclampsiaCount54291345
% within Severity15.7%84.3%100.0%
% within ApgarNew62.8%80.8%77.4%
% of Total12.1%65.2%77.4%
HELLP SyndromeCount221638
% within Severity57.9%42.1%100.0%
% within ApgarNew25.6%4.4%8.5%
% of Total4.9%3.6%8.5%
TotalCount86360446
% within Severity19.3%80.7%100.0%
% within ApgarNew100.0%100.0%100.0%
% of Total19.3%80.7%100.0%
Chi-Square Tests
ValuedfAsymp. Sig. (2-sided)
Pearson Chi-Square47.155a3.000
Likelihood Ratio38.5263.000
Linear-by-Linear Association8.4651.004
N of Valid Cases446
a. 1 cells (12.5%) have expected count less than 5. The minimum expected count is 2.89.
Risk Estimate
Value
Odds Ratio for Severity (Superimposed Preeclampsia / Mild Preeclampsia)a
a. Risk Estimate statistics cannot be computed. They are only computed for a 2*2 table without empty cells.
RECODE minggukehamilan (Lowest thru 37=0) (38 thru 41=1) (42 thru Highest=2) INTO UsiaGestasi.VARIABLE LABELS UsiaGestasi 'UsiaGestasi'.EXECUTE.CROSSTABS /TABLES=UsiaGestasi BY ApgarNew /FORMAT=AVALUE TABLES /STATISTICS=CHISQ RISK /CELLS=COUNT ROW COLUMN TOTAL /COUNT ROUND CELL.
Crosstabs
Notes
Output Created09-JAN-2015 01:29:35
Comments
InputData/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Active DatasetDataSet1
Filter
Weight
Split File
N of Rows in Working Data File446
Missing Value HandlingDefinition of MissingUser-defined missing values are treated as missing.
Cases UsedStatistics for each table are based on all the cases with valid data in the specified range(s) for all variables in each table.
SyntaxCROSSTABS /TABLES=UsiaGestasi BY ApgarNew /FORMAT=AVALUE TABLES /STATISTICS=CHISQ RISK /CELLS=COUNT ROW COLUMN TOTAL /COUNT ROUND CELL.
ResourcesProcessor Time00:00:00.02
Elapsed Time00:00:00.00
Dimensions Requested2
Cells Available131072
[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Case Processing Summary
Cases
ValidMissingTotal
NPercentNPercentNPercent
UsiaGestasi * ApgarNew446100.0%00.0%446100.0%
UsiaGestasi * ApgarNew Crosstabulation
ApgarNewTotal
Low Apgar ScoreNormal Apgar Score
UsiaGestasiPretermCount74151225
% within UsiaGestasi32.9%67.1%100.0%
% within ApgarNew86.0%41.9%50.4%
% of Total16.6%33.9%50.4%
TermCount12207219
% within UsiaGestasi5.5%94.5%100.0%
% within ApgarNew14.0%57.5%49.1%
% of Total2.7%46.4%49.1%
PosttermCount022
% within UsiaGestasi0.0%100.0%100.0%
% within ApgarNew0.0%0.6%0.4%
% of Total0.0%0.4%0.4%
TotalCount86360446
% within UsiaGestasi19.3%80.7%100.0%
% within ApgarNew100.0%100.0%100.0%
% of Total19.3%80.7%100.0%
Chi-Square Tests
ValuedfAsymp. Sig. (2-sided)
Pearson Chi-Square54.049a2.000
Likelihood Ratio59.2872.000
Linear-by-Linear Association53.3381.000
N of Valid Cases446
a. 2 cells (33.3%) have expected count less than 5. The minimum expected count is .39.
Risk Estimate
Value
Odds Ratio for UsiaGestasi (Preterm / Term)a
a. Risk Estimate statistics cannot be computed. They are only computed for a 2*2 table without empty cells.
LOGISTIC REGRESSION VARIABLES ApgarNew /METHOD=ENTER IUGR Eklampsia LBW klasifikasiMAP Earlyorlate KlasifikasiLeukoNew KlasifikasiTromboNew Severity UsiaGestasi /SAVE=PRED /PRINT=GOODFIT CI(95) /CRITERIA=PIN(0.05) POUT(0.10) ITERATE(20) CUT(0.5).
