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

AIM: Limited data have been available regarding critical congenital heart disease (CHD) screening in neonatal intensive care unit (NICUs). This study evaluated the feasibility of screening for CHD by adding pulse oximetry (POX) to clinical evaluation in a NICU in Shanghai, China. METHODS: We screene...

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Autores principales: Hu, Xiao‐jing, Zhao, Qu‐ming, Ma, Xiao‐jing, Yan, Wei‐li, Ge, Xiao‐ling, Jia, Bing, Liu, Fang, Wu, Lin, Ye, Ming, Huang, Guo‐ying
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095792/
https://www.ncbi.nlm.nih.gov/pubmed/27540721
http://dx.doi.org/10.1111/apa.13553
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author Hu, Xiao‐jing
Zhao, Qu‐ming
Ma, Xiao‐jing
Yan, Wei‐li
Ge, Xiao‐ling
Jia, Bing
Liu, Fang
Wu, Lin
Ye, Ming
Huang, Guo‐ying
author_facet Hu, Xiao‐jing
Zhao, Qu‐ming
Ma, Xiao‐jing
Yan, Wei‐li
Ge, Xiao‐ling
Jia, Bing
Liu, Fang
Wu, Lin
Ye, Ming
Huang, Guo‐ying
author_sort Hu, Xiao‐jing
collection PubMed
description AIM: Limited data have been available regarding critical congenital heart disease (CHD) screening in neonatal intensive care unit (NICUs). This study evaluated the feasibility of screening for CHD by adding pulse oximetry (POX) to clinical evaluation in a NICU in Shanghai, China. METHODS: We screened 4128 eligible consecutive NICU admissions using POX plus clinical evaluation. Infants with positive screening results were then evaluated with echocardiography. Those with negative screening results were put under observation, and they also underwent echocardiography if their oxygen saturation fell below 95% on room air during hospitalisation. RESULTS: This enhanced procedure detected 19 critical CHD cases, and seven of these diagnoses would have been delayed if POX had not been incorporated into the screening strategy. This means that the addition of POX increased the detection rate of critical CHD from 63.2 to 100%. The false‐positive rate of critical CHD screening using POX plus clinical evaluation was higher in NICU patients with high morbidity rates. CONCLUSION: When pulse oximetry screening was added to clinical evaluation, it increased the number of critical CHD cases that were detected in our NICU. This method could provide a useful screening protocol for critical CHD cases.
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spelling pubmed-50957922016-11-09 Pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units Hu, Xiao‐jing Zhao, Qu‐ming Ma, Xiao‐jing Yan, Wei‐li Ge, Xiao‐ling Jia, Bing Liu, Fang Wu, Lin Ye, Ming Huang, Guo‐ying Acta Paediatr Online Only Articles AIM: Limited data have been available regarding critical congenital heart disease (CHD) screening in neonatal intensive care unit (NICUs). This study evaluated the feasibility of screening for CHD by adding pulse oximetry (POX) to clinical evaluation in a NICU in Shanghai, China. METHODS: We screened 4128 eligible consecutive NICU admissions using POX plus clinical evaluation. Infants with positive screening results were then evaluated with echocardiography. Those with negative screening results were put under observation, and they also underwent echocardiography if their oxygen saturation fell below 95% on room air during hospitalisation. RESULTS: This enhanced procedure detected 19 critical CHD cases, and seven of these diagnoses would have been delayed if POX had not been incorporated into the screening strategy. This means that the addition of POX increased the detection rate of critical CHD from 63.2 to 100%. The false‐positive rate of critical CHD screening using POX plus clinical evaluation was higher in NICU patients with high morbidity rates. CONCLUSION: When pulse oximetry screening was added to clinical evaluation, it increased the number of critical CHD cases that were detected in our NICU. This method could provide a useful screening protocol for critical CHD cases. John Wiley and Sons Inc. 2016-09-20 2016-11 /pmc/articles/PMC5095792/ /pubmed/27540721 http://dx.doi.org/10.1111/apa.13553 Text en ©2016 The Authors. Acta Pædiatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Pædiatrica This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) 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 Online Only Articles
Hu, Xiao‐jing
Zhao, Qu‐ming
Ma, Xiao‐jing
Yan, Wei‐li
Ge, Xiao‐ling
Jia, Bing
Liu, Fang
Wu, Lin
Ye, Ming
Huang, Guo‐ying
Pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units
title Pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units
title_full Pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units
title_fullStr Pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units
title_full_unstemmed Pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units
title_short Pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units
title_sort pulse oximetry could significantly enhance the early detection of critical congenital heart disease in neonatal intensive care units
topic Online Only Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5095792/
https://www.ncbi.nlm.nih.gov/pubmed/27540721
http://dx.doi.org/10.1111/apa.13553
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