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Nordic pulse oximetry screening – implementation status and proposal for uniform guidelines

AIM: Pulse oximetry screening of newborn infants increases early detection of critical congenital heart disease and minimises the risk of circulatory collapse before surgery. This study provides an update on the implementation of pulse oximetry screening in the Nordic countries and proposes standard...

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Autores principales: de-Wahl Granelli, Anne, Meberg, Alf, Ojala, Tiina, Steensberg, Jesper, Oskarsson, Gylfi, Mellander, Mats
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Blackwell Publishing Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480652/
https://www.ncbi.nlm.nih.gov/pubmed/25060211
http://dx.doi.org/10.1111/apa.12758
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author de-Wahl Granelli, Anne
Meberg, Alf
Ojala, Tiina
Steensberg, Jesper
Oskarsson, Gylfi
Mellander, Mats
author_facet de-Wahl Granelli, Anne
Meberg, Alf
Ojala, Tiina
Steensberg, Jesper
Oskarsson, Gylfi
Mellander, Mats
author_sort de-Wahl Granelli, Anne
collection PubMed
description AIM: Pulse oximetry screening of newborn infants increases early detection of critical congenital heart disease and minimises the risk of circulatory collapse before surgery. This study provides an update on the implementation of pulse oximetry screening in the Nordic countries and proposes standardised guidelines. METHODS: A questionnaire exploring pulse oximetry screening, clinical examination routines and availability of echocardiography was distributed to all 157 delivery units in the Nordic countries in June 2013. RESULTS: We received responses from 156 of the 157 delivery units, and 116 (74%) were using pulse oximetry screening by September 2013. Preductal and postductal screening were both used in 59 of 116 units (51%), with just postductal screening in 51 of 116 (44%) and just preductal screening alone in 6 of 116 (5%). Screening was performed before 24 h in 105 of 116 units (91%). The implementation of screening was highest in Finland (29/30, 97%), Sweden (42/46, 91%) and Norway (43/48, 90%) and lowest in Denmark (2/24, 8%) and Iceland (0/8 units). CONCLUSION: In Sweden, Norway and Finland, the implementation of pulse oximetry screening is currently the highest in the world and coverage will be close to 100% in 2014. We propose uniform Nordic guidelines using preductal and postductal screening before 24 h of age.
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spelling pubmed-44806522015-07-02 Nordic pulse oximetry screening – implementation status and proposal for uniform guidelines de-Wahl Granelli, Anne Meberg, Alf Ojala, Tiina Steensberg, Jesper Oskarsson, Gylfi Mellander, Mats Acta Paediatr Regular Articles AIM: Pulse oximetry screening of newborn infants increases early detection of critical congenital heart disease and minimises the risk of circulatory collapse before surgery. This study provides an update on the implementation of pulse oximetry screening in the Nordic countries and proposes standardised guidelines. METHODS: A questionnaire exploring pulse oximetry screening, clinical examination routines and availability of echocardiography was distributed to all 157 delivery units in the Nordic countries in June 2013. RESULTS: We received responses from 156 of the 157 delivery units, and 116 (74%) were using pulse oximetry screening by September 2013. Preductal and postductal screening were both used in 59 of 116 units (51%), with just postductal screening in 51 of 116 (44%) and just preductal screening alone in 6 of 116 (5%). Screening was performed before 24 h in 105 of 116 units (91%). The implementation of screening was highest in Finland (29/30, 97%), Sweden (42/46, 91%) and Norway (43/48, 90%) and lowest in Denmark (2/24, 8%) and Iceland (0/8 units). CONCLUSION: In Sweden, Norway and Finland, the implementation of pulse oximetry screening is currently the highest in the world and coverage will be close to 100% in 2014. We propose uniform Nordic guidelines using preductal and postductal screening before 24 h of age. Blackwell Publishing Ltd 2014-11 2014-08-24 /pmc/articles/PMC4480652/ /pubmed/25060211 http://dx.doi.org/10.1111/apa.12758 Text en ©2014 The Authors. Acta Pædiatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Pædiatrica http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
spellingShingle Regular Articles
de-Wahl Granelli, Anne
Meberg, Alf
Ojala, Tiina
Steensberg, Jesper
Oskarsson, Gylfi
Mellander, Mats
Nordic pulse oximetry screening – implementation status and proposal for uniform guidelines
title Nordic pulse oximetry screening – implementation status and proposal for uniform guidelines
title_full Nordic pulse oximetry screening – implementation status and proposal for uniform guidelines
title_fullStr Nordic pulse oximetry screening – implementation status and proposal for uniform guidelines
title_full_unstemmed Nordic pulse oximetry screening – implementation status and proposal for uniform guidelines
title_short Nordic pulse oximetry screening – implementation status and proposal for uniform guidelines
title_sort nordic pulse oximetry screening – implementation status and proposal for uniform guidelines
topic Regular Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4480652/
https://www.ncbi.nlm.nih.gov/pubmed/25060211
http://dx.doi.org/10.1111/apa.12758
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