Logistic Regression
Notes
Output Created09-JAN-2015 01:40:22
Comments
InputData/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Active DatasetDataSet1
Filter
Weight
Split File
N of Rows in Working Data File446
Missing Value HandlingDefinition of MissingUser-defined missing values are treated as missing
SyntaxLOGISTIC REGRESSION VARIABLES ApgarNew /METHOD=ENTER IUGR Eklampsia LBW klasifikasiMAP Earlyorlate KlasifikasiLeukoNew KlasifikasiTromboNew Severity UsiaGestasi /SAVE=PRED /PRINT=GOODFIT CI(95) /CRITERIA=PIN(0.05) POUT(0.10) ITERATE(20) CUT(0.5).
ResourcesProcessor Time00:00:00.03
Elapsed Time00:00:00.00
Variables Created or ModifiedPRE_24Predicted probability
[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Case Processing Summary
Unweighted CasesaNPercent
Selected CasesIncluded in Analysis44599.8
Missing Cases1.2
Total446100.0
Unselected Cases0.0
Total446100.0
a. If weight is in effect, see classification table for the total number of cases.
Dependent Variable Encoding
Original ValueInternal Value
Low Apgar Score0
Normal Apgar Score1
Block 0: Beginning Block
Classification Tablea,b
ObservedPredicted
ApgarNewPercentage Correct
Low Apgar ScoreNormal Apgar Score
Step 0ApgarNewLow Apgar Score086.0
Normal Apgar Score0359100.0
Overall Percentage80.7
a. Constant is included in the model.
b. The cut value is .500
Variables in the Equation
BS.E.WalddfSig.Exp(B)
Step 0Constant1.429.120141.6711.0004.174
Variables not in the Equation
ScoredfSig.
Step 0VariablesIUGR9.6771.002
Eklampsia5.5801.018
LBW86.6661.000
klasifikasiMAP9.5091.002
Earlyorlate107.1951.000
KlasifikasiLeukoNew14.8401.000
KlasifikasiTromboNew32.6721.000
Severity8.3021.004
UsiaGestasi53.1501.000
Overall Statistics136.0229.000
Block 1: Method = Enter
Omnibus Tests of Model Coefficients
Chi-squaredfSig.
Step 1Step130.1809.000
Block130.1809.000
Model130.1809.000
Model Summary
Step-2 Log likelihoodCox & Snell R SquareNagelkerke R Square
1306.733a.254.406
a. Estimation terminated at iteration number 6 because parameter estimates changed by less than .001.
Hosmer and Lemeshow Test
StepChi-squaredfSig.
15.5488.698
Contingency Table for Hosmer and Lemeshow Test
ApgarNew = Low Apgar ScoreApgarNew = Normal Apgar ScoreTotal
ObservedExpectedObservedExpected
Step 112930.7901614.21045
22623.7012325.29949
31413.0443131.95645
455.9834241.01747
511.6181716.38218
655.2977675.70381
732.8975151.10354
81.6601616.34017
901.3365856.66458
102.6732930.32731
Classification Tablea
ObservedPredicted
ApgarNewPercentage Correct
Low Apgar ScoreNormal Apgar Score
Step 1ApgarNewLow Apgar Score434350.0
Normal Apgar Score2733292.5
Overall Percentage84.3
a. The cut value is .500
Variables in the Equation
BS.E.WalddfSig.Exp(B)95% C.I.for EXP(B)
LowerUpper
Step 1aIUGR.392.488.6431.4221.479.5683.852
Eklampsia.284.497.3281.5671.329.5023.518
LBW-.961.4983.7271.054.383.1441.015
klasifikasiMAP.059.349.0291.8651.061.5352.103
Earlyorlate-1.518.37916.0821.000.219.104.460
KlasifikasiLeukoNew1.088.31611.8501.0012.9671.5975.512
KlasifikasiTromboNew.866.4433.8261.0502.378.9985.667
Severity-.021.247.0071.934.980.6031.591
UsiaGestasi.639.4871.7211.1901.895.7294.927
Constant-.1371.691.0071.936.872
a. Variable(s) entered on step 1: IUGR, Eklampsia, LBW, klasifikasiMAP, Earlyorlate, KlasifikasiLeukoNew, KlasifikasiTromboNew, Severity, UsiaGestasi.
GET FILE='/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav'.DATASET NAME DataSet1 WINDOW=FRONT.ROC Leuko BY ApgarNew (0) /PLOT=CURVE /CRITERIA=CUTOFF(INCLUDE) TESTPOS(LARGE) DISTRIBUTION(FREE) CI(95) /MISSING=EXCLUDE.
ROC Curve
Notes
Output Created09-JAN-2015 23:32:06
Comments
InputData/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Active DatasetDataSet1
Filter
Weight
Split File
N of Rows in Working Data File446
Missing Value HandlingDefinition of MissingUser-defined missing values are treated as missing.
