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Neonatal assessment using the Apgar fuzzy expert system

✍ Scribed by Kyoko Shimomura; Hideaki Shono; Mayumi Kohara; Akira Uchiyama; Yuji Ito; Hajime Sugimori

Publisher
Elsevier Science
Year
1994
Tongue
English
Weight
706 KB
Volume
24
Category
Article
ISSN
0010-4825

No coin nor oath required. For personal study only.

✦ Synopsis

We applied fuzzy theory to the Apgar scoring system (APG) to devise an Apgar fuzzy expert system (AFES). Three AFESs were determined separately by each one of three doctor groups (four inexperienced obstetricians, four experienced obstetricians and four expert neonatologists) in order to demonstrate that the AFES reflected the examiner's expertise and situation. Two-hundred and sixty-seven neonates were assessed 1 min after birth by an experienced obstetrician using the APG and the three AFESs. Statistical analysis of the relationship between the APG and the three AFESs in the acidosis group showed that the AFES determined by four expert neonatologists had the highest sensitivity and were significantly different @<0.05) from the APG. The AFES determined by the four expert neonatologists was revealed to be a valuable tool.

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