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

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.

scholarly journals Pulse Oximetry Screening in newborn for early detection of Critical Congenital Heart Disease - A review

2017 ◽  
Vol 39 (3) ◽  
pp. 148-153
Author(s):  
Sukhendu Shekhar Sen ◽  
Taskina Mosleh ◽  
Ismat Jahan ◽  
Sanjoy Kumer Dey
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Early Detection ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
False Positive Rate ◽  
Screening Method ◽  
Cost Effective ◽  
Critical Congenital Heart Disease ◽  
Diagnostic Modality

Approximately 9 of 1000 live births have congenital heart disease, of these ~25% have critical congenital heart disease (CCHD). Delayed or missed diagnosis of CCHD may result in acute cardiovascular collapse. Echocardiography is a necessary diagnostic tool but it’s cost is a severe limitation as a universal screening tool. Clinically undetectable hypoxemia is present to some degree in most CCHD and this technique can be used as a screening method for early detection. In 2012, a systematic review involving over 300,000 babies reported that pulse oximetry test is highly specific (99.9%) and moderately sensitive (76.5%) with a low false positive rate (0.05%). The test is simple, feasible, cost effective, highly specific and sufficiently sensitive to qualify for screening test. Parents and caregivers should be informed that pulse oximetry cannot detect all cases of CCHD. A positive test result needs to be confirmed by echocardiography, which is considered as the definitive diagnostic modality. Whenever possible, the echocardiogram should be interpreted by pediatric cardiologistsBangladesh J Child Health 2015; VOL 39 (3) :148-153

Public Views on Pulse Oximetry Screening for Critical Congenital Heart Disease

2017 ◽  
Vol 8 (2) ◽  
pp. 130-134
Author(s):  
Praveen Kumar ◽  
Hari Iyengar ◽  
Prerna Kumar
Keyword(s):  
Congenital Heart Disease ◽  
Heart Disease ◽  
Early Detection ◽  
Pulse Oximetry ◽  
Congenital Heart ◽  
Statistical Significance ◽  
Fisher Exact Test ◽  
Critical Congenital Heart Disease ◽  
Public Views ◽  
Pulse Oximetry Screening

Objectives: To understand public views on pulse oximetry screening for critical congenital heart disease. Methods: Two hundred thirteen adults read a brief vignette describing the importance of early detection of critical congenital heart disease and then answered five questions on a five-point scale of how likely or unlikely they were to support pulse oximetry screening. Responses were tabulated and analyzed using a Fisher exact test, and logistic regression was used to estimate odds ratios for adjusted associations using generalized estimating equations. Results: Almost 90% of all participants expressed support for routine pulse oximetry screening. The possibility of false positives leading to a delay in discharge, and the potential need for transfer to another facility lowered support but did not reach a statistical significance. The overall support for pulse oximetry screening was strong and consistent between different participant demographics. Conclusion: A large majority of participants in this study support pulse oximetry screening for the early detection of critical congenital heart disease.

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
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