Cases UsedStatistics are based on all cases with valid data for all variables in the analysis.
SyntaxROC Leuko BY ApgarNew (0) /PLOT=CURVE /CRITERIA=CUTOFF(INCLUDE) TESTPOS(LARGE) DISTRIBUTION(FREE) CI(95) /MISSING=EXCLUDE.
ResourcesProcessor Time00:00:00.96
Elapsed Time00:00:01.00
[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Case Processing Summary
ApgarNewValid N (listwise)
Positivea86
Negative360
Larger values of the test result variable(s) indicate stronger evidence for a positive actual state.
a. The positive actual state is Low Apgar Score.
Area Under the Curve
Test Result Variable(s): Leuko
Area
.660
The test result variable(s): Leuko has at least one tie between the positive actual state group and the negative actual state group. Statistics may be biased.
ROC Leuko BY ApgarNew (0) /PLOT=CURVE(REFERENCE) /PRINT=SE COORDINATES /CRITERIA=CUTOFF(INCLUDE) TESTPOS(LARGE) DISTRIBUTION(FREE) CI(95) /MISSING=EXCLUDE.
ROC Curve
Notes
Output Created09-JAN-2015 23:32:23
Comments
InputData/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Active DatasetDataSet1
Filter
Weight
Split File
N of Rows in Working Data File446
Missing Value HandlingDefinition of MissingUser-defined missing values are treated as missing.
Cases UsedStatistics are based on all cases with valid data for all variables in the analysis.
SyntaxROC Leuko BY ApgarNew (0) /PLOT=CURVE(REFERENCE) /PRINT=SE COORDINATES /CRITERIA=CUTOFF(INCLUDE) TESTPOS(LARGE) DISTRIBUTION(FREE) CI(95) /MISSING=EXCLUDE.
ResourcesProcessor Time00:00:00.17
Elapsed Time00:00:00.00
[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Case Processing Summary
ApgarNewValid N (listwise)
Positivea86
Negative360
Larger values of the test result variable(s) indicate stronger evidence for a positive actual state.
a. The positive actual state is Low Apgar Score.
Area Under the Curve
Test Result Variable(s): Leuko
AreaStd. ErroraAsymptotic Sig.bAsymptotic 95% Confidence Interval
Lower BoundUpper Bound
.660.031.000.599.722
The test result variable(s): Leuko has at least one tie between the positive actual state group and the negative actual state group. Statistics may be biased.
a. Under the nonparametric assumption
b. Null hypothesis: true area = 0.5
Coordinates of the Curve
Test Result Variable(s): Leuko
Positive if Greater Than or Equal ToaSensitivity1 - Specificity
3869.001.0001.000
4695.001.000.997
5765.001.000.994
6305.001.000.992
6780.001.000.989
6980.001.000.986
7035.00.988.986
7140.00.988.983
7215.00.988.981
7225.00.988.975
7250.00.988.964
7280.00.988.961
7330.00.988.958
7390.00.988.956
7415.00.988.953
7440.00.988.950
7465.00.988.947
7480.00.988.942
7495.00.988.936
7525.00.988.931
7555.00.988.925
7565.00.988.922
7585.00.988.919
7615.00.988.914
7640.00.988.911
7655.00.988.908
7685.00.988.903
7720.00.988.900
7765.00.977.897
7820.00.977.894
7870.00.977.892
7915.00.977.889
7955.00.977.886
7995.00.977.883
8035.00.977.881
8080.00.977.878
8150.00.977.875
8320.00.977.872
8450.00.977.869
8465.00.977.867
8495.00.977.864
8580.00.965.864
8735.00.965.861
8850.00.965.856
8895.00.953.856
8930.00.953.853
8950.00.953.850
8975.00.953.847
9010.00.953.844
9095.00.953.842
9215.00.953.839
9290.00.953.836
9355.00.942.836
9445.00.942.833
9495.00.942.828
9535.00.942.822
9610.00.942.817
9675.00.942.814
9740.00.942.811
9790.00.942.808
9815.00.942.803
9860.00.942.800
9945.00.942.797
10025.00.942.792
10125.00.942.789
10210.00.942.772
10260.00.930.772
10350.00.930.764
10450.00.919.756
10550.00.907.733
10650.00.884.719
10750.00.884.708
