scholarly journals Newborn pulse oximetry screening in the context of a high antenatal detection rate of critical congenital heart disease

2019 ◽  
Vol 109 (1) ◽  
pp. 93-99
Author(s):  
Elza Cloete ◽  
Frank H. Bloomfield ◽  
Sharnie A. Cassells ◽  
Monique W. M. Laat ◽  
Lynn Sadler ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pulse Oximetry ◽  
Detection Rate ◽  
Congenital Heart ◽  
Critical Congenital Heart Disease ◽  
Antenatal Detection ◽  
Pulse Oximetry Screening

scholarly journals Pulse Oximetry Screening Has Not Changed Timing of Diagnosis or Mortality of Critical Congenital Heart Disease

2020 ◽  
Vol 41 (5) ◽  
pp. 899-904 ◽  
Author(s):  
Matthew J. Campbell ◽  
William O. Quarshie ◽  
Jennifer Faerber ◽  
David J. Goldberg ◽  
Christopher E. Mascio ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
Critical Congenital Heart Disease ◽  
Pulse Oximetry Screening

scholarly journals Updated Strategies for Pulse Oximetry Screening for Critical Congenital Heart Disease

PEDIATRICS ◽  
2020 ◽  
Vol 146 (1) ◽  
pp. e20191650
Author(s):  
Gerard R. Martin ◽  
Andrew K. Ewer ◽  
Amy Gaviglio ◽  
Lisa A. Hom ◽  
Annamarie Saarinen ◽  
...  
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
Critical Congenital Heart Disease ◽  
Pulse Oximetry Screening

scholarly journals Pulse Oximetry Values in Newborns with Critical Congenital Heart Disease upon ICU Admission at Altitude

2018 ◽  
Vol 4 (4) ◽  
pp. 30 ◽  
Author(s):  
John Kim ◽  
Merlin Ariefdjohan ◽  
Marci Sontag ◽  
Christopher Rausch
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
Capture Rate ◽  
Moderate Altitude ◽  
Critical Congenital Heart Disease ◽  
Screening Guidelines ◽  
Positive Screen ◽  
Pulse Oximetry Screening

Pulse oximetry screening for critical congenital heart disease (CCHD) has been recommended by the American Academy of Pediatrics (AAP). The objectives of this study are to describe saturation data, and to evaluate the effectiveness of AAP-recommended pulse oximetry screening guidelines applied retrospectively to a cohort of newborns with known CCHD at moderate altitude (5557 feet, Aurora, Colorado). Data related to seven critical congenital heart disease diagnoses were extracted from electronic health records (pulse oximetry, prostaglandin administration, and oxygen supplementation). Descriptive epidemiologic data were calculated. 158 subjects were included in this analysis; the AAP pulse oximetry screening protocol was applied to 149 subjects. Mean pre-ductal and post-ductal pulse oximetry values of the infants known to have CCHD at 24 h of life were 87.1% ± 7.2 and 87.8% ± 6.3, respectively. Infants treated with prostaglandins and oxygen had lower oximetry readings. The screening algorithm would have identified 80.5% of infants with known CCHDs (120/149 subjects). Additionally, sequential pulse oximetry screening based on the AAP-recommended protocol was able to identify a true positive screen capture rate of 80.5% at moderate altitude.

scholarly journals First-Year Outcomes of Critical Congenital Heart Disease Screening in Maryland

2019 ◽  
Vol 6 ◽  
pp. 2333794X1986822
Author(s):  
Deborah Badawi ◽  
Johnna Watson ◽  
Steven Maschke ◽  
Lawrence Reid
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Newborn Screening ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
Clinical Signs ◽  
Signs And Symptoms ◽  
First Year ◽  
Critical Congenital Heart Disease ◽  
Pulse Oximetry Screening

Objectives. Newborn screening for critical congenital heart disease (CCHD) was added to the Recommended Uniform Screening Panel in 2011, and states have been gradually adding pulse oximetry as point-of-care screening to panels. Few data are available on the effectiveness of pulse oximetry as a mandated screening. This study describes outcomes of the first year of screening in Maryland. Methods. A web-based data collection tool for screening results and outcomes, eScreener Plus, was utilized. Data collected from the start of screening from September 1, 2012, to December 31, 2013, were analyzed. Well-baby nursery data were evaluated separately from neonatal intensive care unit (NICU) data to determine whether setting influenced effectiveness. Results. In the first 15 months of newborn screening for CCHD in Maryland, 4 asymptomatic infants were diagnosed with a critical cardiac condition by newborn screening. Eleven infants passed but were later identified with a primary or secondary target condition. Seventy-one percent of infants with CCHD were identified prenatally or by clinical signs and symptoms. Pulse oximetry screening for CCHD had a specificity of more than 99% in both the well-baby nursery and the NICU. Sensitivity in the well-baby nursery was 10% and 60% in the NICU. Conclusion. Further investigation and interpretation of specific protocols that were used and outcomes of screening is needed for continued refinement of the well-baby algorithm and NICU protocol development. Pulse oximetry screening in newborns provides valuable clinical information, but many infants with CCHD are still not identified with current protocols.

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.

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