scholarly journals Pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units

2016 ◽  
Vol 105 (11) ◽  
Author(s):  
Xiao‐jing Hu ◽  
Qu‐ming Zhao ◽  
Xiao‐jing Ma ◽  
Wei‐li Yan ◽  
Xiao‐ling Ge ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Intensive Care ◽  
Heart Disease ◽  
Early Detection ◽  
Pulse Oximetry ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Congenital Heart ◽  
Neonatal Intensive Care Units ◽  
Critical Congenital Heart Disease

scholarly journals Early detection of and intervention for two newborns with critical congenital heart disease using a specialized device as part of a screening system

2020 ◽  
Vol 8 ◽  
pp. 2050313X2092604
Author(s):  
René Gómez-Gutiérrez ◽  
Héctor Cruz-Camino ◽  
Consuelo Cantú-Reyna ◽  
Adrián Martínez-Cervantes ◽  
Diana Laura Vazquez-Cantu ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Early Detection ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
Screening Program ◽  
Disease Screening ◽  
Therapeutic Interventions ◽  
Critical Congenital Heart Disease ◽  
Clinical Method

Screening for critical congenital heart disease is a clinical method used for their early detection using pulse oximetry technology. This, followed by a diagnostic confirmatory protocol, allows timely therapeutic interventions that improve the newborn’s outcome. According to Mexican birth statistics, approximately 18,000–21,000 neonates are born with a form of congenital heart disease each year, of which 25% are estimated to be critical congenital heart disease. We report two cases with an early critical congenital heart disease detection and intervention through an innovative critical congenital heart disease screening program implemented in two Mexican hospitals. They integrated a new automated pulse oximetry data analysis method and a comprehensive follow-up system (Cárdi-k®). Both cases were confirmed by echocardiogram, which served for an intervention in the first week of life, and the patients were discharged in good clinical condition. In addition, to the routine physical assessments, the critical congenital heart disease screening program (which includes echocardiogram for presumptive positive cases) should be implemented in a timely manner.

scholarly journals Universal Pulse Oximetry Screening for Early Detection of Critical Congenital Heart Disease

2016 ◽  
Vol 10 ◽  
pp. CMPed.S33086 ◽  
Author(s):  
Praveen Kumar
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Early Detection ◽  
Early Diagnosis ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
Developed Countries ◽  
The United States ◽  
Critical Congenital Heart Disease ◽  
Pulse Oximetry Screening

Critical congenital heart disease (CCHD) is a major cause of infant death and morbidity worldwide. An early diagnosis and timely intervention can significantly reduce the likelihood of an adverse outcome. However, studies from the United States and other developed countries have shown that as many as 30%–50% of infants with CCHD are discharged after birth without being identified. This diagnostic gap is likely to be even higher in low-resource countries. Several large randomized trials have shown that the use of universal pulse-oximetry screening (POS) at the time of discharge from birth hospital can help in early diagnosis of these infants. The objective of this review is to share data to show that the use of POS for early detection of CCHD meets the criteria necessary for inclusion to the universal newborn screening panel and could be adopted worldwide.

A Multicenter Initiative for Critical Congenital Heart Disease Newborn Screening in Texas Neonatal Intensive Care Units

2017 ◽  
Vol 34 (09) ◽  
pp. 839-844 ◽  
Author(s):  
Charleta Guillory ◽  
Liza Creel ◽  
Judith Livingtson ◽  
Tiffany McKee-Garrett ◽  
Regine Fortunov ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Intensive Care ◽  
Heart Disease ◽  
Newborn Screening ◽  
Neonatal Intensive Care ◽  
Congenital Heart ◽  
False Positive Rate ◽  
Age Groups ◽  
Critical Congenital Heart Disease ◽  
Efficient System

Objective The objective of this study was to implement a strategy for critical congenital heart disease (CCHD) newborn screening in the neonatal intensive care unit (NICU). Design A NICU-specific curriculum, screening algorithm, slide presentations, and templates of orders, policies, and procedures were developed into a toolkit for training NICU personnel. Screening was conducted on first and second screen pre- and postductal oxygen saturations (SpO2) on newborns admitted or transferred to the NICU. Results We trained 347 NICU personnel in 13 Texas hospitals, representing rural, suburban, and metropolitan settings. Key hospital staff submitted deidentified, case-based screening data. Of 4,621 NICU admissions, 80% received a first screen. Second screening rates were substantially lower in all gestational age groups. Screening rates on first and second screens were lowest among infants born < 28 weeks. For the first screen, SpO2 was lowest among the youngest gestational ages. The false positive rate was 2.3%. Conclusion CCHD screening in the NICU is challenging, given the complexities of the NICU population. A modified screening protocol that recognizes special circumstances of neonatal intensive care could facilitate a more efficient system.

Is pulse oximetry helpful for the early detection of critical congenital heart disease at high altitude?

2018 ◽  
Vol 13 (6) ◽  
pp. 911-918 ◽  
Author(s):  
Fabricio González-Andrade ◽  
Daniel Echeverría ◽  
Valeria López ◽  
Michaela Arellano
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Early Detection ◽  
Pulse Oximetry ◽  
High Altitude ◽  
Congenital Heart ◽  
Critical Congenital Heart Disease
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