10850.00.849.697
10950.00.849.686
11050.00.849.678
11150.00.849.667
11250.00.837.658
11350.00.837.653
11450.00.837.647
11550.00.837.636
11650.00.837.631
11750.00.837.619
11850.00.814.611
11950.00.814.603
12050.00.802.583
12150.00.802.569
12250.00.802.567
12400.00.791.547
12550.00.779.533
12650.00.767.517
12750.00.744.506
12850.00.733.503
12950.00.733.500
13050.00.721.492
13150.00.709.483
13250.00.698.481
13350.00.674.475
13450.00.674.464
13550.00.674.453
13650.00.674.442
13750.00.663.433
13850.00.628.422
13950.00.616.414
14050.00.616.406
14150.00.616.397
14250.00.605.394
14350.00.605.389
14450.00.605.383
14550.00.605.367
14650.00.593.361
14750.00.593.356
14850.00.581.356
14950.00.570.347
15050.00.570.336
15150.00.558.325
15250.00.558.317
15350.00.558.314
15450.00.558.303
15550.00.547.300
15650.00.535.289
15750.00.523.289
15850.00.512.289
15950.00.512.283
16050.00.512.269
16150.00.500.264
16250.00.488.258
16350.00.465.256
16450.00.465.253
16550.00.465.250
16650.00.465.244
16800.00.442.244
16950.00.430.236
17050.00.430.225
17150.00.419.214
17250.00.395.208
17350.00.372.206
17450.00.360.206
17600.00.360.200
17750.00.360.197
17850.00.349.194
17950.00.337.192
18050.00.326.186
18150.00.314.178
18250.00.314.172
18350.00.314.164
18450.00.314.161
18550.00.302.158
18650.00.302.156
18750.00.291.156
18850.00.279.153
18950.00.279.150
19050.00.267.144
19150.00.267.136
19300.00.267.128
19450.00.244.128
19550.00.233.128
19650.00.221.125
19800.00.221.119
19950.00.221.117
20050.00.209.114
20250.00.209.111
20450.00.209.106
20550.00.198.103
20650.00.186.103
20800.00.186.100
21050.00.186.097
21300.00.174.097
21450.00.174.092
21550.00.174.083
21650.00.174.078
21750.00.163.078
21850.00.151.075
21950.00.151.072
22050.00.151.069
22250.00.151.067
22450.00.151.064
22600.00.151.061
22750.00.151.058
23150.00.151.056
23600.00.140.056
23750.00.140.053
23850.00.140.050
23950.00.140.044
24050.00.140.042
24200.00.140.039
24350.00.140.036
24500.00.140.033
24800.00.140.031
25050.00.140.028
25250.00.128.028
25600.00.116.028
25900.00.105.028
26250.00.093.028
26550.00.093.025
26700.00.081.025
27000.00.070.019
27250.00.047.017
27450.00.047.014
27800.00.035.014
28150.00.035.011
28750.00.035.008
29950.00.035.006
30730.00.035.003
30880.00.023.003
31400.00.012.003
31900.00.000.003
32001.00.000.000
The test result variable(s): Leuko has at least one tie between the positive actual state group and the negative actual state group.
a. The smallest cutoff value is the minimum observed test value minus 1, and the largest cutoff value is the maximum observed test value plus 1. All the other cutoff values are the averages of two consecutive ordered observed test values.
RECODE Leuko (Lowest thru 12649=0) (12650 thru Highest=1) INTO LeukoApgar.VARIABLE LABELS LeukoApgar 'LeukoApgar'.EXECUTE.CROSSTABS /TABLES=LeukoApgar BY ApgarNew /FORMAT=AVALUE TABLES /STATISTICS=CHISQ RISK /CELLS=COUNT ROW COLUMN TOTAL /COUNT ROUND CELL.
Crosstabs
Notes
Output Created09-JAN-2015 23:38:48
Comments
InputData/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Active DatasetDataSet1
Filter
Weight
Split File
N of Rows in Working Data File446
Missing Value HandlingDefinition of MissingUser-defined missing values are treated as missing.
Cases UsedStatistics for each table are based on all the cases with valid data in the specified range(s) for all variables in each table.
SyntaxCROSSTABS /TABLES=LeukoApgar BY ApgarNew /FORMAT=AVALUE TABLES /STATISTICS=CHISQ RISK /CELLS=COUNT ROW COLUMN TOTAL /COUNT ROUND CELL.
