The limitations of pulse oximetry for critical congenital heart disease screening in the neonatal intensive care units

2017 ◽  
Vol 106 (6) ◽  
pp. 1007-1007 ◽  
Author(s):  
Nithi Fernandes ◽  
Satyan Lakshminrusimha
Keyword(s):  
Congenital Heart Disease ◽  
Intensive Care ◽  
Heart Disease ◽  
Pulse Oximetry ◽  
Intensive Care Units ◽  
Neonatal Intensive Care ◽  
Congenital Heart ◽  
Disease Screening ◽  
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.

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.

Critical Congenital Heart Disease Screening Using Pulse Oximetry

2013 ◽  
Vol 162 (3) ◽  
pp. 445-453 ◽  
Author(s):  
Lowell H. Frank ◽  
Elizabeth Bradshaw ◽  
Robert Beekman ◽  
William T. Mahle ◽  
Gerard R. Martin
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
Disease Screening ◽  
Critical Congenital Heart Disease
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