ResourcesProcessor Time00:00:00.01
Elapsed Time00:00:00.00
Dimensions Requested2
Cells Available131072
[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Case Processing Summary
Cases
ValidMissingTotal
NPercentNPercentNPercent
LeukoApgar * ApgarNew446100.0%00.0%446100.0%
LeukoApgar * ApgarNew Crosstabulation
ApgarNewTotal
Low Apgar ScoreNormal Apgar Score
LeukoApgar=12650Count66186252
% within LeukoApgar26.2%73.8%100.0%
% within ApgarNew76.7%51.7%56.5%
% of Total14.8%41.7%56.5%
TotalCount86360446
% within LeukoApgar19.3%80.7%100.0%
% within ApgarNew100.0%100.0%100.0%
% of Total19.3%80.7%100.0%
Chi-Square Tests
ValuedfAsymp. Sig. (2-sided)Exact Sig. (2-sided)Exact Sig. (1-sided)
Pearson Chi-Square17.762a1.000
Continuity Correctionb16.7571.000
Likelihood Ratio18.7731.000
Fisher's Exact Test.000.000
Linear-by-Linear Association17.7231.000
N of Valid Cases446
a. 0 cells (0.0%) have expected count less than 5. The minimum expected count is 37.41.
b. Computed only for a 2x2 table
Risk Estimate
Value95% Confidence Interval
LowerUpper
Odds Ratio for LeukoApgar (=12650).324.189.557
For cohort ApgarNew = Low Apgar Score.394.248.626
For cohort ApgarNew = Normal Apgar Score1.2151.1131.327
N of Valid Cases446
LOGISTIC REGRESSION VARIABLES ApgarNew /METHOD=ENTER IUGR klasifikasiMAP Earlyorlate LeukoApgar LBW klasifikasitrombosit Severity UsiaGestasi Eklampsia /CONTRAST (IUGR)=Indicator /CONTRAST (klasifikasiMAP)=Indicator /CONTRAST (Earlyorlate)=Indicator /CONTRAST (LeukoApgar)=Indicator /CONTRAST (LBW)=Indicator /CONTRAST (klasifikasitrombosit)=Indicator /CONTRAST (Severity)=Indicator /CONTRAST (UsiaGestasi)=Indicator /CONTRAST (Eklampsia)=Indicator /SAVE=PRED /CLASSPLOT /PRINT=GOODFIT CI(95) /CRITERIA=PIN(0.05) POUT(0.10) ITERATE(20) CUT(0.5).
Logistic Regression
Notes
Output Created09-JAN-2015 23:42:50
Comments
InputData/Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Active DatasetDataSet1
Filter
Weight
Split File
N of Rows in Working Data File446
Missing Value HandlingDefinition of MissingUser-defined missing values are treated as missing
SyntaxLOGISTIC REGRESSION VARIABLES ApgarNew /METHOD=ENTER IUGR klasifikasiMAP Earlyorlate LeukoApgar LBW klasifikasitrombosit Severity UsiaGestasi Eklampsia /CONTRAST (IUGR)=Indicator /CONTRAST (klasifikasiMAP)=Indicator /CONTRAST (Earlyorlate)=Indicator /CONTRAST (LeukoApgar)=Indicator /CONTRAST (LBW)=Indicator /CONTRAST (klasifikasitrombosit)=Indicator /CONTRAST (Severity)=Indicator /CONTRAST (UsiaGestasi)=Indicator /CONTRAST (Eklampsia)=Indicator /SAVE=PRED /CLASSPLOT /PRINT=GOODFIT CI(95) /CRITERIA=PIN(0.05) POUT(0.10) ITERATE(20) CUT(0.5).
ResourcesProcessor Time00:00:00.04
Elapsed Time00:00:00.00
Variables Created or ModifiedPRE_25Predicted probability
[DataSet1] /Users/saraswatigondotesna/Desktop/Magang dr Adly NA/SGA STudy/singleton live PEB 2013.sav
Case Processing Summary
Unweighted CasesaNPercent
Selected CasesIncluded in Analysis44599.8
Missing Cases1.2
Total446100.0
Unselected Cases0.0
Total446100.0
a. If weight is in effect, see classification table for the total number of cases.
Dependent Variable Encoding
Original ValueInternal Value
Low Apgar Score0
Normal Apgar Score1
Categorical Variables Codings
FrequencyParameter coding
(1)(2)(3)
SeveritySuperimposed Preeclampsia151.000.000.000
Mild Preeclampsia47.0001.000.000
Severe Preeclampsia345.000.0001.000
HELLP Syndrome38.000.000.000
UsiaGestasiPreterm2251.000.000
Term218.0001.000
Postterm2.000.000
Eklampsia1311.000
2414.000
klasifikasi MAP=13587.000
Earlyorlatelate3461.000
early99.000
LeukoApgar=12650251.000
LBWNormo birtweight2731.000
LBW172.000
klasifikasitrombosit>1735003791.000